Nutrición Hospitalaria 03003 / http://dx.doi.org/10.20960/nh.03003
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Trabajo Original

Validity and reproducibility of a semi-quantitative food frequency questionnaire in Spanish preschoolers — The SENDO project


Itziar Zazpe, Susana Santiago, Víctor de la O Pascual, Andrea Romanos-Nanclares, Anaïs Rico-Campà, Noelia Álvarez-zallo, Miguel Ángel Martínez González, Nerea Martín Calvo

Prepublicado: 2020-07-20
Publicado: 2020-08-07

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Introduction: currently, it is important to determine whether food frequency questionnaires (FFQ) are valid tools to collect information on usual diet in children. Objective: we evaluated the reproducibility and validity of the semi-quantitative FFQ used in a Spanish cohort of children aged 4-7 years. Methods: to explore its reproducibility, parents filled a 138-item FFQ at baseline (FFQ-0) and then one year later (FFQ-1). To explore its validity, the FFQ-1 was compared with four weighed 3-day dietary records (DRs) that were used as standard of reference. To estimate associations we calculated deattenuated Pearson’s correlation coefficients to correct for season-to-season variability, and the Bland-Altman index. We also calculated the weighted kappa index and assessed participant’s gross misclassification across quintiles. We analyzed data from 67 (for reproducibility) and 37 (for validity) children aged 4-7 years old, recruited by the pilot study of the SENDO project. Results: regarding reproducibility, we found mean Bland-Altman indexes of 0-10.45 % for nutrients and 1.49 %-10.45 % for foods. The adjusted r ranged between 0.29 and 0.71, and between 0.27 and 0.74 for nutrients and foods, respectively. Regarding validity, we found mean Bland-Altman indexes of 0 %-16.22 % and 0 %-10.81 % for nutrients and for food groups, respectively. The deattenuated r ranged between 0.38 and 0.81 for nutrients, and between 0.53 and 0.68 for foods. The weighted kappa index for agreement across quintiles ranged from 54.1 to 85.1 for nutrients, and from 55.4 to 78.4 for food groups. Conclusions: our results showed acceptable levels of both reproducibility and validity, and that the ad-hoc developed FFQ is a valid tool for assessing usual diet in Spanish preschoolers.

Palabras Clave: Food frequency questionnaire. 24-hour dietary records. Preschoolers. Children cohort. Reproducibility.



Babio, Nancy, de Las Heras-Delgado, Sara, De Miguel-Etayo, Pilar, Pastor-Villaescusa, Belén, Leis, Rosaura, Garcidueñas-Fimbres, Tany E., Larruy-García, Alicia, Navas-Carretero, Santiago, Portoles, Olga, Flores-Rojas, Katherine, Vázquez-Cobela, Rocío, Shyam, Sangeetha, Miguel-Berges, María L., Martínez, J. Alfredo, Codoñer-Franch, Pilar, Gil-Campos, Mercedes, Moreno, Luis A., Salas-Salvadó, Jordi (2023) Reproducibility and relative validity of a semi-quantitative food and beverage frequency questionnaire for Spanish children aged 3 to 11 years: the COME-Kids F&B-FQ. European Journal of Pediatrics
López-Gil, José Francisco, Fabios, Elise, Martín-Calvo, Nerea (2024) Meeting the 24-h movement recommendations and its relationship with Mediterranean dietary patterns in early childhood: the SENDO project. European Journal of Pediatrics
Zapico, Aida, Ruiz-Saavedra, Sergio, Gómez-Martín, María, de los Reyes-Gavilán, Clara G., González, Sonia (2022) Pilot Study for the Dietary Assessment of Xenobiotics Derived from Food Processing in an Adult Spanish Sample. Foods
Cade JE. Measuring diet in the 21st century: use of new technologies. Proc Nutr Soc2017; 76:276-282.
DOI: 10.1017/S0029665116002883
Archundia Herrera MC & Chan CB. Narrative Review of New Methods for Assessing Food and Energy Intake. Nutrients 2018;10:10(8).
DOI: 10.3390/nu10081064
Martín-Calvo N & Martínez-González MÁ. Controversy and debate: Memory-Based Dietary Assessment Methods Paper 2. J Clin Epidemiol 2018;104:125-129.
DOI: 10.1016/j.jclinepi.2018.08.005
Illner AK, Freisling H, Boeing H, Huybrechts I, Crispim SP, Slimani N. (2012) Review and evaluation of innovative technologies for measuring diet in nutritional epidemiology. Int J Epidemiol. 2012;41:1187-203.
DOI: 10.1093/ije/dys105
Brennan L & McNulty B. New technology in nutrition research and practice. Proc Nutr Soc 2017;76:173-174.
DOI: 10.1017/S0029665117001021
Willett WC, Sampson L, Stampfer MJ et al. Reproduciblity and Validity of a Semiquantitative Food Frequency Questionnaire. Am J Epidemiol. 2017;185:1109-1123.
DOI: 10.1093/aje/kwx107
Park Y, Dodd KW, Kipnis V, Thompson FE, Potischman N, Schoeller DA et al. Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers. Am J Clin Nutr. 2018;107:80-93.
DOI: 10.1093/ajcn/nqx002
Cade J, Thompson R, Burley V, Warm D.. Development, validation and utilization of food-frequency questionnaires - a review. Public Health Nutr.2002;5:567-87.
DOI: 10.1079/PHN2001318
Gibson R (editor) . Measuring food consumption of individuals. In The Principles of Nutritional AssessmentOxford: Oxford University Press. 2005:41-64.
Amoutzopoulos B, Steer T, Roberts C, Cade JE, Boushey CJ, Collins CE et al. Traditional methods v. new technologies - dilemmas for dietary assessment in large-scale nutrition surveys and studies: a report following an international panel discussion at the 9th International Conference on Diet and Activity Methods (ICDAM9), Brisbane, 3 September 2015. J Nutr Sci.2018;2:7:e11.
DOI: 10.1017/jns.2018.4
Freedman LS, Midthune D, Arab L, Prentice RL, Subar AF, Willett W et al. Combining a Food Frequency Questionnaire With 24-Hour Recalls to Increase the Precision of Estimation of Usual Dietary Intakes-Evidence From the Validation Studies Pooling Project. Am J Epidemiol 2018; 187:2227-2232.
DOI: 10.1093/aje/kwy126
Willett WC. Nutritional epidemiology. New York: Oxford University Press. 1998
DOI: 10.1093/acprof:oso/9780195122978.001.0001
Golley RK, Bell LK, Hendrie GA, Rangan AM, Spence A, McNaughton SA et al. Validity of short food questionnaire items to measure intake in children and adolescents: a systematic review. J Hum Nutr Diet. 2017; 30:36-50.
DOI: 10.1111/jhn.12399
Vioque J, Garcia-de-la-Hera M, Gonzalez-Palacios S, Torres-Collado L, Notario-Barandiaran L, Oncina-Canovas A et al. Reproducibility and Validity of a Short Food Frequency Questionnaire for Dietary Assessment in Children Aged 7-9 Years in Spain. Nutrients 2019;25:11(4). pii: E933.
DOI: 10.3390/nu11040933
Ortiz-Andrellucchi A, Henríquez-Sánchez P, Sánchez-Villegas A, Peña-Quintana L, Mendez M, Serra-Majem L. Dietary assessment methods for micronutrient intake in infants, children and adolescents: a systematic review. Br J Nutr 2019;102 Suppl 1:S87-117.
DOI: 10.1017/S0007114509993163
Tabacchi G, Filippi AR, Amodio E, Jemni M, Bianco A, Firenze A, et al. A meta-analysis of the validity of FFQ targeted to adolescents. Public Health Nutr 2016;19(7):1168-83.
DOI: 10.1017/S1368980015002505
Vioque J, Gimenez-Monzo D, Navarrete-Muñoz EM, Garcia-de-la-Hera M, Gonzalez-Palacios S, Rebagliato M et al; INMA-Valencia Cohort Study. Reproducibility and Validity of a Food Frequency Questionnaire Designed to Assess Diet in Children Aged 4-5 Years. PLoS One 2016;29, 11(11):e0167338.
DOI: 10.1371/journal.pone.0167338
Mendez MA, Popkin BM, Buckland G, Schroder H, Amiano P, Barricarte A et at. Alternative methods of accounting for underreporting and overreporting when measuring dietary intake-obesity relations. Am J Epidemiol 2011;15;173(4):448-58.
DOI: 10.1093/aje/kwq380
Fernández-Ballart JD, Piñol JL, Zazpe I, Corella D, Carrasco P, Toledo E et al. Relative validity of a semi-quantitative food-frequency questionnaire in an elderly Mediterranean population of Spain. Br J Nutr 2010;103, 1808-16.
DOI: 10.1017/S0007114509993837
Growing Up Today Study (GUTS). Questionnaires.https://nhs2survey.org/gutswordpress/index.php/previous-questionnaires/ Accessed November 2019)
Moreiras, O. Tablas de Composición de Alimentos: Guía de Prácticas; Pirámide: Madrid, Spain, 2015.
Spanish Agency for Consumer Affairs, Food Safety and Nutrition. The Spanish Food Composition Database. http://bedca.net/ (Accessed February 2019)
Selfnutritiondata: https://nutritiondata.self.com/. (Accessed February 2019)
Delisle Nyström C, Henriksson H, Alexandrou C, Bergström A, Bonn S, Bälter K et al.,Validation of an Online Food Frequency Questionnaire against Doubly Labelled Water and 24 h Dietary Recalls in Pre-School Children. Nutrients 2017;13:9(1).
DOI: 10.3390/nu9010066
Korkalo L, Vepsäläinen H, Ray C, Skaffari E, Lehto R, Hauta-Alus HH et al. Parents' Reports of Preschoolers' Diets: Relative Validity of a Food Frequency Questionnaire and Dietary Patterns. Nutrients 2019;13:11(1).
DOI: 10.3390/nu11010159
Huybrechts I, De Bacquer D, Matthys C, De Backer G, De Henauw S. Validity and reproducibility of a semi-quantitative food-frequency questionnaire for estimating calcium intake in Belgian preschool children. Br J Nutr 2006;95:802-16.
DOI: 10.1079/BJN20051671
Huybrechts I, De Backer G, De Bacquer D, Maes L, De Henauw S. Relative validity and reproducibility of a food-frequency questionnaire for estimating food intakes among Flemish preschoolers. Int J Environ Res Public Health 2009;6:382-99.
DOI: 10.3390/ijerph6010382
Börnhorst C, Huybrechts I, Hebestreit A, Krogh V, De Decker A, Barba G. , et al. Usual energy and macronutrient intakes in 2-9-year-old European children. Int J Obes (Lond) 2014;38 Suppl 2:S115-23.
DOI: 10.1038/ijo.2014.142
Spanish Agency for Consumer Affairs, Food Safety and Nutrition. Nutritional profile of the diet of children and adolescents in Spain. ENALIA studyhttp://www.aecosan.msssi.gob.es/AECOSAN/docs/documentos/nutricion/Convencion_2016/3_Ana_Lopez_Sobaler.pdf (Accesed November 2019)
Gonzalez-Palacios S, Navarrete-Muñoz EM, García-de-la-Hera M, Torres-Collado L, Santa-Marina L, Amiano P et al.. l. Sugar-Containing Beverages Consumption and Obesity in Children Aged 4-5 Years in Spain: the INMA Study. Nutrients 2019;1:11(8). pii: E1772.
DOI: 10.3390/nu11081772
Bertoli S, Petroni ML, Pagliato E, Mora S, Weber G, Chiumello G et al. Validation of food frequency questionnaire for assessing dietary macronutrients and calcium intake in Italian children and adolescents. J Pediatr Gastroenterol Nutr 2005;40, 555-60.
DOI: 10.1097/01.MPG.0000153004.53610.0E
Matos SM, Prado MS, Santos CA, D'Innocenzo S, Assis AM, Dourado LS et al. Validation of a food frequency questionnaire for children and adolescents aged 4 to 11 years living in Salvador, Bahia. Nutr Hosp 2012;27:1114-9.
Sahashi Y, Tsuji M, Wada K, Tamai Y, Nakamura K, Nagata C. Validity and reproducibility of food frequency questionnaire in Japanese children aged 6 years. J Nutr Sci Vitaminol (Tokyo) 2011;57:372-6.
DOI: 10.3177/jnsv.57.372
Buch-Andersen T, Pérez-Cueto FJ, Toft U. Relative validity and reproducibility of a parent-administered semi-quantitative FFQ for assessing food intake in Danish children aged 3-9 years. Public Health Nutr 2016:19:1184-94.
DOI: 10.1017/S136898001500275X
Del Pino DL & Friedman R. Adaptation and validation of an FFQ for 6-10-year-old children. Public Health Nutr 2011;14:826-34.
DOI: 10.1017/S1368980010003538
Yuan C, Spiegelman D, Rimm EB, Rosner BA, Stampfer MJ, Barnett JB et al. Validity of a Dietary Questionnaire Assessed by Comparison With Multiple Weighed Dietary Records or 24-Hour Recalls. Am J Epidemiol 2017;185:570-584.
DOI: 10.1093/aje/kww104
Kobayashi T, Kamimura M, Imai S, Toji C, Okamoto N, Fukui M, Date C et al. Reproducibility and validity of the food frequency questionnaire for estimating habitual dietary intake in children and adolescents. Nutr J 2011;24:10:27.
DOI: 10.1186/1475-2891-10-27
Bel-Serrat S, Mouratidou T, Pala V, Huybrechts I, Börnhorst C, Fernández-Alvira JM et al. Relative validity of the Children's Eating Habits Questionnaire-food frequency section among young European children: the IDEFICS Study. Public Health Nutr 2014;17:266-76.
DOI: 10.1017/S1368980012005368
Preston AM, Palacios C, Rodríguez CA, Vélez-Rodríguez RM. Validation and reproducibility of a semi-quantitative food frequency questionnaire for use in Puerto Rican children. P R Health Sci J 2011;30(2):58-64.
Martín-Calvo N & Martínez-González MÁ. Controversy and debate: Memory-Based Methods Paper 4. J Clin Epidemiol 2018;104:136-139.
DOI: 10.1016/j.jclinepi.2018.08.004

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