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Reproducibility and validity of an FFQ developed for the Korea National Health and Nutrition Examination Survey (KNHANES)

  • Dong Woo Kim (a1), Sujin Song (a1), Jung Eun Lee (a2), Kyungwon Oh (a3), Jeeseon Shim (a3), Sanghui Kweon (a3), Hee Young Paik (a1) and Hyojee Joung (a4)...

Abstract

Objective

We aimed to evaluate the reproducibility and validity of the newly developed FFQ for the Korean National Health and Nutrition Examination Survey (KNHANES) and to estimate the measure’s calibration factors.

Design

The 109-item FFQ was administered twice, approximately 9 months apart. We also collected four seasonal 3 d dietary records (DR) as a reference method. Correlation coefficients and joint classification were computed to compare intakes of energy, thirteen nutrients and eleven food groups between the two FFQ to evaluate reproducibility. For validity, de-attenuated and energy-adjusted correlation, joint classification and Bland–Altman statistics were calculated for energy and nutrients between the first FFQ and the DR. To calibrate the FFQ, we performed a linear regression analysis in which the DR were the dependent variables and FFQ, age and sex were the independent variables.

Setting

Seoul metropolitan area, Republic of Korea.

Subjects

A total of 126 adults aged 20–65 years.

Results

The average correlation coefficients measuring reproducibility were 0·54 for nutrients and 0·57 for food groups. The mean correlation coefficient measuring validity was 0·40 for all nutrients between the first FFQ and the DR. On average, 75 % of the participants were classified into the same or adjacent quartiles, while 5 % of the participants were grossly misclassified. The mean energy and nutrient intakes estimated by the calibrated FFQ were similar to the means estimated by the DR.

Conclusions

The newly developed FFQ for assessing dietary intake in the KNHANES has acceptable reproducibility and modest validity compared with a 12 d DR collected over a 9-month period.

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Copyright

Corresponding author

* Corresponding author: Email hjjoung@snu.ac.kr

References

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1. Nishida, C, Uauy, R, Kumanyika, S et al. (2004) The Joint WHO/FAO Expert Consultation on diet, nutrition and the prevention of chronic diseases: process, product and policy implications. Public Health Nutr 7, 245250.
2. Kim, S, Moon, S & Popkin, BM (2000) The nutrition transition in South Korea. Am J Clin Nutr 71, 4453.
3. Lee, MJ, Popkin, BM & Kim, S (2002) The unique aspects of the nutrition transition in South Korea: the retention of healthful elements in their traditional diet. Public Health Nutr 5, 197203.
4. Kim, YO, Kim, MK, Lee, SA et al. (2009) A study testing the usefulness of a dish-based food-frequency questionnaire developed for epidemiological studies in Korea. Br J Nutr 101, 12181227.
5. Resnicow, K, Odom, E, Wang, T et al. (2000) Validation of three food frequency questionnaires and 24-hour recalls with serum carotenoid levels in a sample of African-American adults. Am J Epidemiol 152, 10721080.
6. Kipnis, V, Subar, AF, Midthune, D et al. (2003) Structure of dietary measurement error: results of the OPEN biomarker study. Am J Epidemiol 158, 1421.
7. Subar, AF, Kipnis, V, Troiano, RP et al. (2003) Using intake biomarkers to evaluate the extent of dietary misreporting in a large sample of adults: the OPEN study. Am J Epidemiol 158, 113.
8. Basiotis, PP, Welsh, SO, Cronin, FJ et al. (1987) Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J Nutr 117, 16381641.
9. Ortiz-Andrellucchi, A, Sánchez-Villegas, A, Doreste-Alonso, J et al. (2009) Dietary assessment methods for micronutrient intake in elderly people: a systematic review. Br J Nutr 102, Suppl. 1, S118S149.
10. Ortiz-Andrellucchi, A, Henríquez-Sánchez, P, Sánchez-Villegas, A et al. (2009) Dietary assessment methods for micronutrient intake in infants, children and adolescents: a systematic review. Br J Nutr 102, Suppl. 1, S87S117.
11. Ortiz-Andrellucchi, A, Doreste-Alonso, J, Henríquez-Sánchez, P et al. (2009) Dietary assessment methods for micronutrient intake in pregnant women: a systematic review. Br J Nutr 102, Suppl. 1, S64S86.
12. Huybrechts, I, De Bacquer, D, Cox, B et al. (2008) Variation in energy and nutrient intakes among pre-school children: implications for study design. Eur J Public Health 18, 509516.
13. Oh, SY & Hong, MH (1999) Within- and between-person variation of nutrient intakes of older people in Korea. Eur J Clin Nutr 53, 625629.
14. Brinkman, MT, Kellen, E, Zeegers, MP et al. (2011) Validation of the IMMIDIET food frequency questionnaire in an adult Belgian population: a report from the Belgian case–control study on bladder cancer risk. Acta Clin Belg 66, 1825.
15. Dehghan, M, Lopez Jaramillo, P, Duenas, R et al. (2011) Development and validation of a quantitative food frequency questionnaire among rural- and urban-dwelling adults in Colombia. J Nutr Educ Behav 44, 609613.
16. Eng, JY & Moy, FM (2011) Validation of a food frequency questionnaire to assess dietary cholesterol, total fat and different types of fat intakes among Malay adults. Asia Pac J Clin Nutr 20, 639645.
17. Huang, YC, Lee, MS, Pan, WH et al. (2011) Validation of a simplified food frequency questionnaire as used in the Nutrition and Health Survey in Taiwan (NAHSIT) for the elderly. Asia Pac J Clin Nutr 20, 134140.
18. Mejia-Rodriguez, F, Orjuela, MA, Garcia-Guerra, A et al. (2011) Validation of a novel method for retrospectively estimating nutrient intake during pregnancy using a semi-quantitative food frequency questionnaire. Matern Child Health J 16, 14681483.
19. van Dongen, MC, Lentjes, MA, Wijckmans, NE et al. (2011) Validation of a food-frequency questionnaire for Flemish and Italian-native subjects in Belgium: the IMMIDIET study. Nutrition 27, 302309.
20. Molag, ML, de Vries, JH, Ocke, MC et al. (2007) Design characteristics of food frequency questionnaires in relation to their validity. Am J Epidemiol 166, 14681478.
21. Korean Ministry of Health and Welfare (2006) National Health and Nutrition Examination Survey Report 2005. Seoul: Ministry of Health and Welfare (in Korean).
22. Korean Ministry of Health and Welfare (2010) Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Seoul: Korean Ministry of Health and Welfare (in Korean).
23. Yun, SH, Shim, JS, Kweon, SH et al. (2013) Development of a food frequency questionnaire for the Korea National Health and Nutrition Examination Survey: data from the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). Korean J Nutr 46, 186196 (in Korean).
24. Korean National Academy of Agricultural Science (2007) Food Composition Table, 7th ed. Suwon: Rural Development Administration (in Korean).
25. Willett, WC (1998) Nutritional Epidemiology. Oxford: Oxford University Press.
26. Willett, WC, Sampson, L, Stampfer, MJ et al. (1985) Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol 122, 5165.
27. Johansson, I, Hallmans, G, Wikman, A et al. (2002) Validation and calibration of food-frequency questionnaire measurements in the Northern Sweden Health and Disease cohort. Public Health Nutr 5, 487496.
28. Villegas, R, Yang, G, Liu, D et al. (2007) Validity and reproducibility of the food-frequency questionnaire used in the Shanghai men’s health study. Br J Nutr 97, 9931000.
29. Bland, JM & Altman, DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1, 307310.
30. Ambrosini, GL, van Roosbroeck, SAH, Mackerras, D et al. (2003) The reliability of ten-year dietary recall: implications for cancer research. J Nutr 133, 26632668.
31. Marques-Vidal, P, Ross, A, Wynn, E et al. (2011) Reproducibility and relative validity of a food-frequency questionnaire for French-speaking Swiss adults. Food Nutr Res 2011, 55.
32. Fernandez-Ballart, JD, Pinol, JL, Zazpe, I et al. (2010) Relative validity of a semi-quantitative food-frequency questionnaire in an elderly Mediterranean population of Spain. Br J Nutr 103, 18081816.
33. Tsubono, Y, Nishino, Y, Fukao, A et al. (1995) Temporal change in the reproducibility of a self-administered food frequency questionnaire. Am J Epidemiol 142, 12311235.
34. Cade, J, Thompson, R, Burley, V et al. (2002) Development, validation and utilisation of food-frequency questionnaires – a review. Public Health Nutr 5, 567587.
35. Shahar, DR, Yerushalmi, N, Lubin, F et al. (2001) Seasonal variations in dietary intake affect the consistency of dietary assessment. Eur J Epidemiol 17, 129133.
36. Park, MK, Noh, HY, Song, NY et al. (2012) Validity and reliability of a dish-based, semi-quantitative food frequency questionnaire for Korean diet and cancer research. Asia Pac J Cancer Prev 13, 545552.
37. Hong, S, Choi, Y, Lee, HJ et al. (2010) Development and validation of a semi-quantitative food frequency questionnaire to assess diets of Korean type 2 diabetic patients. Korean Diabetes J 34, 3239.
38. Shim, JS, Oh, KW, Suh, I et al. (2002) A study on validity of a semi-quantitative food frequency questionnaire for Korean adults. Korean J Community Nutr 7, 484494.
39. Yang, YJ, Kim, MK, Hwang, SH et al. (2010) Relative validities of 3-day food records and the food frequency questionnaire. Nutr Res Pract 4, 142148.
40. Na, YJ & Lee, SH (2012) Development and validation of a quantitative food frequency questionnaire to assess nutritional status in Korean adults. Nutr Res Pract 6, 444450.
41. Ogawa, K, Tsubono, Y, Nishino, Y et al. (2003) Validation of a food-frequency questionnaire for cohort studies in rural Japan. Public Health Nutr 6, 147157.
42. Pietinen, P, Hartman, AM, Haapa, E et al. (1988) Reproducibility and validity of dietary assessment instruments. II. A qualitative food frequency questionnaire. Am J Epidemiol 128, 667676.
43. Torheim, LE, Barikmo, I, Hatloy, A et al. (2001) Validation of a quantitative food-frequency questionnaire for use in Western Mali. Public Health Nutr 4, 12671277.
44. Subar, AF, Thompson, FE, Kipnis, V et al. (2001) Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: the Eating at America’s Table Study. Am J Epidemiol 154, 10891099.
45. Araujo, MC, Yokoo, EM & Pereira, RA (2010) Validation and calibration of a semiquantitative food frequency questionnaire designed for adolescents. J Am Diet Assoc 110, 11701177.
46. Slater, B, Philippi, ST, Fisberg, RM et al.. (2003) Validation of a semi-quantitative adolescent food frequency questionnaire applied at a public school in Sao Paulo, Brazil. Eur J Clin Nutr 57, 629635.
47. Willett, W & Stampfer, MJ (1986) Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 124, 1727.
48. Kaaks, R, Riboli, E & van Staveren, W (1995) Calibration of dietary intake measurements in prospective cohort studies. Am J Epidemiol 142, 548556.

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