Skip to main content
×
Home
    • Aa
    • Aa

Evaluation of an FFQ to assess total energy and nutrient intakes in severely obese pregnant women

  • Nor A Mohd-Shukri (a1), Jennifer L Bolton (a1), Jane E Norman (a2), Brian R Walker (a1) and Rebecca M Reynolds (a1) (a2)...
Abstract
AbstractObjective

FFQ are popular instruments for assessing dietary intakes in epidemiological studies but have not been validated for use in severely obese pregnancy. The aim of the present study was to compare nutrient intakes assessed by an FFQ with those obtained from a food diary among severely obese pregnant women.

Design

Comparison of an FFQ containing 170 food items and a food diary for 4 d (three weekdays and one weekend day); absolute agreement was assessed using the paired t test and relative agreement by Pearson/Spearman correlation, cross-classification into tertiles and weighted kappa values.

Setting

Antenatal metabolic clinic for severely obese women.

Subjects

Thirty-one severely obese (BMI at booking ≥40·0 kg/m2) and thirty-two lean control (BMI = 20·0–24·9 kg/m2) pregnant women.

Results

The findings showed that nutrient intakes estimated by the FFQ were significantly higher than those from the food diary; average correlation was 0·32 in obese and 0·43 in lean women. A mean of 48·5 % of obese and 47·3 % of lean women were correctly classified, while 12·9 % (obese) and 10·0 % (lean) were grossly misclassified. Weighted κ values ranged from −0·04 to 0·79 in obese women and from 0·16 to 0·78 in lean women.

Conclusions

Overall, the relative agreement between the FFQ and food diary was lower in the obese group than in the lean group, but was comparable with earlier studies conducted in pregnant women. The validity assessments suggest that the FFQ is a useful tool for ranking severely obese pregnant women according to the levels of their dietary intake.

  • 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.

      Evaluation of an FFQ to assess total energy and nutrient intakes in severely obese pregnant women
      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.

      Evaluation of an FFQ to assess total energy and nutrient intakes in severely obese pregnant women
      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.

      Evaluation of an FFQ to assess total energy and nutrient intakes in severely obese pregnant women
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email r.reynolds@ed.ac.uk
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.

4. GA Davies , C Maxwell , L McLeod et al. (2010) Obesity in pregnancy. J Obstet Gynaecol Can 32, 165173.

5. K Wakai (2009) A review of food frequency questionnaires developed and validated in Japan. J Epidemiol 19, 111.

8. T Mouratidou , F Ford , F Prountzou et al. (2006) Dietary assessment of a population of pregnant women in Sheffield, UK. Br J Nutr 96, 929935.

9. S Martindale , G McNeill , G Devereux et al. (2005) Antioxidant intake in pregnancy in relation to wheeze and eczema in the first two years of life. Am J Respir Crit Care Med 171, 121128.

11. M Mathews , P Yudkin & A Neil (1999) Influence of maternal nutrition on outcome of pregnancy: prospective cohort study. BMJ 319, 339343.

12. I Rogers & P Emmett (1998) Diet during pregnancy in a population of pregnant women in south west England. ALSPAC study team. Avon longitudinal study of pregnancy and childhood. Eur J Clin Nutr 52, 246250.

13. K Godfrey , S Robinson , DJ Barker et al. (1996) Maternal nutrition in early and late pregnancy in relation to placental and fetal growth. BMJ 312, 410414.

16. JE Cade , VJ Burley , DL Warm et al. (2004) Food-frequency questionnaires: a review of their design, validation and utilisation. Nutr Res Rev 17, 522.

17. AL Brantsaeter , M Haugen , J Alexander et al. (2008) Validity of a new food frequency questionnaire for pregnant women in the Norwegian mother and child cohort study (MOBA). Matern Child Nutr 4, 2843.

18. M Erkkola , M Karppinen , J Javanainen et al. (2001) Validity and reproducibility of a food frequency questionnaire for pregnant Finnish women. Am J Epidemiol 154, 466476.

20. LF Masson , G McNeill , JO Tomany et al. (2003) Statistical approaches for assessing the relative validity of a food-frequency questionnaire: use of correlation coefficients and the kappa statistic. Public Health Nutr 6, 313321.

21. LF Anderson , H Tomten , P Haggarty et al. (2003) Validation of energy intake estimated from a food frequency questionnaire: a doubly labelled water study. Eur J Clin Nutr 57, 279284.

24. P McLoone & FA Boddy (1994) Deprivation and mortality in Scotland 1981 and 1991. BMJ 309, 14651470.

26. JR Landis & GG Koch (1977) An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics 33, 363374.

28. T Mouratidou , F Ford & R Fraser (2006) Validation of a food-frequency questionnaire for use in pregnancy. Public Health Nutr 9, 515522.

31. E Forsum & M Löf (2007) Energy metabolism during human pregnancy. Annu Rev Nutr 27, 277292.

32. E Derbyshire , J Davies , V Costarelli et al. (2006) Prepregnancy body mass index and dietary intake in the first trimester of pregnancy. J Hum Nutr Diet 19, 267273.

33. AE Black & TJ Cole (2001) Biased over- or under-reporting is characteristic of individuals whether over time or by different assessment methods. J Am Diet Assoc 101, 7080.

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:

Metrics

Full text views

Total number of HTML views: 11
Total number of PDF views: 47 *
Loading metrics...

Abstract views

Total abstract views: 88 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 30th April 2017. This data will be updated every 24 hours.