scholarly journals Validation of a Food Propensity Questionnaire for the Hellenic National Nutrition and Health Survey (HNNHS) and Results on This Population’s Adherence to Key Food-Group Nutritional Guidelines

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1808
Author(s):  
Theodoros Smiliotopoulos ◽  
Emmanuella Magriplis ◽  
Antonis Zampelas
Keyword(s):  
Dietary Intake ◽  
Health Survey ◽  
Fast Food ◽  
Food Group ◽  
Nutritional Epidemiology ◽  
Food Groups ◽  
Nutrition And Health ◽  
Nutritional Studies ◽  
Greek Adults

Background: Food propensity questionnaires (FPQs) are means of dietary assessment in nutritional epidemiology, which provide valuable information for long term intakes and food group consumption. These tools, however, may be subjected to misreporting and need to be validated against standard quantitative methods. Aim: The aim of this study was to examine the validity of the qualitative FPQ developed to assess the dietary habits of the general population in Greece during the Hellenic National Nutrition and Health Survey (HNNHS) and to assess the population’s intake of specific food groups in relation to guidelines. Methods: Validation analysis was based on 3796 [1543 men (42.82%) and 2253 women (57.18%)] participants of the HNNHS in relation to two interviewer-administered 24 h recalls (24 hR). Participants were asked to report the frequency of their dietary intake, using the FPQ provided. Correlations and significance between methods were assessed via Spearman correlation and a Two-sample Wilcoxon rank-sum (Mann-Whitney) test, respectively. Agreement between the FPQ and the 24 hR was performed using the Bland–Altman test and differences between the FPQ’s shown intakes and the recommended intakes by the Dietary Guidelines for Greek Adults were calculated. Results: Medium to weak correlations, but statistically significant (p < 0.05), were observed for most food groups between 24 hR and the FPQ; medium for fruits, dairy products, drinks, and spirits (ranging from ρ = 0.371 to ρ = 0.461; highest for drinks and spirits) and weak for vegetables, meat, fish, eggs, starch foods, sweets, nuts, fats and oils, and fast food (ρ = 0.111 to ρ = 0.290; lowest for starch foods). A non-significant correlation was found for legumes (ρ = 0.070). The mean intake agreement (Bland–Altman analysis) between the FPQ and the 24 hR was 96.08% and ranged from 94.43 to 99.34% for the 14 food groups under examination. When food group intakes were compared to guidelines, results showed that the population’s dietary intake was below the guidelines for fruits, vegetables, whole grains, fish, and legumes. On the other hand, it was above the guidelines for most of the “unhealthy” food groups, in particular, fast food, sweets, drinks and spirits, red meat, and sweets. Conclusions: The specific FPQ provides valid information on major food groups and can be used to examine long term dietary patterns in nutritional studies. Ιn addition, dietary intakes of Greek adults are problematic and initiatives at the public health level are necessary.

Dietary patterns and cardiovascular disease in Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)

2020 ◽  
Vol 30 (2) ◽  
pp. 201-213
Author(s):  
Dimitra Karageorgou ◽  
Emmanouella Magriplis ◽  
Ioanna Bakogianni ◽  
Anastasia V. Mitsopoulou ◽  
Ioannis Dimakopoulos ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Health Survey ◽  
Dietary Patterns ◽  
Nutrition And Health ◽  
Greek Adults

scholarly journals Adherence to Daily Food Guides Is Associated with Lower Risk of Metabolic Syndrome: The Nutrition and Health Survey in Taiwan

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2955
Author(s):  
Ming-Chieh Li ◽  
Hsin-Yu Fang
Keyword(s):  
Metabolic Syndrome ◽  
Health Survey ◽  
Lower Risk ◽  
Health Knowledge ◽  
Family Income ◽  
Final Analysis ◽  
Food Groups ◽  
Nutrition And Health ◽  
Cross Sectional ◽  
Daily Food

Although nutritional health knowledge serves as the basis for the daily food guides, limited epidemiologic studies were conducted to verify whether adherence to the daily food guides reduced the prevalence of diseases. This study aims to examine whether adherence to the daily food guides relates to the lower risk of having metabolic syndrome, as well as to assess the association between levels of adherence to daily food guides and demographic characteristics. A cross-sectional study was conducted using data from the Nutrition and Health Survey in Taiwan (NAHSIT) 2013–2016. Face-to-face dietary assessments were conducted using a validated food-frequency questionnaire. Six food groups were defined according to the daily food guides in Taiwan. We constructed a daily food guide index to measure the levels of adherence to the daily food guides. Logistic regression was performed to assess the association between the levels of adherence to the daily food guides and the risk of having metabolic syndrome. A total of 2534 participants (51% of females) were included in the final analysis. After adjusting for age, sex, body mass index, education level, marital status, and family income, we found a negative correlation between the levels of adherence to daily food guides and the prevalence of metabolic syndrome. The odds ratios (ORs) for the highest versus lowest quartile of the adherence level was 0.65 (95% confidence interval (CI) = 0.48–0.88). In addition, males, younger age, lower education, divorced, separated, and widowed, and lower family income were associated with lower adherence to daily food guides. In conclusion, participants reporting better adherence to the daily food guides during the past month had a lower risk of having metabolic syndrome.

scholarly journals Impact of a Supplemental Nutrition Assistance Program-Education (SNAP-Ed) Intervention on Usual Dietary Intake Among Indiana Adults (P04-025-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rebecca Rivera ◽  
Yumin Zhang ◽  
Qi Wang ◽  
Melissa Maulding ◽  
Regan Bailey ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Nutrition Education ◽  
Diet Quality ◽  
Food Group ◽  
Supplemental Nutrition Assistance Program ◽  
Assistance Program ◽  
Purdue University ◽  
Nutrition Assistance

Abstract Objectives The goal of the Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is to assist low-income households to improve diet quality. The objective of this study was to evaluate the long-term effects of SNAP-Ed nutrition education lessons on diet quality and key nutrient and food group outcomes among Indiana SNAP-Ed-eligible adults. Methods The study design was a parallel-arm randomized controlled nutrition education intervention. The intervention consisted of the first 4 lessons of the Indiana adult SNAP-Ed curriculum delivered to participants during the 4 to 10 weeks after their baseline assessment. Participants (≥18 yrs) eligible for SNAP-Ed and interested in receiving nutrition education lessons (direct SNAP-Ed) were recruited from 31 Indiana counties (N = 261) and completed baseline assessments from August 2015 to May 2016. Follow-up assessments were conducted approximately 1-year after baseline from August 2016 to May 2017 (n = 103). Dietary intake was assessed using up to 2 24-hour dietary recalls at each assessment time point. The main outcome measures were mean usual nutrient (calcium; vitamins D, A, C, E; magnesium; folate; potassium; fiber; dairy; fruit; vegetable; whole grains) the proportion meeting Estimated Average Requirements, exceeding Adequate Intakes, or meeting daily recommended servings, and diet quality as measured by the Healthy Eating Index-2010. This study is registered at www.clinicaltrials.gov as NCT03436784. Significance was P ≤ 0.05. Analyses were completed using SAS 9.4. Results No effect of direct SNAP-Ed was found on diet quality, nutrient, or food group intake in the treatment compared to the control group between baseline and the 1-year follow-up assessment (P > 0.05). Conclusions Direct SNAP-Ed did not improve long-term diet quality, nutrient, or food group intake among Indiana SNAP-Ed eligible adults. Funding Sources Funding for this research was provided by Purdue University as part of AgSEED Crossroads funding to support Indiana's Agriculture and Rural Development, Purdue University Frederick N. Andrews Fellowship, Purdue University Center for Families Justice Family Nutrition Award, the Purdue University Nutrition Education Program, and a USDA NIFA Hatch Project.

scholarly journals Offspring Birth Weight Is Associated with Specific Preconception Maternal Food Group Intake: Data from a Linked Population-Based Birth Cohort

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3172
Author(s):  
Nastaran Salavati ◽  
Petra C. Vinke ◽  
Fraser Lewis ◽  
Marian K. Bakker ◽  
Jan Jaap H.M. Erwich ◽  
...  
Keyword(s):  
Birth Weight ◽  
Linear Regression ◽  
Dietary Intake ◽  
Birth Cohort ◽  
Food Products ◽  
Food Group ◽  
Population Based ◽  
Portion Size ◽  
Artificial Sweeteners ◽  
Food Groups

The preconception period has been recognized as one of the earliest sensitive windows for human development. Maternal dietary intake during this period may influence the oocyte quality, as well as placenta and early embryonic development during the first trimester of pregnancy. Previous studies have found associations between macronutrient intake during preconception and pregnancy outcomes. However, as food products consist of multiple macro- and micronutrients, it is difficult to relate this to dietary intake behavior. Therefore, the aim of this study was to investigate the association between intake of specific food groups during the preconception period with birth weight, using data from the Perined-Lifelines linked birth cohort. The Perined-Lifelines birth cohort consists of women who delivered a live-born infant at term after being enrolled in a large population-based cohort study (The Lifelines Cohort). Information on birth outcome was obtained by linkage to the Dutch perinatal registry (Perined). In total, we included 1698 women with data available on birth weight of the offspring and reliable detailed information on dietary intake using a semi-quantitative food frequency questionnaire obtained before pregnancy. Based on the 2015 Dutch Dietary Guidelines and recent literature 22 food groups were formulated. Birth weight was converted into gestational age-adjusted z-scores. Multivariable linear regression was performed, adjusted for intake of other food groups and covariates (maternal BMI, maternal age, smoking, alcohol, education level, urbanization level, parity, sex of newborn, ethnicity). Linear regression analysis, adjusted for covariates and intake of energy (in kcal) (adjusted z score [95% CI], P) showed that intake of food groups “artificially sweetened products” and “vegetables” was associated with increased birth weight (resp. (β = 0.001 [95% CI 0.000 to 0.001, p = 0.002]), (β = 0.002 [95% CI 0.000 to 0.003, p = 0.03])). Intake of food group “eggs” was associated with decreased birth weight (β = −0.093 [95% CI −0.174 to −0.013, p = 0.02]). Intake in food groups was expressed in 10 g per 1000 kcal to be able to draw conclusions on clinical relevance given the bigger portion size of the food groups. In particular, preconception intake of “artificially sweetened products” was shown to be associated with increased birth weight. Artificial sweeteners were introduced into our diets with the intention to reduce caloric intake and normalize blood glucose levels, without compromising on the preference for sweet food products. Our findings highlight the need to better understand how artificial sweeteners may affect the metabolism of the mother and her offspring already from preconception onwards.

scholarly journals Principal Component Analysis and Factor Analysis: differences and similarities in Nutritional Epidemiology application

2019 ◽  
Vol 22 ◽  
Author(s):  
Roberta de Oliveira Santos ◽  
Bartira Mendes Gorgulho ◽  
Michelle Alessandra de Castro ◽  
Regina Mara Fisberg ◽  
Dirce Maria Marchioni ◽  
...  
Keyword(s):  
Principal Component Analysis ◽  
Factor Analysis ◽  
Statistical Methods ◽  
Principal Component ◽  
Component Analysis ◽  
Food Group ◽  
Correlated Data ◽  
Nutritional Epidemiology ◽  
Study Results ◽  
Nutritional Studies

ABSTRACT: Introduction: Statistical methods such as Principal Component Analysis (PCA) and Factor Analysis (FA) are increasingly popular in Nutritional Epidemiology studies. However, misunderstandings regarding the choice and application of these methods have been observed. Objectives: This study aims to compare and present the main differences and similarities between FA and PCA, focusing on their applicability to nutritional studies. Methods: PCA and FA were applied on a matrix of 34 variables expressing the mean food intake of 1,102 individuals from a population-based study. Results: Two factors were extracted and, together, they explained 57.66% of the common variance of food group variables, while five components were extracted, explaining 26.25% of the total variance of food group variables. Among the main differences of these two methods are: normality assumption, matrices of variance-covariance/correlation and its explained variance, factorial scores, and associated error. The similarities are: both analyses are used for data reduction, the sample size usually needs to be big, correlated data, and they are based on matrices of variance-covariance. Conclusion: PCA and FA should not be treated as equal statistical methods, given that the theoretical rationale and assumptions for using these methods as well as the interpretation of results are different.

scholarly journals Changes in children's food group intake from age 3 to 7 years: comparison of a FFQ with an online food record

2014 ◽  
Vol 112 (2) ◽  
pp. 269-276 ◽  
Author(s):  
Carine Vereecken ◽  
Marc Covents ◽  
Inge Huybrechts ◽  
Colette Kelly ◽  
Lea Maes
Keyword(s):  
Food Intake ◽  
Young Children ◽  
Dietary Intake ◽  
Food Group ◽  
Food Groups ◽  
Food Record ◽  
Online Tool ◽  
Relative Validity ◽  
Signed Rank

Few studies have investigated the relative validity of FFQ in young children and no study has investigated the relative validity of changes in children's food intake in a longitudinal context. The aim of the present study was to compare the FFQ of the longitudinal Family Influences on Food Intake study, assessing children's food intake in the previous 3 months, with a 3 d online food record when children were 3 and 7 years old, as well as to investigate the relative validity of changes in food group intake over a 4-year period. Parents (n 89) completed the FFQ and an online food record over three non-consecutive days on two separate occasions (January–April 2008 and 2012). Wilcoxon signed-rank tests and Spearman's correlations were used to compare food group intake and changes in intake assessed using both methods. In 2008, the intake of eleven of the twenty-two food groups was overestimated and that of four food groups underestimated in the FFQ in comparison with the online tool; in 2012, the intake of four food groups was overestimated and that of seven food groups underestimated. Nevertheless, changes in intake did not differ significantly between the two methods for eighteen food groups. Correlations in 2008 and 2012 were, on average, 0·47; correlations between the changes in dietary intake were, on average, 0·26. The results suggest that despite the significant differences between the two methods for a number of food groups at both baseline and/or follow-up, the FFQ can be used to monitor changes in dietary intake for groups of young children.

scholarly journals Canadians’ Dietary Intake from 2007 to 2011 and across Different Sociodemographic/Lifestyle Factors Using the Canadian Health Measures Survey Cycles 1 and 2

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Zeinab Hosseini ◽  
Susan J. Whiting ◽  
Hassan Vatanparast
Keyword(s):  
Dietary Intake ◽  
Food Group ◽  
Dietary Intakes ◽  
Food Groups ◽  
Milk Products ◽  
Objective Health ◽  
Health Measures ◽  
Canadian Health ◽  
Vegetables And Fruits ◽  
Canadian Health Measures Survey

Background. Nutrition is an important factor that impacts health, yet in Canada, there have been only a few surveys reflecting dietary intakes. The Canadian Health Measures Survey (CHMS) is a national survey that includes both food intake data as targeted questions and objective health measures. The aim of this research was to determine how food group intake data reported in CHMS is related to food group intakes from Canadian Community Health Survey (CCHS) (2004). A secondary objective was to examine the dietary status of Canadians across sociodemographic levels. Methods. The CHMS Cycles 1 and 2 food group intake data (meat and alternatives; milk products; grains; vegetables and fruits; dietary fat consumption; and beverages) of Canadians (6–79 years, n=11,387) were descriptively compared to previously reported intake of Canadians from CCHS 2.2 in 2004. Further, Canadians’ food intakes were assessed across sociodemographic characteristics. Results. The CHMS dietary intake data from vegetables and fruits and from milk products groups were similar to the dietary intake reported from CCHS 2.2. For the other food groups, the difference in intakes suggested CHMS data by FFQ were not complete. However, similar patterns in food intakes with regards to age/sex and income were observed in both surveys. Conclusion. Not all food groups measured in CHMS provide complete dietary intake data as compared to CCHS 2.2, yet CHMS food group intakes provide valuable information when it comes to evaluating dietary intake across different population groups.

scholarly journals Household food insufficiency is associated with dietary intake in Korean adults

2015 ◽  
Vol 19 (6) ◽  
pp. 1112-1121 ◽  
Author(s):  
Sang Eun Lee ◽  
Yoon Ju Song ◽  
Young Kim ◽  
Jeongsook Choe ◽  
Hee-Young Paik
Keyword(s):  
Dietary Intake ◽  
Health Behaviours ◽  
Food Group ◽  
Cross Sectional Study ◽  
Dietary Quality ◽  
Secondary Source ◽  
Food Groups ◽  
Food Insufficiency ◽  
Cross Sectional ◽  
Vegetables And Fruits

AbstractObjectiveTo examine the association of food insufficiency with dietary intake and eating and health behaviours.DesignA cross-sectional study.SettingData were obtained from a secondary source, the Fifth Korea National Health and Nutrition Examination Survey (2010–2012).SubjectsThe sample size consisted of 15 603 adults over 19 years of age (8898 households).ResultsSignificant differences in socio-economic factors were observed according to food insufficiency level (P<0·05), but BMI was similar among groups. Regarding macronutrients, lower protein intake and higher carbohydrate intake were found in the severely food-insufficient group, but we found no association with fat intake. Regarding micronutrients, Ca, Fe, vitamin A, thiamin, riboflavin niacin and vitamin C intakes were negatively associated with food insufficiency level (Ptrend<0·05). Consumption of different food groups, such as meat, fish, eggs and beans, vegetables and fruits, was significantly lower as food insufficiency level decreased after controlling for all possible variables; food group consumption also differed by sex. Overall eating and health behaviours were poorer in the mildly and severely food-insufficient groups, who received more food assistance but less nutritional education.ConclusionsOur results showed that dietary intake as well as eating and health behaviours are adversely associated with food insufficiency. These findings suggest that specific strategies to help food-insufficient individuals should be developed in order to improve their dietary quality and health status.

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