Relative validation of a food frequency questionnaire for national health and nutrition monitoring
Tóm tắt
Validation of a food frequency questionnaire (FFQ) is important as incorrect information may lead to biased associations. Therefore the relative validity of an FFQ developed for use in the German Health Examination Survey for Adults 2008-2011 (DEGS) was examined.
Cross-sectional comparisons of food consumption data from the FFQ and from two 24-hour recalls were made in a sample of 161 participants (aged 18 to 80 years) of an ongoing nationwide survey, the German National Nutrition Monitoring (NEMONIT). The data collection took place from November 2008 to April 2009.
Spearman rank correlations between the FFQ and the 24-hour dietary recalls ranged from 0.15 for pizza to 0.80 for tea, with two third of the correlation coefficients exceeding 0.30. All correlation coefficients were statistically significant except those for pizza and cooked vegetables. The proportion of participants classified into the same or adjacent quartile of intake assessed by both methods varied between 68% for cooked vegetables and 94% for coffee. There were no statistically significant differences in food consumption estimates between both methods for 38% of the food groups. For the other food groups, the estimates of food consumption by the FFQ were not generally higher or lower than estimates from the 24-hour dietary recalls.
The FFQ appears to be reasonably valid in the assessment of food consumption of German adults. For some food groups, such as raw and cooked vegetables, relative risks estimates should be interpreted with caution because of the poor ranking agreement.
Từ khóa
Tài liệu tham khảo
Subar AF: Developing dietary assessment tools. J Am Diet Assoc. 2004, 104: 769-770. 10.1016/j.jada.2004.02.007.
Cade J, Thompson R, Burley V, Warm D: Development, validation and utilisation of food-frequency questionnaires - a review. Public Health Nutr. 2002, 5: 567-587. 10.1079/PHN2001318.
Robert-Koch-Institute: DEGS - Studie zur Gesundheit Erwachsener in Deutschland. (DEGS - German Health and Examination Survey for Adults). 2009, Berlin: Robert Koch-Institute
Nationales Ernährungsmonitoring (NEMONIT, German National Nutrition Monitoring). 2009, (accessed July 2010), [http://www.mri.bund.de/de/institute/ernaehrungsverhalten/forschungsprojekte/nationales-ernaehrungsmonitoring.html]
Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, McIntosh A, Rosenfeld S: Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: the Eating at America's Table Study. Am J Epidemiol. 2001, 154: 1089-1099. 10.1093/aje/154.12.1089.
Mensink GB, Burger M: Was isst du? Ein Verzehrshäufigkeitsfragebogen für Kinder und Jugendliche. (What do you eat? Food frequency questionnaire for children and adolescents). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2004, 47: 219-226. 10.1007/s00103-003-0794-z.
Mensink GB, Kleiser C, Richter A: Lebensmittelverzehr bei Kindern und Jugendlichen in Deutschland. Ergebnisse des Kinder- und Jugendgesundheitssurveys (KiGGS). (Food consumption of children and adolescents in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007, 50: 609-623. 10.1007/s00103-007-0222-x.
Mensink GBM, Beitz R, Burger M, Bisson S: Lebensmittelkonsum in Deutschland (Food consumption in Germany). Ernährungs-Umschau. 2000, 47: 328-332.
Krems C, Vasquez-Caicedo AL, Urban C: National reports - Germany. European Nutrition and Health Report 2009. Edited by: Elmadfa I. 2009, Basel: Karger AG, 299-304.
Slimani N, Deharveng G, Charrondiere RU, van Kappel AL, Ocke MC, Welch A, Lagiou A, van Liere M, Agudo A, Pala V, et al: Structure of the standardized computerized 24-h diet recall interview used as reference method in the 22 centers participating in the EPIC project. European Prospective Investigation into Cancer and Nutrition. Comput Methods Programs Biomed. 1999, 58: 251-266. 10.1016/S0169-2607(98)00088-1.
Slimani N, Ferrari P, Ocke M, Welch A, Boeing H, Liere M, Pala V, Amiano P, Lagiou A, Mattisson I, et al: Standardization of the 24-hour diet recall calibration method used in the european prospective investigation into cancer and nutrition (EPIC): general concepts and preliminary results. Eur J Clin Nutr. 2000, 54: 900-917. 10.1038/sj.ejcn.1601107.
Krems C, Bauch A, Götz A, Heuer T, Hild A, Möseneder J: Methoden der Nationalen Verzehrsstudie II (Methods of the National Nutrition Survey II). Ernährungs-Umschau. 2006, 53: 44-50.
Gibbons J, Chakraborti S: Nonparametric statistical inference. 2003, New York: Marcel Dekker, 4
Deschamps V, de Lauzon-Guillain B, Lafay L, Borys JM, Charles MA, Romon M: Reproducibility and relative validity of a food-frequency questionnaire among French adults and adolescents. Eur J Clin Nutr. 2009, 63: 282-291. 10.1038/sj.ejcn.1602914.
Paalanen L, Mannisto S, Virtanen MJ, Knekt P, Rasanen L, Montonen J, Pietinen P: Validity of a food frequency questionnaire varied by age and body mass index. J Clin Epidemiol. 2006, 59: 994-1001. 10.1016/j.jclinepi.2006.01.002.
Bohlscheid-Thomas S, Hoting I, Boeing H, Wahrendorf J: Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the German part of the EPIC project. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol. 1997, 26 (Suppl 1): S59-70. 10.1093/ije/26.suppl_1.S59.
Shu XO, Yang G, Jin F, Liu D, Kushi L, Wen W, Gao YT, Zheng W: Validity and reproducibility of the food frequency questionnaire used in the Shanghai Women's Health Study. Eur J Clin Nutr. 2004, 58: 17-23. 10.1038/sj.ejcn.1601738.
Khani BR, Ye W, Terry P, Wolk A: Reproducibility and validity of major dietary patterns among Swedish women assessed with a food-frequency questionnaire. J Nutr. 2004, 134: 1541-1545.
Petkeviciene J, Simila M, Becker W, Kriaucioniene V, Valsta LM: Validity and reproducibility of the NORBAGREEN food frequency questionnaire. Eur J Clin Nutr. 2009, 63: 141-149. 10.1038/sj.ejcn.1602893.
Rehm J, Greenfield TK, Walsh G, Xie X, Robson L, Single E: Assessment methods for alcohol consumption, prevalence of high risk drinking and harm: a sensitivity analysis. Int J Epidemiol. 1999, 28: 219-224. 10.1093/ije/28.2.219.
Tooze JA, Midthune D, Dodd KW, Freedman LS, Krebs-Smith SM, Subar AF, Guenther PM, Carroll RJ, Kipnis V: A new statistical method for estimating the usual intake of episodically consumed foods with application to their distribution. J Am Diet Assoc. 2006, 106: 1575-1587. 10.1016/j.jada.2006.07.003.
WHO: Obesity: Preventing and Managing the Global Epidemic. 2000, Geneva: WHO