Skip to main content
×
Home
    • Aa
    • Aa

Adaptation and evaluation of the National Cancer Institute's Diet History Questionnaire and nutrient database for Canadian populations

  • Ilona Csizmadi (a1), Lisa Kahle (a2), Ruth Ullman (a1), Ursula Dawe (a1), Thea Palmer Zimmerman (a3), Christine M Friedenreich (a1), Heather Bryant (a1) and Amy F Subar (a4)...
Abstract
AbstractBackground and objective

Despite assumed similarities in Canadian and US dietary habits, some differences in food availability and nutrient fortification exist. Food-frequency questionnaires designed for the USA may therefore not provide the most accurate estimates of dietary intake in Canadian populations. Hence, we undertook to evaluate and modify the National Cancer Institute's Diet History Questionnaire (DHQ) and nutrient database.

Methods

Of the foods queried on the DHQ, those most likely to differ in nutrient composition were identified. Where possible these foods were matched to comparable foods in the Canadian Nutrient File. Nutrient values were examined and modified to reflect the Canadian content of minerals (calcium, iron, zinc) and vitamins (A, C, D, thiamin, riboflavin, niacin, B6, folate and B12). DHQs completed by 13 181 Alberta Cohort Study participants aged 35–69 years were analysed to estimate nutrient intakes using the original US and modified versions of the DHQ databases. Misclassification of intake for meeting the Dietary Reference Intake (DRI) was determined following analysis with the US nutrient database.

Results

Twenty-five per cent of 2411 foods deemed most likely to differ in nutrient profile were subsequently modified for folate, 11% for vitamin D, 10% for calcium and riboflavin, and between 7 and 10% for the remaining nutrients of interest. Misclassification with respect to meeting the DRI varied but was highest for folate (7%) and vitamin A (7%) among men, and for vitamin D (7%) among women over 50 years of age.

Conclusion

Errors in nutrient intake estimates owing to differences in food fortification between the USA and Canada can be reduced in Canadian populations by using nutrient databases that reflect Canadian fortification practices.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Adaptation and evaluation of the National Cancer Institute's Diet History Questionnaire and nutrient database for Canadian populations
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Adaptation and evaluation of the National Cancer Institute's Diet History Questionnaire and nutrient database for Canadian populations
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Adaptation and evaluation of the National Cancer Institute's Diet History Questionnaire and nutrient database for Canadian populations
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email ilona.csizmadi@cancerboard.ab.ca
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1M Nelson , SA Bingham . Assessment of food composition and nutrient intake. In: BM Margetts , M Nelson , eds. Design Concepts in Nutritional Epidemiology. Oxford: Oxford University Press, 1997

4AF Subar , FE Thompson , V Kipnis , D Midthune , P Hurwitz , S McNutt , . Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: the Eating at America's Table Study. American Journal of Epidemiology 2001; 154: 1089–99

5FE Thompson , AF Subar , CC Brown , AF Smith , CO Sharbaugh , JB Jobe , . Cognitive research enhances accuracy of food frequency questionnaire reports: results of an experimental validation study. Journal of the American Dietetic Association 2002; 102: 212–25

6AF Subar , D Midthune , M Kulldorff , CC Brown , FE Thompson , V Kipnis , . Evaluation of alternative approaches to assign nutrient values to food groups in food frequency questionnaires. American Journal of Epidemiology 2000; 152: 279–86

11B Shatenstein , S Nadon , C Godin , G Ferland . Development and validation of a food frequency questionnaire. Canadian Journal of Dietetic Practice and Research 2005; 66: 6775

16AF Subar , FE Thompson , AF Smith , JB Jobe , RG Ziegler , N Potischman , . Improving food frequency questionnaires: a qualitative approach using cognitive interviewing. Journal of the American Dietetic Association 1995; 95: 781–8

18L Dixon , TP Zimmerman , LL Kahle , AF Subar . Adding carotenoids to the NCI Diet History Questionnaire Database. Journal of Food Composition and Analysis 2003; 16: 269–80

21HC Hung , KJ Joshipura , R Jiang , FB Hu , D Hunter , SA Smith-Warner , . Fruit and vegetable intake and risk of major chronic disease. Journal of the National Cancer Institute 2004; 96: 1577–84

23NM Binns . Sucralose – all sweetness and light. Nutrition Bulletin 2003; 28: 53–8

25P Whittaker , PR Tufaro , JI Rader . Iron and folate in fortified cereals. Journal of the American College of Nutrition 2001; 20: 247–54

26AF Subar , V Kipnis , RP Troiano , D Midthune , DA Schoeller , S Bingham , . Using intake biomarkers to evaluate the extent of dietary misreporting in a large sample of adults: the OPEN study. American Journal of Epidemiology 2003; 158: 113

27V Kipnis , AF Subar , D Midthune , LS Freedman , R Ballard-Barbash , RP Troiano , . Structure of dietary measurement error: results of the OPEN biomarker study. American Journal of Epidemiology 2003; 158: 1421

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: