TY - JOUR
T1 - Reproducibility and validity of a food frequency questionnaire to assess cardiovascular health-related food intake among Mexican adolescents
AU - Terminel-Zaragoza, Ricardo
AU - Vega-López, Sonia
AU - Ulloa-Mercado, Gabriela
AU - Serna-Gutiérrez, Araceli
AU - Gortares-Moroyoqui, Pablo
AU - Diáz-Tenorio, Lourdes
AU - Renteriá-Mexiá, Ana
N1 - Funding Information:
This work was supported by the Mexican Government through the Programa para el Desarrollo Profesional Docente, through the support for the Reincorporation of PROMEP Alumni programme ITSON-EXB-109, scholarship and Instituto Tecnológico de Sonora, grant PROFAPI_2018_0101. R.T.-Z. thanks the scholarship from CONACYT (901896), México.
Publisher Copyright:
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society.
PY - 2022/2/2
Y1 - 2022/2/2
N2 - There is a lack of region-adapted tools to evaluate diet as a risk factor for cardiovascular disease (CVD) in adolescents. The study aim was to evaluate the reproducibility and validity of a paper-based and region-adapted food frequency questionnaire (FFQ) designed to assess CVD-related food and nutrient intakes of adolescents from Northwest México. The study design was cross-sectional. The FFQ was developed in a two-step process: prototype designing and a pilot test, with re-tested in a 3-month period, along with two administrations of 24 h-recall (24 hR). Pearson's and intra-class correlation coefficients (PCC and ICC) were assessed. Bland-Altman plots, limits of agreement and quintile classifications were carried out. Participants (n 221) were 53·8 % male, 18·5 ± 0·4 years old. Reproducibility had a median PCC = 0·66 for processed meats, ranging from 0·40 (saturated fat) to 0·74 (fish & shellfish), P = 0·001. ICC ranged from 0·53 (saturated fat) to 0·80 (sodium; and nuts, seeds and legumes), P = 0·001. Validity comparing FFQ1 v. 24 hR mean, PCCs ranged from 0·12 (P = 0·06) to 0·95 (P = 0·001), and ICC from 0·20 (P = 0·048) to 0·88 (P = 0·001); comparing FFQ2 v. 24 hR mean, PCCs ranged from 0·07 (P = 0·25) to 0·46 (P = 0·001), and ICC from 0·15 (P = 0·106) to 0·58 (P = 0·001). The FFQ overestimated the intake of all food groups and nutrients (P < 0·05), while Cohen's κ showed coefficients lower than 0·20. The proposed FFQ represents a moderately validated tool to estimate CVD-related food and nutrient intakes as a risk factor, which can be used in combination with multiple administrations of 24 hRs, as a critical mean in future interventions intended to reduce cardiometabolic risk in adolescents.
AB - There is a lack of region-adapted tools to evaluate diet as a risk factor for cardiovascular disease (CVD) in adolescents. The study aim was to evaluate the reproducibility and validity of a paper-based and region-adapted food frequency questionnaire (FFQ) designed to assess CVD-related food and nutrient intakes of adolescents from Northwest México. The study design was cross-sectional. The FFQ was developed in a two-step process: prototype designing and a pilot test, with re-tested in a 3-month period, along with two administrations of 24 h-recall (24 hR). Pearson's and intra-class correlation coefficients (PCC and ICC) were assessed. Bland-Altman plots, limits of agreement and quintile classifications were carried out. Participants (n 221) were 53·8 % male, 18·5 ± 0·4 years old. Reproducibility had a median PCC = 0·66 for processed meats, ranging from 0·40 (saturated fat) to 0·74 (fish & shellfish), P = 0·001. ICC ranged from 0·53 (saturated fat) to 0·80 (sodium; and nuts, seeds and legumes), P = 0·001. Validity comparing FFQ1 v. 24 hR mean, PCCs ranged from 0·12 (P = 0·06) to 0·95 (P = 0·001), and ICC from 0·20 (P = 0·048) to 0·88 (P = 0·001); comparing FFQ2 v. 24 hR mean, PCCs ranged from 0·07 (P = 0·25) to 0·46 (P = 0·001), and ICC from 0·15 (P = 0·106) to 0·58 (P = 0·001). The FFQ overestimated the intake of all food groups and nutrients (P < 0·05), while Cohen's κ showed coefficients lower than 0·20. The proposed FFQ represents a moderately validated tool to estimate CVD-related food and nutrient intakes as a risk factor, which can be used in combination with multiple administrations of 24 hRs, as a critical mean in future interventions intended to reduce cardiometabolic risk in adolescents.
KW - AHA dietary targets
KW - Food frequency questionnaire
KW - Mexican adolescents
KW - Reproducibility
KW - Validity
UR - http://www.scopus.com/inward/record.url?scp=85124723822&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85124723822&partnerID=8YFLogxK
U2 - 10.1017/jns.2022.1
DO - 10.1017/jns.2022.1
M3 - Article
C2 - 35291283
AN - SCOPUS:85124723822
SN - 2048-6790
VL - 11
JO - Journal of Nutritional Science
JF - Journal of Nutritional Science
M1 - e3
ER -