Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project

Introduction: nowadays, it is important to determine whether food frequency questionnaires (FFQ) are valid tools to collect information on usual diet in children. Objective: we evaluated the reproducibility and validity of the semi-quantitative FFQ used in a Spanish cohort of children aged 4-7 yea...

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Main Authors: Zazpe, I. (Itziar), Santiago, S. (Susana), De-la-O-Pascual, V. (Víctor), Romanos-Nanclares, A. (Andrea), Rico-Campà, A. (Anais), Alvarez-Zallo, N. (Noelia), Martinez-Gonzalez, M.A. (Miguel Ángel), Martin-Calvo, N. (Nerea)
Format: info:eu-repo/semantics/article
Language:eng
Published: Arán 2023
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Online Access:https://hdl.handle.net/10171/67136
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author Zazpe, I. (Itziar)
Santiago, S. (Susana)
De-la-O-Pascual, V. (Víctor)
Romanos-Nanclares, A. (Andrea)
Rico-Campà, A. (Anais)
Alvarez-Zallo, N. (Noelia)
Martinez-Gonzalez, M.A. (Miguel Ángel)
Martin-Calvo, N. (Nerea)
author_facet Zazpe, I. (Itziar)
Santiago, S. (Susana)
De-la-O-Pascual, V. (Víctor)
Romanos-Nanclares, A. (Andrea)
Rico-Campà, A. (Anais)
Alvarez-Zallo, N. (Noelia)
Martinez-Gonzalez, M.A. (Miguel Ángel)
Martin-Calvo, N. (Nerea)
author_sort Zazpe, I. (Itziar)
collection DSpace
description Introduction: nowadays, it is important to determine whether food frequency questionnaires (FFQ) are valid tools to collect information on usual diet in children. Objective: we evaluated the reproducibility and validity of the semi-quantitative FFQ used in a Spanish cohort of children aged 4-7 years. Methods: to explore its reproducibility, parents filled a 138-item FFQ at baseline (FFQ-0) and then one year later (FFQ-1). To explore its validity, the FFQ-1 was compared with four weighed 3-day dietary records (DRs) that were used as standard of reference. To estimate associations we calculated deattenuated Pearson’s correlation coefficients to correct for season-to-season variability, and the Bland-Altman index. We also calculated the weighted kappa index and assessed participant’s gross misclassification across quintiles. We analyzed data from 67 (for reproducibility) and 37 (for validity) children aged 4-7 years old, recruited by the pilot study of the SENDO project. Results: regarding reproducibility, we found mean Bland-Altman indexes of 0-10.45 % for nutrients and 1.49 %-10.45 % for foods. The adjusted r ranged between 0.29 and 0.71, and between 0.27 and 0.74 for nutrients and foods, respectively. Regarding validity, we found mean Bland-Altman indexes of 0 %-16.22 % and 0 %-10.81 % for nutrients and for food groups, respectively. The deattenuated r ranged between 0.38 and 0.81 for nutrients, and between 0.53 and 0.68 for foods. The weighted kappa index for agreement across quintiles ranged from 54.1 to 85.1 for nutrients, and from 55.4 to 78.4 for food groups. Conclusions: our results showed acceptable levels of both reproducibility and validity, and that the ad-hoc developed FFQ is a valid tool for assessing usual diet in Spanish preschoolers.
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spelling oai:dadun.unav.edu:10171-671362023-09-20T11:12:11Z Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project Zazpe, I. (Itziar) Santiago, S. (Susana) De-la-O-Pascual, V. (Víctor) Romanos-Nanclares, A. (Andrea) Rico-Campà, A. (Anais) Alvarez-Zallo, N. (Noelia) Martinez-Gonzalez, M.A. (Miguel Ángel) Martin-Calvo, N. (Nerea) Food frequency questionnaire 24- hour dietary records Preschoolers Children cohort Reproducibility Validity Cuestionario de frecuencia de consumo de alimentos Recuerdo de 24 horas Preescolares Cohorte pediátrica Reproducibilidad Validación Introduction: nowadays, it is important to determine whether food frequency questionnaires (FFQ) are valid tools to collect information on usual diet in children. Objective: we evaluated the reproducibility and validity of the semi-quantitative FFQ used in a Spanish cohort of children aged 4-7 years. Methods: to explore its reproducibility, parents filled a 138-item FFQ at baseline (FFQ-0) and then one year later (FFQ-1). To explore its validity, the FFQ-1 was compared with four weighed 3-day dietary records (DRs) that were used as standard of reference. To estimate associations we calculated deattenuated Pearson’s correlation coefficients to correct for season-to-season variability, and the Bland-Altman index. We also calculated the weighted kappa index and assessed participant’s gross misclassification across quintiles. We analyzed data from 67 (for reproducibility) and 37 (for validity) children aged 4-7 years old, recruited by the pilot study of the SENDO project. Results: regarding reproducibility, we found mean Bland-Altman indexes of 0-10.45 % for nutrients and 1.49 %-10.45 % for foods. The adjusted r ranged between 0.29 and 0.71, and between 0.27 and 0.74 for nutrients and foods, respectively. Regarding validity, we found mean Bland-Altman indexes of 0 %-16.22 % and 0 %-10.81 % for nutrients and for food groups, respectively. The deattenuated r ranged between 0.38 and 0.81 for nutrients, and between 0.53 and 0.68 for foods. The weighted kappa index for agreement across quintiles ranged from 54.1 to 85.1 for nutrients, and from 55.4 to 78.4 for food groups. Conclusions: our results showed acceptable levels of both reproducibility and validity, and that the ad-hoc developed FFQ is a valid tool for assessing usual diet in Spanish preschoolers. Introducción: es importante determinar si los cuestionarios de frecuencia de consumo de alimentos (CFCA) son herramientas válidas para recopilar información sobre la dieta habitual en los niños. Objetivo: evaluar la reproducibilidad y validez del CFCA semi-cuantitativo de una cohorte española de niños de 4 a 7 años. Métodos: en total se estudiaron 67 (para reproducibilidad) y 37 (para validez) niños de 4 a 7 años de edad del estudio piloto del proyecto SENDO. Para explorar la reproducibilidad, los padres cumplimentaron el CFCA basalmente (CFCA-0) y al año (CFCA-1). Para explorar la validez, el CFCA-1 se comparó con cuatro registros dietéticos (DR) pesados de 3 días. Calculamos coeficientes de correlación de Pearson desatenuados para corregir la variabilidad inter-estacional, y el índice de Bland-Altman. El índice kappa ponderado permitió evaluar la clasificación errónea de los participantes entre quintiles. Resultados: respecto a la reproducibilidad, encontramos índices promedio de Bland-Altman de 0-10,45 % para los nutrientes y de 1,49-10,45 % para los alimentos. La r ajustada varió entre 0,29 y 0,71, y entre 0,27 y 0,74 para nutrientes y alimentos, respectivamente. En cuanto a la validez, encontramos índices promedio de Bland-Altman de 0-16,22 % y 0-10,81 % para nutrientes y alimentos, respectivamente. La r desatenuada osciló entre 0,38 y 0,81 para los nutrientes y entre 0,53 y 0,68 para los alimentos. El índice kappa ponderado para el acuerdo entre quintiles varió entre 54,1 y 85,1 para los nutrientes y entre 55,4 y 78,4 para los grupos de alimentos. Conclusiones: nuestros resultados mostraron niveles aceptables tanto de reproducibilidad como de validez. El FFQ desarrollado ad hoc es una herramienta válida para evaluar nutrientes y alimentos en preescolares españoles. 2023-08-16T11:18:24Z 2023-08-16T11:18:24Z 2020 info:eu-repo/semantics/article https://hdl.handle.net/10171/67136 eng info:eu-repo/semantics/openAccess application/pdf Arán
spellingShingle Food frequency questionnaire
24- hour dietary records
Preschoolers
Children cohort
Reproducibility
Validity
Cuestionario de frecuencia de consumo de alimentos
Recuerdo de 24 horas
Preescolares
Cohorte pediátrica
Reproducibilidad
Validación
Zazpe, I. (Itziar)
Santiago, S. (Susana)
De-la-O-Pascual, V. (Víctor)
Romanos-Nanclares, A. (Andrea)
Rico-Campà, A. (Anais)
Alvarez-Zallo, N. (Noelia)
Martinez-Gonzalez, M.A. (Miguel Ángel)
Martin-Calvo, N. (Nerea)
Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project
title Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project
title_full Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project
title_fullStr Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project
title_full_unstemmed Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project
title_short Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers - The SENDO project
title_sort validity and reproducibility of a semi-quantitative food frequency questionnaire in spanish preschoolers - the sendo project
topic Food frequency questionnaire
24- hour dietary records
Preschoolers
Children cohort
Reproducibility
Validity
Cuestionario de frecuencia de consumo de alimentos
Recuerdo de 24 horas
Preescolares
Cohorte pediátrica
Reproducibilidad
Validación
url https://hdl.handle.net/10171/67136
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