Reproducibility and validity ELSA-Brasil Food Frequency Questionnaire

Authors

  • Oscar Geovanny Enriquez Martinez Universidade Federal do Espirito Santo
  • Carla Moronari de Oliveira Aprelini Universidade Federal do Espirito Santo
  • Taiz Karla Brunetti Moreira Universidade Federal do Espirito Santo
  • Silian Angela Ávila Alves Universidade Federal do Espirito Santo
  • Taísa Sabrina Silva Pereira Universidad de las Americas Puebla
  • Jordana Herzog Siqueira Universidade Federal do Espirito Santo
  • Lara Onofre Ferriani Universidade Federal do Espirito Santo
  • Carolina Perim de Faria Universidade Federal do Espirito Santo
  • Maria del Carmen Bisi Molina Universidade Federal de Ouro Preto

DOI:

https://doi.org/10.14306/renhyd.25.3.1244

Keywords:

Diet, Reproducibility of Results, Validation Study, Surveys and Questionnaires

Abstract

Background: To investigate the association between diet and health effects in population surveys, it is necessary to have precise tools that allow estimating the habitual consumption of the population.

Introduction: To investigate the association between diet and health effects in population surveys, it is necessary to have precise tools that allow estimating the habitual consumption of the population. Aim: To evaluate the reproducibility and validity of the ELSA-Brasil food frequency questionnaire (FFQ) to assess macro and micronutrients intake.

Material and methods: We collected dietary information of 281 participants which completed two ELSA-Brasil food frequency questionnaires (FFQ) over a year period and three records. To assess the reproducibility of the FFQ, we compared the macro and micronutrients intake from the two FFQ while to assess the validity, we compared the intakes of FFQ with the mean of three records. The intraclass correlation test (ICC) and agreement percentages of nutrient intake were calculated after categorization by tertiles.

Results: ICC coefficients for reproducibility ranged from 0.51 (polyunsaturated fat) to 0.70 (magnesium) while the ICC coefficients for validity ranged from 0.14 to 0.61 for omega 3 and magnesium, respectively. The exact concordances between methods ranged from 37% for omega 3 to 50.2% for magnesium (mean = 44.6%). An average disagreement of 13.4% was found.

Conclusions: This study suggests that the ELSA-Brasil FFQ is suitable tool to assess dietary intake with a satisfactory reproducibility and relative validity.

 

Author Biography

Oscar Geovanny Enriquez Martinez, Universidade Federal do Espirito Santo

Oscar Geovanny Enriquez Martinez - MARTINEZ, OGE

MSc. Doctoral Student of Public Health, 

Universidade Federal do Espirito Santo (UFES), Vitória (ES), Brazil. 

ndoscar.enriquez@gmail.com

Orcid: 0000-0003-4561-122X

Carla Moronari de Oliveira Aprelini - APRELINI, CMO

MSc. of Public Health, Universidade Federal do Espirito Santo (UFES), Vitória (ES), Brazil. 

carla.moronari@gmail.com

Orcid: 0000-0003-4812-374X

Taiz Karla Brunetti Moreira - MOREIRA, TKB

MSc. ofNutrition and Health, Universidade Federal do espirito Santo (UFES), Vitória (ES), Brazil.

taiz_karla@hotmail.com

Orcid: 0000-0002-0169-4265

Silian Angela Ávila Alves - AVILA, SA

MSc. ofNutrition and Health, Universidade Federal do espirito Santo (UFES), Vitória (ES), Brazil.

silianavila16@gmail.com

Orcid: 0000-0002-0806-1874

Taísa Sabrina Silva Pereira - PEREIRA, TSS

PhD, Professor at  Universidad de las Américas Puebla, San Andrés Cholula, Cholula, Mexico.

taisa.silva@udlap.mx

Orcid: 0000-0002-0169-4265

Jordana Herzog Siqueira - SIQUEIRA, JH

MSc. Doctoral Student of Public Health,  Universidade Federal do Espírito Santo (UFES), Vitória (ES), Brazil.

jo_herzog@hotmail.com  

Orcid:0000-0003-0116-7411

Lara Onofre Ferriani - FERRIANI, L.O

MSc. Doctoral Student of Public Health, Universidade Federal do Espírito Santo (UFES), Vitória (ES), Brazil. 

laraonofref@gmail.com

Orcid: 0000-0002-6095-8590

Carolina Perim de Faria - FARIA, C. P

PhD, Professor, Department of Nutrition and Health, Universidade Federal de Espirito Santo (UFES), Vitória (ES), Brazil.

carolperim@yahoo.com

Orcid: 0000-0001-9165-1332

Maria del Carmen Bisi Molina - MOLINA MCB

PhD, Professor, Department of Nutrition and Health, Universidade Federal de Espirito Santo (UFES), Vitória (ES), Brazil.

mdcarmen2007@gmail.com

 Orcid:0000-0001-8746-5860


References

(1) Ravera A, Carubelli V, Sciatti E, Bonadei I, Gorga E, Cani D, et al. Nutrition and Cardiovascular Disease: Finding the Perfect Recipe for Cardiovascular Health. Nutrients. 2016; 148(6):363.

(2) Zampelas A, Magriplis E. Dietary patterns and risk of cardiovascular diseases: a review of the evidence. Proc Nutr Soc. 2020; 79(1):68-75.

(3) Willett WC. Nutritional epidemiology. 2nd Ed. New York: Oxford University Press; 1998.

(4) Slater B, Philippi ST, Marchioni DML, Fisberg RM. Validação de Questionários de Freqüência Alimentar - QFA: considerações metodológicas. Rev Bras Epidemiol. 2003;6(3): 200-208.

(5) Silva TA, Vasconcelos SML. Validação de questionários de frequência alimentar: uma revisão sistemática. Demetra. 2013;8(2):197-212.

(6) Kac G, Sichiery R, Gigante DP. Epidemiologia Nutricional [internet]. Rio de Janeiro: Editora FIOCRUZ/Atheneu; 2007. [Cited 12 Dez. 2016]. Available from: http://static.scielo.org/scielobooks/rrw5w/pdf/kac-9788575413203.pdf.

(7) Fisberg RM, Colucci ACA, Morimoto JM, Marchioni DM, Food frequency questionnaire for adults from a population-based study. Rev Saúde Pública 2008; 42(3): 550-554.

(8) Cade J, Thompson R, Burley V, Warm D. Development, validation and utilisation of food-frequency questionnaires - a review. Public Health Nutr. 2002; 5(4): 567-87.

(9) Zanolla AF, Olinto MTA, Henn RL, Wahrlich V, dos Anjos LA. Avaliação de reprodutibilidade e validade de um questionário de freqüência alimentar em adultos residentes em Porto Alegre, Rio Grande do Sul, Brasil. Cad. Saúde Pública. 2009; 25(4): 840-848.

(10) Molina MCB, Benseñor IM, Cardoso LO, Velasquez-Melendez G, Drehmer M, Pereira TSS, et al. Reprodutibilidade e validade relativa do Questionário de Frequência Alimentar do ELSA-Brasil. Cad. Saúde Pública. 2013;29(2):379-389.

(11) Aquino EML, Barreto SM, Benseñor IM, Carvalho MS, Chor D, Duncan BB, et al. Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): objectives and design. Am J Epidemiol. 2012; 175: 1-10.

(12) Molina MB, Faria CP, Cardoso LO, Drehmer M, Velasquez-Meléndez JG, Gomes ALCosta et al . Diet assessment in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Development of a food frequency questionnaire. Rev. Nutr. 2013 Apr; 26(2): 167-176.

(13) Dietary intake data were collected and analyzed using Nutrition Data System for Research software version. Minneapolis: Nutrition Coordinating Center, University of Minnesota; 2010.

(14) Núcleo de Estudos e Pesquisas em Alimentação, Universidade Estadual de Campinas. Tabela Brasileira de Composição de Alimentos. v. 2. Campinas:Universidade Estadual de Campinas; 2006.

(15) Nusser SM, Carriquiry AL, Dodd KW, Fuller WA. A semi parametric transformation approach to estimating usual intake distributions. J Am Stat Assoc. 1996; 91:1440-9.

(16) Nusser SM, Fuller WA, Guenther PM. Estimating usual dietary intake distributions: adjusting for measurement error and no normality in 24-hour food intake data. In: Lyberg L, Biemer P, Collins M, De Leeuw E, Dippo C, Schwarz N, et al., editors. Measurement and process quality. New York: Wiley and Sons. 1997; 689-709.

(17) Willett WC, Howe GR, Kushi LH. Adjustment for total energy intake in epidemiologic studies. Am J Clin Nut 1997; 65 Suppl:1220S-8S.

(18) Bhakta D, Santos-Silva I, Higgins C, Sevak L, Kassam-Khamis T, Mangtani P, et al. A semiquantitative food frequency questionnaire is a valid indicator of the usual intake of phytoestrogens by Asian women in the UK relative to multiple 24-h dietary recalls and multiple plasma sample. J Nutr. 2005; 135: 116-23.

(19) Bonatto S, Henn RL, Olinto MTA; dos Anjos LA, Wahrlich V, Waissmann W. Reprodutibilidade, validade relativa e calibração de um questionário de frequência alimentar para adultos da Região Metropolitana de Porto Alegre, Rio Grande do Sul, Brasil. Cad. Saúde Pública. 2014;30(9):1837-1848.

(20) Sam CHY, Skidmore P, Skeaff S, Parackal S, Wall C, Bradbury KE. Relative Validity and Reproducibility of a Short Food Frequency Questionnaire to Assess Nutrient Intakes of New Zealand Adults. Nutrients. 2020; 12(13): 619.

(21) Ding Y, Li F, Hu P, Ye M, Xu F, Jiang W et al. Reproducibility and relative validity of a semi-quantitative food frequency questionnaire for the Chinese lactating mothers. Nutrition Journal.2021; 20(20).

(22) Alawadhi B, Fallaize R, Franco RZ, Hwang F, Lovegrove J. Web-Based Dietary Intake Estimation to Assess the Reproducibility and Relative Validity of the EatWellQ8 Food Frequency Questionnaire: Validation Study. JMIR Formative Research. 2021; 2;5(3):e13591.

(23) El Kinany K, Garcia-Larsen V, Khalis M, Deoula MMS, Benslimane A, Ibrahim A et al. Adaptation and validation of a food frequency questionnaire (FFQ) to assess dietary intake in Moroccan adults. Nutrition Journal. 2018; 17(61).

(24) Imaeda N, Goto C, Tokudome Y, Hirose K, Tajima K, Tokudome S. Reproducibility of a Short Food Frequency Questionnaire for Japanese General Population. Journal of Epidemiology. 2007; 17:100–107.

(25) Affret A, El Fatouhi D, Dow C, Correia E, Boutron-Ruault MC, Fagherazzi G. Relative Validity and Reproducibility of a New 44-Item Diet and Food Frequency Questionnaire Among Adults: Online Assessment. Journal of Medical Internet Research. 2018; 20,e227.

(26) Jackson M, Walker S, Cade J, Forrester T, Cruickshank J, Wilks R. Reproducibility and validity of a quantitative food-frequency questionnaire among Jamaicans of African origin. Public Health Nutrition. 2001; 4:971–980.

(27) Komatsu TR, Oku SK, Gimeno SGA, Asakura L, Coelho LDC, Silva CVDD, Akutsu RDCCA, Sachs A. Validation of a quantitative food frequency questionnaire developed to under graduate students. Revista Brasileira de Epidemiologia. 2013; 16: 898–906.

(28) Whitton C, Ho JCY, Rebello SA, van Dam RM. Relative validity and reproducibility of dietary quality scores from a short diet screener in a multi-ethnic Asian population. Public Health Nutr. 2018 Oct; 21(15): 2735-2743.

(29) Kowalkowska J, Wadolowska L, Czarnocinska J, Galinski G, Dlugosz A, Loboda D, Czlapka-Matyasik M. Data-Driven Dietary Patterns and Diet Quality Scores: Reproducibility and Consistency in Sex and Age Subgroups of Poles Aged 15-65 Years. Nutrients. 2020 Nov 24; 12(12): 3598.

Published

2021-09-30

How to Cite

Enriquez Martinez, O. G., Moronari de Oliveira Aprelini, C., Brunetti Moreira, T. K., Ávila Alves, S. A., Silva Pereira, T. S., Herzog Siqueira, J., Onofre Ferriani, L., Perim de Faria, C., & Bisi Molina, M. del C. (2021). Reproducibility and validity ELSA-Brasil Food Frequency Questionnaire. Spanish Journal of Human Nutrition and Dietetics, 25(3), 294–302. https://doi.org/10.14306/renhyd.25.3.1244