Development, repeatability and validity regarding energy and macronutrient intake of a semi-quantitative food frequency questionnaire: Methodological considerations

Development, repeatability and validity regarding energy and macronutrient intake of a semi-quantitative food frequency questionnaire: Methodological considerations
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DOI:
10.1016/j.numecd.2010.10.015
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发表时间:
2012-08-01
影响因子:
3.9
通讯作者:
Panagiotakos, D. B.
Panagiotakos, D. B.
中科院分区:
医学3区
文献类型:
--
作者:
Bountziouka, V.;Bathrellou, E.;Panagiotakos, D. B.

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背景与目的:本研究的目的是评价食物频率问卷(FFQ)的可重复性和有效性,并探讨该问卷的方法学框架。方法与结果:半定量FFQ包括69个问题,涉及所有主要食品类别和通常消费的饮料的消费频率,7个问题涉及饮食行为。500人(37 +/- 15岁,38%男性)被招募进行重复性过程,另外432人(46 +/- 16岁,40%男性)也完成了3天日记(3DD)以进行验证过程。所有被测食品(Kendall's tau-b: 0.26-0.67, p < 0.05)、能量和大量营养素摄入(能量校正相关系数为0.56-0.69,p < 0.05)的FFQ重复性均良好。“乳制品”、“水果”、“酒精”和“兴奋剂”的FFQ具有中等效度(tau-b: 0.31-0.60, p < 0.05),而“淀粉制品”、“豆类”、“蔬菜”、“肉类”、“鱼类”、“糖果”、“鸡蛋”、“油脂”的FFQ一致性较低(tau-b < 0.30, p < 0.05)。FFQ在能量和常量营养素摄入量方面也是有效的。性别和BMI类别(<或>= 25 kg/m(2))的敏感性分析显示,FFQ对所有食物组(除了“脂肪和油”摄入量)以及能量和营养摄入量具有相似的有效性。结论:所提出的FFQ可重复且相对有效,因此可用于营养评估目的。(C) 2010 Elsevier b.v.保留所有权利。
Background and Aim: The aim of this work was to evaluate the repeatability and the validity of a food frequency questionnaire (FFQ), and to discuss the methodological framework of such procedures.Methods and Results: The semi-quantitative FFQ included 69 questions regarding the frequency of consumption of all main food groups and beverages usually consumed and 7 questions regarding eating behaviors. Five hundred individuals (37 +/- 15 yrs, 38% males) were recruited for the repeatability process, while another 432 (46 +/- 16 yrs, 40% males) also completed 3-Day Diaries (3DD) for the validation process. The repeatability of the FFQ was adequate for all food items tested (Kendall's tau-b: 0.26-0.67, p < 0.05), energy and macro-nutrients intake (energy adjusted correlation coefficients ranged between 0.56-0.69, p < 0.05). Moderate validity of the FFQ was observed for "dairy products", "fruit", "alcohol" and "stimulants" (tau-b: 0.31-0.60, p < 0.05), whereas low agreement was shown for "starchy products", "legumes", "vegetables", "meat", "fish", "sweets", "eggs", "fats and oils" (tau-b < 0.30, p < 0.05). The FFQ was also valid regarding energy and macronutrients intake. Sensitivity analyses by sex and BMI category (< or >= 25 kg/m(2)) showed similar validity of the FFQ for all food groups (apart from "fats and oils" intake), as well as energy and nutrient intake.Conclusion: The proposed FFQ has proven repeatable and relatively valid for foods' intake, and could therefore be used for nutritional assessment purposes. (C) 2010 Elsevier B. V. All rights reserved.