Description of the updated nutrition calculation of the Oxford WebQ questionnaire and comparison with the previous version among 207,144 participants in UK Biobank

Aurora Perez‐Cornago1, Zoe Pollard1, Heather Young1, Marloes van Uden2, Colm Andrews1, Carmen Piernas3, Timothy J. Key1, Angela A. Mulligan2, Marleen A H Lentjes4
1Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Roosevelt Drive, Oxford, OX3 7LF, UK
2Department of Public Health & Primary Care, Institute of Public Health, University of Cambridge, Cambridge, UK
3Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
4School of Medical Sciences, Clinical Epidemiology and Biostatistics, Örebro University, Örebro, Sweden

Tóm tắt

AbstractPurposeThe Oxford WebQ is a web-based 24-h dietary assessment method which has been used in UK Biobank and other large prospective studies. The food composition table used to calculate nutrient intakes has recently been replaced with the UK Nutrient Databank, which has food composition data closer in time to when participants completed the questionnaire, and new dietary variables were incorporated. Here we describe the updated version of the Oxford WebQ questionnaire nutrient calculation, and compare nutrient intakes with the previous version used.Methods207,144 UK Biobank participants completed ≥ 1 Oxford WebQs, and means and standard deviations of nutrient intakes were averaged for all completed 24-h dietary assessments. Spearman correlations and weighted kappa statistics were used to compare the re-classification and agreement of nutrient intakes between the two versions.Results35 new nutrients were incorporated in the updated version. Compared to the previous version, most nutrients were very similar in the updated version except for a few nutrients which showed a difference of > 10%: lower with the new version for trans-fat (− 20%), and vitamin C (− 15%), but higher for retinol (+ 42%), vitamin D (+ 26%) and vitamin E (+ 20%). Most participants were in the same (> 60%) or adjacent (> 90%) quintile of intake for the two versions. Except for trans-fat (r = 0.58,κ = 0.42), very high correlations were found between the nutrients calculated using the two versions (r > 0.79 andκ > 0.60).ConclusionSmall absolute differences in nutrient intakes were observed between the two versions, and the ranking of individuals was minimally affected, except for trans-fat.

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Tài liệu tham khảo

Hooson Jzh J, Hutchinson Jyh J, Warthon-Medina M, Hancock N, Greathead K, Knowles B, Vargas-Garcia E, Gibson LE, Bush LA, Margetts B, Robinson S, Ness A, Alwan NA, Wark PA, Roe M, Finglas P, Steer T, Page P, Johnson L, Roberts K, Amoutzopoulos B, Burley VJ, Greenwood DC, Cade JE (2019) A systematic review of reviews identifying UK validated dietary assessment tools for inclusion on an interactive guided website for researchers: www.nutritools.org. Crit Rev Food Sci Nutr. https://doi.org/10.1080/10408398.2019.1566207

Liu B, Young H, Crowe FL, Benson VS, Spencer EA, Key TJ, Appleby PN, Beral V (2011) Development and evaluation of the Oxford WebQ, a low-cost, web-based method for assessment of previous 24 h dietary intakes in large-scale prospective studies. Public Health Nutr 14(11):1998–2005. https://doi.org/10.1017/S1368980011000942

Fry A, Littlejohns TJ, Sudlow C, Doherty N, Adamska L, Sprosen T, Collins R, Allen NE (2017) Comparison of sociodemographic and health-related characteristics of UK Biobank participants with those of the general population. Am J Epidemiol 186(9):1026–1034. https://doi.org/10.1093/aje/kwx246

Green J, Reeves GK, Floud S, Barnes I, Cairns BJ, Gathani T, Pirie K, Sweetland S, Yang TO, Beral V, Million Women Study C (2019) Cohort profile: the million women study. Int J Epidemiol 48(1):28–29e. https://doi.org/10.1093/ije/dyy065

Holland B, Unwin ID, Buss DH (1988) Cereals and cereal products. Third supplement to McCance and Widdowson’s The composition of foods, 4th edn. Royal Society of Chemistry, Cambridge

Holland B, Unwin ID, Buss D (1989) Milk products and eggs. Fourth supplement to McCance and Widdowson’s The composition of foods, 4th edn. Royal Society of Chemistry, Cambridge

Holland B, Welch AA, Unwin ID, Buss DH, Paul AA, Southgate D (1991) McCance and Widdowson’s The composition of foods, 5th edn. Royal Society of Chemistry, Cambridge

Holland B, Unwin ID, Buss DH (1991) Vegetables, herbs and spices. Fifth supplement to McCance and Widdowson’s The composition of foods, 4th edn. Royal Society of Chemistry, Cambridge

Holland B, Unwin ID, Buss DH (1992) Fruit and nuts. First supplement to McCance and Widdowson’s The composition of foods, 5th edn. Royal Society of Chemistry, Cambridge

Holland B, Welch AA, Buss DH (1992) Vegetable dishes. Second supplement to McCance and Widdowson’s The composition of foods, 5th edn. Royal Society of Chemistry, Cambridge

Holland B, Brown J, Buss DH (1993) Fish and fish products. Third supplement to McCance and Widdowson’s The composition of foods, 5th edn. Royal Society of Chemistry, Cambridge

Chan W, Brown J, Buss DH (1994) Miscellaneous foods. Fourth supplement to McCance and Widdowson’s The composition of foods, 5th edn. Royal Society of Chemistry, Cambridge

Chan W, Brown J, Lee SM, Buss DH (1995) Meat, poultry and game. Fifth supplement to McCance and Widdowson’s The composition of foods, 5th edn. Royal Society of Chemistry, Cambridge

Chan W, Brown J, Church SM, Buss DH (1996) Meat products and dishes. Sixth supplement to McCance and Widdowson’s The composition of foods, 5th edn. Royal Society of Chemistry, Cambridge

Agency FS (2002) McCance and Widdowson’s The composition of foods, sixth, summary. Royal Society of Chemistry, Cambridge

Swan G, Dodhia S, Farron-Wilson M, Powell N, Bush M (2015) Food composition data and public health. Nutr Bull 40(3):223–226. https://doi.org/10.1111/nbu.12156

NatCen Social Research, MRC Elsie Widdowson Laboratory, University College London. Medical School (2015) National Diet and Nutrition Survey Years 1-6, 2008/09-2013/14. [data collection]. 7th Edition. UK Data Service. SN: 6533, https://doi.org/10.5255/UKDA-SN-6533-7

Sudlow C, Gallacher J, Allen N, Beral V, Burton P, Danesh J, Downey P, Elliott P, Green J, Landray M, Liu B, Matthews P, Ong G, Pell J, Silman A, Young A, Sprosen T, Peakman T, Collins R (2015) UK biobank: an open access resource for identifying the causes of a wide range of complex diseases of middle and old age. PLoS Med 12(3):e1001779. https://doi.org/10.1371/journal.pmed.1001779

Ministry of Agriculture FaF (1993) Food portion sizes, 2nd edn. HMSO, London

Greenwood DC, Hardie LJ, Frost GS, Alwan NA, Bradbury KE, Carter M, Elliott P, Evans CEL, Ford HE, Hancock N, Key TJ, Liu B, Morris MA, Mulla UZ, Petropoulou K, Potter GDM, Riboli E, Young H, Wark PA, Cade JE (2019) Validation of the Oxford WebQ online 24-hour dietary questionnaire using biomarkers. Am J Epidemiol 188(10):1858–1867. https://doi.org/10.1093/aje/kwz165

Johnson L, Mander AP, Jones LR, Emmett PM, Jebb SA (2008) A prospective analysis of dietary energy density at age 5 and 7 years and fatness at 9 years among UK children. Int J Obes (Lond) 32(4):586–593. https://doi.org/10.1038/sj.ijo.0803746

Scientific Advisory Committee on Nutrition. Carbohydrates and Health (2015). https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/445503/SACN_Carbohydrates_and_Health.pdf. Accessed June 2020

Willett W (2012) Nutritional epidemiology, 3rd edn. Oxford University Press, Oxford

McHugh ML (2012) Interrater reliability: the kappa statistic. Biochem Med (Zagreb) 22(3):276–282

Piernas C, Perez-Cornago A, Gao M, Young H, Pollard Z, Mulligan A, Lentjes M, Carter J, Bradbury KE, Key TJ, Jebb SA (2021) Describing a new food group classification system for UK Biobank: analysis of food groups and sources of macro- and micronutrients in 208,200 participants. Eur J Nutr. https://doi.org/10.1007/s00394-021-02535-x

Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ, Willett WC (2006) Trans fatty acids and cardiovascular disease. N Engl J Med 354(15):1601–1613. https://doi.org/10.1056/NEJMra054035

Coombes R (2011) Trans fats: chasing a global ban. BMJ 343:d5567. https://doi.org/10.1136/bmj.d5567

National Diet and Nutrition Survey Years 1 to 9 of the Rolling Programme (2008/2009—2016/2017): time trend and income analyses. Public Health England

Pot GK, Prynne CJ, Roberts C, Olson A, Nicholson SK, Whitton C, Teucher B, Bates B, Henderson H, Pigott S, Swan G, Stephen AM (2012) National Diet and Nutrition Survey: fat and fatty acid intake from the first year of the rolling programme and comparison with previous surveys. Br J Nutr 107(3):405–415. https://doi.org/10.1017/S0007114511002911

Public Health England and Food Standards Agency. National Diet and Nutrition Survey Years 5–6 2012/13–2013/14 User Guide for UK Data. http://doc.ukdataservice.ac.uk/doc/6533/mrdoc/pdf/6533_ndns_yrs5-6_uk_user_guide.pdf. Accessed 07 Aug 2020

World Health Organization (2015) Information note about intake of sugars recommended in the WHO guideline for adults and children. https://www.who.int/nutrition/publications/guidelines/sugar_intake_information_note_en.pdf?ua=1#:~:text=The%20World%20Health%20Organization's%20new,10%25%20of%20total%20energy%20intake. Accessed Nov 2020

Subar AF, Freedman LS, Tooze JA, Kirkpatrick SI, Boushey C, Neuhouser ML, Thompson FE, Potischman N, Guenther PM, Tarasuk V, Reedy J, Krebs-Smith SM (2015) Addressing current criticism regarding the value of self-report dietary data. J Nutr 145(12):2639–2645. https://doi.org/10.3945/jn.115.219634