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Can a dietary quality score derived from a short-form FFQ assess dietary quality in UK adult population surveys?

  • Christine L Cleghorn (a1), Roger A Harrison (a2), Joan K Ransley (a3), Shan Wilkinson (a4), James Thomas (a3) and Janet E Cade (a3)...

Abstract

Objective

To devise a measure of diet quality from a short-form FFQ (SFFFQ) for population surveys. To validate the SFFFQ against an extensive FFQ and a 24 h diet recall.

Design

Population-based cross-sectional survey.

Setting

East Leeds and Bolton in Northern England.

Subjects

Adults (n 1999) were randomly selected from lists of those registered with a general practitioner in the study areas, contacted by mail and asked to complete the SFFFQ. Responders were sent a longer FFQ to complete and asked if they would take part in a telephone-based 24 h diet recall.

Results

Results from 826 people completing the SFFFQ, 705 completing the FFQ and forty-seven completing the diet recall were included in the analyses. The dietary quality score (DQS), based on fruit, vegetable, oily fish, non-milk extrinsic sugar and fat intakes, showed significant agreement between the SFFFQ and the FFQ (κ=0·38, P<0·001). The DQS for the SFFFQ and the diet recall did not show significant agreement (κ=0·04, P=0·312). A number of single items on the SFFFQ predicted a ‘healthy’ DQS when calculated from the FFQ. The odds of having a healthy diet were increased by 27 % (95 % CI 9, 49 %, P<0·001) for an increase in fruit of 1 portion/d and decreased by 67 % (95 % CI 47, 79 %, P<0·001) for an increase in crisps of 1 portion/d.

Conclusions

The SFFFQ has been shown to be an effective method of assessing diet quality. It provides an important method for determining variations in diet quality within and across different populations.

Copyright

Corresponding author

* Corresponding author: Email: cristina.cleghorn@otago.ac.nz

References

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1. Cox, BD (1995) Health and Lifestyle Survey: Seven-Year Follow-Up, 1991–1992. Contract No. SN: 3279. Colchester: UK Data Archive.
2. QAResearch (2008) The Eighth Leeds Citizens’ Panel Survey Report for Leeds City Council. http://www.leedsinitiative.org/uploadedFiles/Active_Leeds/Content/Documents/Word/P5%20Citizen%20Panel%20Survey.pdf (accessed March 2016).
3. Harrison, R, McElduff, P & Edwards, R (2006) Planning to win: health and lifestyles associated with physical activity amongst 15,423 adults. Public Health 120, 206212.
4. Barrow, S & Harrison, RA (2005) Unsung heroes who put their lives at risk? Informal caring, health and neighbourhood attachment. J Public Health 27, 292297.
5. Department of Health (2012) Improving outcomes and supporting transparency. Public Health Outcomes Framework Factsheet. http://www.phoutcomes.info/ (accessed March 2016).
6. Cade, J, Thompson, R, Burley, V et al. (2002) Development, validation and utilisation of food-frequency questionnaires–a review. Public Health Nutr 5, 567587.
7. Rafferty, AP, Anderson, JV, McGee, HB et al. (2002) A healthy diet indicator: quantifying compliance with the dietary guidelines using the BRFSS. Prev Med 35, 915.
8. Rifas-Shiman, SL, Willett, WC, Lobb, R et al. (2001) PrimeScreen, a brief dietary screening tool: reproducibility and comparability with both a longer food frequency questionnaire and biomarkers. Public Health Nutr 4, 249254.
9. Bogers, RP, Van Assema, P, Kester, AD et al. (2004) Reproducibility, validity, and responsiveness to change of a short questionnaire for measuring fruit and vegetable intake. Am J Epidemiol 159, 900909.
10. Coyne, T, Ibiebele, TI, McNaughton, S et al. (2005) Evaluation of brief dietary questions to estimate vegetable and fruit consumption–using serum carotenoids and red-cell folate. Public Health Nutr 8, 298308.
11. Thompson, FE, Kipnis, V, Subar, AF et al. (2000) Evaluation of 2 brief instruments and a food-frequency questionnaire to estimate daily number of servings of fruit and vegetables. Am J Clin Nutr 71, 15031510.
12. Brown, JL & Griebler, R (1993) Reliability of a short and long version of the Block food frequency form for assessing changes in calcium intake. J Am Diet Assoc 93, 784789.
13. Caan, B, Coates, A & Schaffer, D (1995) Variations in sensitivity, specificity, and predictive value of a dietary fat screener modified from Block et al . J Am Diet Assoc 95, 564568.
14. Hickling, S, Knuiman, M, Jamrozik, K et al. (2005) A rapid dietary assessment tool to determine intake of folate was developed and validated. J Clin Epidemiol 58, 802808.
15. Roe, L, Strong, C, Whiteside, C et al. (1994) Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract 11, 375381.
16. Buzzard, IM, Stanton, CA, Figueiredo, M et al. (2001) Development and reproducibility of a brief food frequency questionnaire for assessing the fat, fiber, and fruit and vegetable intakes of rural adolescents. J Am Diet Assoc 101, 14381446.
17. Huot, I, Paradis, G, Receveur, O et al. (2004) Correlates of diet quality in the Quebec population. Public Health Nutr 7, 10091016.
18. Johnson, F, Wardle, J & Griffith, J (2002) The Adolescent Food Habits Checklist: reliability and validity of a measure of healthy eating behaviour in adolescents. Eur J Clin Nutr 56, 644649.
19. Ling, AM, Horwath, C & Parnell, W (1998) Validation of a short food frequency questionnaire to assess consumption of cereal foods, fruit and vegetables in Chinese Singaporeans. Eur J Clin Nutr 52, 557564.
20. Block, G, Gillespie, C, Rosenbaum, EH et al. (2000) A rapid food screener to assess fat and fruit and vegetable intake. Am J Prev Med 18, 284288.
21. Little, P, Barnett, J, Margetts, B et al. (1999) The validity of dietary assessment in general practice. J Epidemiol Community Health 53, 165172.
22. Read, JA, Crockett, N, Volker, DH et al. (2005) Nutritional assessment in cancer: comparing the Mini-Nutritional Assessment (MNA) with the scored Patient-Generated Subjective Global Assessment (PGSGA). Nutr Cancer 53, 5156.
23. Segal-Isaacson, CJ, Wylie-Rosett, J & Gans, KM (2004) Validation of a short dietary assessment questionnaire: the Rapid Eating and Activity Assessment for Participants short version (REAP-S). Diabetes Educ 30, 774.
24. National Obesity Observatory (2010) Dietary Surveillance and Nutritional Assessment in England: what is measured and where are the gaps? http://www.noo.org.uk/uploads/doc/vid_5191_Dietary_Surveillance_and_Nutritional_Assessment_in_England.pdf (accessed March 2016).
25. Hann, CS, Rock, CL, King, I et al. (2001) Validation of the Healthy Eating Index with use of plasma biomarkers in a clinical sample of women. Am J Clin Nutr 74, 479486.
26. Kant, AK, Schatzkin, A, Graubard, BI et al. (2000) A prospective study of diet quality and mortality in women. JAMA 283, 21092115.
27. Kant, AK & Thompson, FE (1997) Measures of overall diet quality from a food frequency questionnaire: National Health Interview Survey, 1992. Nutr Res 17, 14431456.
28. Laviolle, B, Froger-Bompas, C, Guillo, P et al. (2005) Relative validity and reproducibility of a 14-item semi-quantitative food frequency questionnaire for cardiovascular prevention. Eur J Cardiovasc Prev Rehabil 12, 587595.
29. Rasanen, L & Pietinen, P (1982) A short questionnaire method for evaluation of diets. Prev Med 11, 669676.
30. Toft, U, Kristoffersen, LH, Lau, C et al. (2007) The Dietary Quality Score: validation and association with cardiovascular risk factors: the Inter99 study. Eur J Clin Nutr 61, 270278.
31. Johnson, RK (2002) Dietary intake–how do we measure what people are really eating? Obes Res 10, Suppl. 11, 63S68S.
32. Cade, JE, Burley, VJ, Greenwood, DC et al. (2004) The UK Women’s Cohort Study: comparison of vegetarians, fish-eaters and meat-eaters. Public Health Nutr 7, 871878.
33. Cade, JE, Burley, VJ, Alwan, NA et al. (2015) Cohort Profile: The UK Women’s Cohort Study (UKWCS). Int J Epidemiol (Epublication ahead of print version).
34. Spence, M, Cade, J, Burley, V et al. (2002) Ability of the UK Women’s Cohort Food Frequency Questionnaire to rank dietary intakes: a preliminary validation study. Proc Nutr Soc 61, 117A.
35. Harrison, RA & Cock, D (2004) Increasing response to a postal survey of sedentary patients–a randomised controlled trial [ISRCTN45665423]. BMC Health Serv Res 4, 31.
36. Nelson, M, Atkinson, M & Meyer, J (1997) A Photographic Atlas of Food Portion Sizes. London: MAFF Publications.
37. Tran, KM, Johnson, RK, Soultanakis, RP et al. (2000) In-person vs telephone-administered multiple-pass 24-hour recalls in women: validation with doubly labeled water. J Am Diet Assoc 100, 777783.
38. Taylor, E, Burley, V, Greenwood, D et al. (2004) Meat consumption and risk of breast cancer in the UK Women’s Cohort Study. B J Cancer 96, 11391146.
39. World Health Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases. Joint WHO/FAO Expert Consultation. WHO Technical Report Series no. 916. Geneva: WHO.
40. Department of Health and Social Security (1989) Dietary Sugars and Human Disease. Report on Health and Social Subjects no. 37. London: HMSO.
41. Andersen, LF, Johansson, L & Solvoll, K (2002) Usefulness of a short food frequency questionnaire for screening of low intake of fruit and vegetable and for intake of fat. Eur J Public Health 12, 208213.
42. Osler, M & Heitmann, BL (1996) The validity of a short food frequency questionnaire and its ability to measure changes in food intake: a longitudinal study. Int J Epidemiol 25, 10231029.
43. Cohen, J (1960) A coefficient of agreement for nominal scales. Educ Psychol Meas 20, 3746.
44. Landis, JR & Koch, GG (1977) The measurement of observer agreement for categorical data. Biometrics 33, 159174.
45. Nelson, MC & Lytle, LA (2009) Development and evaluation of a brief screener to estimate fast-food and beverage consumption among adolescents. J Am Diet Assoc 109, 730734.
46. Fowke, JH, Schlundt, D, Gong, Y et al. (2004) Impact of season of food frequency questionnaire administration on dietary reporting. Ann Epidemiol 14, 778785.
47. Mackerras, D & Rutishauser, I (2005) 24-Hour national dietary survey data: how do we interpret them most effectively? Public Health Nutr 8, 657665.
48. Serra-Majem, L, Andersen, LF, Henríque-Sánchez, P et al. (2009) Evaluating the quality of dietary intake validation studies. Br J Nutr 102, Suppl. 1, S3S9.

Keywords

Type Description Title
WORD
Supplementary materials

Cleghorn supplementary material
Short Form Dietary Questionnaire

 Word (238 KB)
238 KB
EXCEL
Supplementary materials

Cleghorn supplementary material
SFFFQ Dietary Quality Score calculator

 Excel (32.3 MB)
32.3 MB

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