Validation of a Short Semi-Quantitative Food Frequency Questionnaire for Adults: a Pilot study
Abstract
Objective: We aimed to assess the validity and reproducibility of a short food frequency questionnaire (FFQ) in a pilot study.
Methods: Thirty individuals, age range 35-65 years completed twice the short semi quantitative food item FFQ with six month interval along with two 24 hour dietary recall (24 HR). Food and nutrient intakes were compared using Pearson's and intra-class correlation and Bland-Altman analysis. Also, to assess the internal consistency for the FFQ Cronbach's alpha was measured.
Results: The results showed acceptable internal consistency with Cronbach's alpha 0.67. Pearson's correlation coefficient for reproducibility varied between 0.25 for hot beverages up to 0.72 for dairy products with a mean 0.51 and likewise for ICC, fluctuated between 0.05 for legume up to 0.74 for dairy products with a mean 0.5. The mean ICC and Pearson's correlation coefficient for validity in food groups were 0.39 and 0.47. Also, the validity and reproducibility of questionnaire was assessed for nutrients. The mean Pearson correlation coefficient, ICC were assessed sequentially 0.42 and 0.36 for validity in nutrients and reproducibility in nutrients assessed by Pearson's correlation coefficients 0.59 and ICC 0.62 (P<0.05).
Conclusion: Our results indicated that this questionnaire provides a reasonable measure of macronutrients and micronutrients. However questions which related to consume legumes and protein intake need further investigation and it is recommended that further research with larger population and more 24HR in future.
Milner J. Strategies for cancer prevention: the role of diet. British Journal of Nutrition. 2002;87(S2):S265-S72.
Willett W. Nutritional Epidemiology. 2nd edNew York: Oxford University Press. 1998.
Yildiz F, Kotzekidou P, Michaelidou A, Nocella G. Functional food in Mediterranean and Middle Eastern countries: history, scope and dietary habits. 2007.
Athanasiadou E, Kyrkou C, Fotiou M, Tsakoumaki F, Dimitropoulou A, Polychroniadou E, et al. Development and Validation of a Mediterranean Oriented Culture-Specific Semi-Quantitative Food Frequency Questionnaire. Nutrients. 2016;8(9):522.
Giovannelli J, Dallongeville J, Wagner A, Bongard V, Laillet B, Marecaux N, et al. Validation of a short, qualitative food frequency questionnaire in French adults participating in the MONA LISA-NUT study 2005-2007. Journal of the Academy of Nutrition and Dietetics. 2014;114(4):552-61.
Eilat-Adar S, Mete M, Fretts A, Fabsitz R, Handeland V, Lee E, et al. Dietary patterns and their association with cardiovascular risk factors in a population undergoing lifestyle changes: The Strong Heart Study. Nutrition, Metabolism and Cardiovascular Diseases. 2013;23(6):528-35.
Field AE, Peterson KE, Gortmaker SL, Cheung L, Rockett H, Fox MK, et al. Reproducibility and validity of a food frequency questionnaire among fourth to seventh grade inner-city school children: implications of age and day-to-day variation in dietary intake. Public health nutrition. 1999;2(3):293-300.
Sun J, Buys N, Shen S. Dietary patterns and cardiovascular disease-related risks in Chinese older adults. Frontiers in public health. 2013;1.
Denova-Gutiérrez E, Tucker KL, Flores M, Barquera S, Salmerón J. Dietary patterns are associated with predicted cardiovascular disease risk in an urban Mexican adult population. The Journal of nutrition. 2016;146(1):90-7.
Guo J, Li W, Wang Y, Chen T, Teo K, Liu L, et al. Influence of dietary patterns on the risk of acute myocardial infarction in China population: the INTERHEART China study. Chinese medical journal. 2013;126(3):464-70.
Chen Y, Ahsan H, Parvez F, Howe GR. Validity of a food-frequency questionnaire for a large prospective cohort study in Bangladesh. British journal of nutrition. 2004;92(5):851-9.
Ahn Y, Kwon E, Shim J, Park M, Joo Y, Kimm K, et al. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. European journal of clinical nutrition. 2007;61(12):1435-41.
Ghayour-Mobarhan M, Moohebati M, Esmaily H, Ebrahimi M, Parizadeh SMR, Heidari-Bakavoli AR, et al. Mashhad stroke and heart atherosclerotic disorder (MASHAD) study: design, baseline characteristics and 10-year cardiovascular risk estimation. International journal of public health. 2015;60(5):561-72.
Mohammadifard N, Sajjadi F, Maghroun M, Alikhasi H, Nilforoushzadeh F, Sarrafzadegan N. Validation of a simplified food frequency questionnaire for the assessment of dietary habits in Iranian adults: Isfahan Healthy Heart Program, Iran. ARYA atherosclerosis. 2015;11(2):139.
Malekshah A, Kimiagar M, Saadatian-Elahi M, Pourshams A, Nouraie M, Goglani G, et al. Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements: pilot phase of Golestan cohort study of esophageal cancer. European journal of clinical nutrition. 2006;60(8):971-7.
Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran Lipid and Glucose Study. Public health nutrition. 2010;13(5):654-62.
Pirouzpanah S, Taleban F-A, Sabour S, Mehdipour P, Atri M, Farrin N, et al. Validation of food frequency questionnaire to assess folate intake status in breast cancer patients. Razi Journal of Medical Sciences. 2012;18(92):31-41.
Watson JF, Collins CE, Sibbritt DW, Dibley MJ, Garg ML. Reproducibility and comparative validity of a food frequency questionnaire for Australian children and adolescents. International Journal of Behavioral Nutrition and Physical Activity. 2009;6(1):62.
Xia W, Sun C, Zhang L, Zhang X, Wang J, Wang H, et al. Reproducibility and relative validity of a food frequency questionnaire developed for female adolescents in Suihua, North China. PLoS One. 2011;6(5):e19656.
Tang Y, Liu Y, Xu L, Jia Y, Shan D, Li W, et al. Validity and reproducibility of a revised semi-quantitative food frequency questionnaire (SQFFQ) for women of age-group 12-44 years in Chengdu. Journal of health, population, and nutrition. 2015;33(1):50.
Selem SSAdC, Carvalho AMd, Verly-Junior E, Carlos JV, Teixeira JA, Marchioni DML, et al. Validity and reproducibility of a food frequency questionnaire for adults of São Paulo, Brazil. Revista brasileira de epidemiologia. 2014;17(4):852-9.
Schatzkin A, Kipnis V, Carroll RJ, Midthune D, Subar AF, Bingham S, et al. A comparison of a food frequency questionnaire with a 24-hour recall for use in an epidemiological cohort study: results from the biomarker-based Observing Protein and Energy Nutrition (OPEN) study. International journal of epidemiology. 2003;32(6):1054-62.
Haftenberger M, Heuer T, Heidemann C, Kube F, Krems C, Mensink GB. Relative validation of a food frequency questionnaire for national health and nutrition monitoring. Nutrition journal. 2010;9(1):36.
Cade J, Thompson R, Burley V, Warm D. Development, validation and utilisation of food-frequency questionnaires–a review. Public health nutrition. 2002;5(4):567-87.
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Issue | Vol 3, No 2 (Spring 2017) | |
Section | Original Article(s) | |
Keywords | ||
Food frequency questionnaire Validation Reproducibility Validity 24 hour recall |
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