scholarly journals Reproducibility and Relative Validity of the Healthy Eating Index-2015 and Nutrient-Rich Food Index 9.3 Estimated by Comprehensive and Brief Diet History Questionnaires in Japanese Adults

Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2540 ◽  
Author(s):  
Kentaro Murakami ◽  
M. Barbara E. Livingstone ◽  
Aya Fujiwara ◽  
Satoshi Sasaki

We examined the reproducibility and relative validity of two measures of overall diet quality, the Healthy Eating Index-2015 (HEI-2015) and Nutrient-Rich Food Index 9.3 (NRF9.3), as estimated by well-established self-administered dietary assessment questionnaires for the Japanese, namely the comprehensive diet history questionnaire (DHQ) and the brief diet history questionnaire (BDHQ). Diet was assessed separately by two DHQs and two BDHQs at a 1-year interval and by 16-day weighed dietary records (DRs) in 121 women and 121 men aged 31–81 years. HEI-2015 and NRF9.3 were calculated from each method. The reproducibility correlation for the two questionnaires (intraclass correlation) ranged from 0.53 (HEI-2015 from BDHQ in men) to 0.77 (NRF9.3 from BDHQ in women). The validity correlation between the first questionnaires and DR (Pearson correlation) ranged from 0.37 (NRF9.3 from BDHQ in men) to 0.61 (NRF9.3 from DHQ and BDHQ in women). Bland–Altman plots showed poor agreement between the DHQ or BDHQ and DR, as well as the presence of weak proportional bias. Overall, these data indicate reasonable reproducibility and ranking ability of the DHQ and BDHQ for assessing the HEI-2015 and NRF9.3 and support their usefulness in future epidemiological research on the overall effects of Japanese diets on various health outcomes.

Author(s):  
Cynthia Blanton

Culinary herbs and spices contribute bioactives to the diet, which act to reduce systemic inflammation and associated disease. Investigating the health effects of herb/spice consumption is hampered, however, by a scarcity of dietary assessment tools designed to collect herb/spice data. The objective of this study was to determine the relative validity of an online 28-item herb/spices intake questionnaire (HSQ). In randomized order, 62 volunteers residing in Idaho, USA, completed the online Diet History Questionnaire III + the HSQ followed one week later by one of two comparative methods: 7-day food records or three telephone-administered 24-h dietary recalls. Relative validity of the HSQ was tested two ways: (1) by comparing herb/spice intakes between the HSQ and comparator, and (2) by determining the correlation between herb/spice data and Healthy Eating Index 2015 score. The HSQ and both comparators identified black pepper, cinnamon and garlic powder as the three most commonly used herbs/spices. The HSQ captured significantly higher measures of the number and amount of herbs/spices consumed than the comparators. The number of herbs/spices consumed was significantly directly correlated with diet quality for the HSQ. These results support the ability of the HSQ to record general herb/spice use, yet suggest that further validation testing is needed.


2010 ◽  
Vol 13 (7) ◽  
pp. 1080-1089 ◽  
Author(s):  
Hitomi Okubo ◽  
Kentaro Murakami ◽  
Satoshi Sasaki ◽  
Mi Kyung Kim ◽  
Naoko Hirota ◽  
...  

AbstractObjectiveAlthough dietary pattern approaches derived from dietary assessment questionnaires are widely used, only a few studies in Western countries have reported the validity of this approach. We examined the relative validity of dietary patterns derived from a self-administered diet history questionnaire (DHQ) among Japanese adults.DesignThe DHQ, assessing diet during the preceding month, and 4 d dietary records (DR) were collected in each season over one year. To derive dietary patterns, 145 food items in the DHQ and 1259 in the DR were classified into thirty-three predefined food groups, and entered into a factor analysis.SettingThree areas in Japan; Osaka (urban), Nagano (rural inland) and Tottori (rural coastal).SubjectsA total of ninety-two Japanese women and ninety-two Japanese men aged 31–76 years.ResultsWe identified three dietary patterns (‘healthy’, ‘Western’ and ‘Japanese traditional’) in women and two (‘healthy’ and ‘Western’) in men, which showed a relatively similar direction and magnitude of factor loadings of food groups across the first and mean of four DHQ (DHQ1 and mDHQ, respectively) and 16 d DR. The Pearson correlation coefficients between DHQ1 and 16 d DR for the healthy, Western and Japanese traditional patterns in women were 0·57, 0·36 and 0·44, and for the healthy and Western patterns in men were 0·62 and 0·56, respectively. When mDHQ was examined, the correlation coefficients improved for women (0·45–0·69).ConclusionsDietary patterns derived from the DHQ could be used for epidemiological studies as surrogates of those derived from DR.


2008 ◽  
Vol 99 (3) ◽  
pp. 639-648 ◽  
Author(s):  
Kentaro Murakami ◽  
Satoshi Sasaki ◽  
Yoshiko Takahashi ◽  
Hitomi Okubo ◽  
Naoko Hirota ◽  
...  

Although many epidemiological studies have examined the association of dietary glycaemic index (GI) and glycaemic load (GL) with health outcomes, information on the reproducibility and relative validity of these variables estimated from dietary questionnaires is extremely limited. We examined the reproducibility and relative validity of dietary GI and GL assessed with a self-administered diet-history questionnaire (DHQ) in adult Japanese. A total of ninety-two Japanese women and ninety-two Japanese men aged 31–76 years completed the DHQ (assessing diet during the preceding month) and 4 d dietary records (DR) in each season over a 1-year period (DHQ1–4 and DR1–4, respectively) and the DHQ at 1 year after completing DHQ1 (DHQ5). We used intraclass correlations between DHQ1 and DHQ5 to assess reproducibility, and Pearson correlations between the mean of DR1–4 and mean of DHQ1–4 and between the mean of DR1–4 and DHQ1 to assess relative validity. Reproducibility correlations for dietary GI and GL were 0·57 and 0·69 among women and 0·65 and 0·58 among men, respectively. Validity correlations for dietary GI and GL assessed by DHQ1–4 were 0·72 and 0·66 among women and 0·65 and 0·71 among men, respectively. Corresponding correlations for DHQ1 were 0·53 and 0·58 among women and 0·57 and 0·60 among men, respectively. White rice was the major contributor to GI and GL in both methods (49–64 %). These data indicate reasonable reproducibility and relative validity of dietary GI and GL assessed by a DHQ for Japanese adults, whose dietary GI and GL are primarily determined by the GI of white rice.


2018 ◽  
Vol 38 (3) ◽  
pp. 125-134
Author(s):  
Maria McInerney ◽  
Vikki Ho ◽  
Anita Koushik ◽  
Isabelle Massarelli ◽  
Isabelle Rondeau ◽  
...  

Introduction Poor diet quality has been shown to increase the risk of common chronic diseases that can negatively impact quality of life and burden the healthcare system. Canada’s Food Guide evidence-based recommendations provide dietary guidance aimed at increasing diet quality. Compliance with Canada’s Food Guide can be assessed with the Canadian Healthy Eating Index (C-HEI), a diet quality score. The recently designed Canadian Diet History Questionnaire II (C-DHQ II), a comprehensive food frequency questionnaire could be used to estimate the C-HEI in Canadian populations with the addition of food group equivalents (representing Canada’s Food Guide servings) to the C-DHQ II nutrient database. We describe methods developed to augment the C-DHQ II nutrient database to estimate the C-HEI. Methods Food group equivalents were created using food and nutrient data from existing published food and nutrient databases (e.g. the Canadian Community Health Survey — Cycle 2.2 Nutrition [2004]). The variables were then added to the C-DHQ II companion nutrient database. C-HEI scores were determined and descriptive analyses conducted for participants who completed the C-DHQ II in a cross-sectional Canadian study. Results The mean (standard deviation) C-HEI score in this sample of 446 adults aged 20 to 83 was 64.4 (10.8). Women, non-smokers, and those with more than high school education had statistically significant higher C-HEI scores than men, smokers and those with high school diplomas or less. Conclusion The ability to assess C-HEI using the C-DHQ II facilitates the study of diet quality and health outcomes in Canada.


2011 ◽  
Vol 14 (7) ◽  
pp. 1200-1211 ◽  
Author(s):  
Satomi Kobayashi ◽  
Kentaro Murakami ◽  
Satoshi Sasaki ◽  
Hitomi Okubo ◽  
Naoko Hirota ◽  
...  

AbstractObjectiveTo compare the relative validity of food group intakes derived from a comprehensive self-administered diet history questionnaire (DHQ) and a brief-type DHQ (BDHQ) developed for the assessment of Japanese diets during the previous month using semi-weighed dietary records (DR) as a reference method.DesignBetween November 2002 and September 2003, a 4 d DR (covering four non-consecutive days), a DHQ (150-item semi-quantitative questionnaire) and a BDHQ (fifty-eight-item fixed-portion-type questionnaire) were completed four times (once per season) at 3-month intervals.SettingThree areas in Japan: Osaka, Nagano and Tottori.SubjectsNinety-two Japanese women aged 31–69 years and ninety-two Japanese men aged 32–76 years.ResultsMedian food group intakes were estimated well for approximately half of the food groups. No statistically significant differences were noted between a 16 d DR and the first DHQ (DHQ1) or between the DR and the first BDHQ (BDHQ1) in fifteen (44 %) and fifteen (52 %) food items for women and in fourteen (41 %) and sixteen (55 %) food items for men, respectively, indicating that both questionnaires estimated median values reasonably well. Median Spearman's correlation coefficients with the DR were 0·43 (range: −0·09 to 0·77) for DHQ1 and 0·44 (range: 0·14 to 0·82) for BDHQ1 in women, with respective values of 0·44 (range: 0·08 to 0·87) and 0·48 (range: 0·22 to 0·83) in men, indicating reasonable ranking ability. Similar results were observed for mean values of the four DHQ and BDHQ.ConclusionsIn terms of food intake estimates, both the DHQ and the BDHQ showed reasonable validity.


Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 251 ◽  
Author(s):  
Marissa Shams-White ◽  
Kenneth Chui ◽  
Patricia Deuster ◽  
Nicola McKeown ◽  
Aviva Must

Military researchers utilize a five-item healthy eating score (HES-5) in the Global Assessment Tool (GAT) questionnaire to quickly assess the overall diet quality of military personnel. This study aimed to modify the HES-5 to improve its validity relative to the 2015 Healthy Eating Index (HEI-2015) in active duty military personnel (n = 333). A food frequency questionnaire was used to calculate HEI-2015 scores and to assess sugar-sweetened beverage (SSB) intake in 8-oz (SSB-8) and 12-oz servings. GAT nutrition questions were used to calculate HES-5 scores and capture breakfast and post-exercise recovery fueling snack (RFsnack) frequencies. Two scoring options were considered for the highest RFsnack category: “4” vs. “5” (RFsnack-5). Potential candidates were added alone and in combination to the HES-5 and compared to the HEI-2015 with a Pearson correlation coefficient. Scores with the highest correlations were compared via a z-score equation to identify the simplest modification to the HES-5. Correlations between HES-5 and HEI-2015 scores in total participants, males, and females were 0.41, 0.45 and 0.32, respectively. Correlations were most significantly improved in total participants by adding RFsnack-5, SSB-8, RFsnack-5 + SSB-8, and RFsnack-5 + SSB-8 + breakfast, though the addition of SSB-8 + RFsnack-5 performed best (r = 0.53). Future work should consider scoring mechanisms, serving sizes, and question wording.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 573-573
Author(s):  
Edwina Wambogo ◽  
Jill Reedy ◽  
Kirsten Herrick ◽  
Marissa Shams-White ◽  
Jennifer Lerman

Abstract Objectives To compare five Healthy Eating Index-2015 (HEI-2015) scoring methods using 24-hour recalls (24HRs), 4-day food records (4DFRs), and food frequency questionnaires (FFQs). Methods Over 12 months, Interactive Diet and Activity Tracking in AARP (IDATA) study participants (N = 1021) aged 50–74 years completed up to six Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) recalls, 2 4DFRs, and 2 FFQs. Mean HEI-2015 total and component scores were estimated using five methods – two estimating usual intake: the multivariate Markov Chain Monte Carlo (MCMC) and bivariate; and three not estimating usual intake: per day, per person, and population ratio. Sums of squared differences (SSD) were calculated to compare differences among component scores. Results MCMC and bivariate methods estimated similar total mean HEI-2015 scores for men with 24HRs (60 points) and 4DFRs (61 points). The population ratio scores were comparable (63 points), but higher, and the per day was most different for both 24HRs and 4DFRs (57 points). This pattern was similar for women. With 24HR and 4DFRs, the population ratio method had higher component scores compared with MCMC and bivariate for Total Fruits, Whole Fruits, and Seafood and Plant Proteins. For example, among men, in 24HRs (comparing MCMC and population ratio), the SSD for Whole Fruit were 1.44 and those of Seafood and Plant Proteins were 0.49, compared to SSDs for other components which only ranged from 0.01 to 0.16. With FFQs, estimation of mean HEI scores is not recommended due to biases. However, when applying all methods, the total and component scores for FFQs were higher for Total Fruits, Whole Fruits, Greens and Beans, Dairy, Fatty Acids, Refined Grains, Sodium, and Saturated Fats. Conclusions Overall, the two usual intake methods (MCMC and bivariate) yield comparable total and component scores. The population ratio method adjusts for day-to-day variation by averaging data across populations, thus arrives at scores closer to the MCMC and bivariate, hence is the preferred method of estimating a population's mean usual HEI scores on the basis of a single day of data. When distributions are needed, the MCMC and bivariate methods are recommended to adjust for measurement error, consider episodic consumption and skewness, and account for correlation between each and or all constituents and energy. Funding Sources N/A.


Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 830 ◽  
Author(s):  
Masaharu Kagawa ◽  
Andrew P. Hills

The present study aimed to examine associations between body image and under-reporting in female Japanese university students enrolled in a nutrition degree program. A total of 100 participants (aged 18–29 years) completed (1) a self-administered questionnaire including the Ben-Tovim Walker Body Attitudes Questionnaire (BAQ), (2) a dietary assessment using a brief-type self-administered diet history questionnaire (BDHQ), (3) a physical activity assessment using Bouchard’s Physical Activity Record (BAR) and a tri-axial accelerometer, (4) detailed anthropometry, and (5) body composition assessment. Based on the energy intake to basal metabolic rate ratio (EI:BMR) and using a cut-off point of 1.35, 67% of participants were considered under-reporters (URs). While there was no between-group difference in BMI, URs had significantly (p < 0.05) greater percentage body fat (%BF) and trunk fat (%TF) compared with non-URs. Regression analyses indicated accuracy of body perception and a discrepancy between current and ideal weight were associated with EI:BMR, whereas the salience subscale of the BAQ was associated with reported EI. The study raises concerns regarding the validity of EI reported from young Japanese females as they are known to have a strong preoccupation with thinness, even with an acceptable BMI and health and nutritional knowledge.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1416
Author(s):  
Jana Jabbour ◽  
Dalia Awada ◽  
Nour Naim ◽  
Ayoub Al-Jawaldeh ◽  
Houssein Haidar Ahmad ◽  
...  

Even though bariatric surgeries (BS) are on the rise in Lebanon and the Middle East, the changes in diet quality, binge eating, and food cravings in this region are poorly studied peri-operatively. This cross-sectional study aimed to assess binge eating behaviors, food craving and the Healthy Eating Index (HEI) in Lebanese patients who underwent BS in a duration that exceeds 6 months. Evaluation included a dietary assessment of usual diet preoperatively and postoperatively. It included the collection of information on sociodemographic, anthropometric and surgical variables, as well as the administration of dietary recalls and questionnaires to calculate the HEI score, the Binge Eating Scale (BES) and the Food Craving Inventory (FCI). Participants (n = 60) were mostly females (85%) who had undergone sleeve gastrectomy (90%), with a mean duration since BS of 2.4 ± 1.8 years. Despite improvements in their HEI scores, 97% of the participants remained in the worst category. The frequency of participants in the severe BES category dropped markedly postoperatively from 78% to 5% (p < 0.01). Food craving followed a similar trend, with scores dropping from 50 ± 36 pre-surgery to 30 ± 25 post surgery (p < 0.01). Weight regain, prevalent among 40% of participants, was predicted by BES. Despite the improvement in BES and FCI, HEI improvement remained shy. Future interventions should validate findings in other countries and assess means for optimizing HEI scores among BS patients in the Middle East region.


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