Comparison of a short version of the Food Frequency Questionnaire with its long version – a cross-sectional analysis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Keywords:
Diet, Questionnaires, Validation studies, Epidemiologic studies, NutrientsAbstract
CONTEXT AND OBJECTIVE: The food frequency questionnaire (FFQ) is the preferred instrument for ob-taining dietary information in epidemiological studies. A short form of the FFQ was compared with the original version that was used in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), and also with three 24-hour dietary recalls. DESIGN AND SETTING: Cross-sectional study carried out in six Brazilian state capitals. METHODS: Multiple linear regression was used to reduce the original food and drink list of the FFQ, which had contained 114 food items. The frequency of consumption and nutritional composition of the foods were also taken into consideration. To assess the validity of the shortened FFQ, the energy and nutrients values of the 24-hour dietary recalls were deattenuated and log-transformed. RESULTS: The list of the FFQ of ELSA-Brasil was reduced to 76 food items. The intraclass correlation coef-ficients in the validation study ranged from 0.17 (selenium) to 0.66 (calcium). CONCLUSIONS: The number of items was reduced by 33%, while still maintaining relatively good capacity to measure energy and selected nutrients.
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References
Slater B, Marchiori DL, Fisberg RM. Estimando a prevalência da ingestão inadequada de nutrientes [Estimating prevalence of inadequate nutrient intake]. Rev Saúde Pública. 2004;38(4):599-605.
Costa AGV, Priore SE, Sabarense CM, Franceschini SCC. Questionário de freqüência de consumo alimentar e recordatório de 24 horas: aspectos metodológicos para avaliação da ingestão de lipídios [Food frequency questionnaire and 24-hour recall: methodological aspects in the assessment of lipid intake]. Rev Nutr. 2006;19(5):631-41.
Holanda LB, Barros Filho AA. Métodos aplicados em inquéritos alimentares. Rev Paul Pediatria. 2006;24(1):62-70.
Fisberg RM, Martini LA, Slater B. Métodos de inquéritos alimentares. In: Fisberg RM, Slater B, Marchiori DML, Martini LA, editors. Inquéritos alimentares: métodos e bases científicos. Barueri: Manole; 2005. p. 2-29.
Willett WC. Nutritional epidemiology. 2nd ed. New York: Oxford University Press; 1998.
Thompson FE, Byers T. Dietary assessment resource manual. J Nutr. 1994;124(11 Suppl):2245S-2317S.
Cardoso MA. Desenvolvimento, Validação e aplicações de Questionários de Frequência Alimentar em Estudos Epidemiológicos. In: Kac G, Sichieri R, Gigante DP, editores. Epidemiologia Nutricional. Rio de Janeiro: Fiocruz/Atheneu; 2007. p.201-12.
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.
Silva TA, Vasconcelos SML. Procedimentos metodológicos empregados em questionários de frequência alimentar elaborados no Brasil: uma revisão sistemática [Methodological procedures used in food frequency questionnaires made in Brazil: a systematic review]. Rev Nutr. 2012;25(6):785-97.
Chiara VL, Barros ME, Costa LP, Martins PD. Redução de lista de alimentos para questionário de freqüência alimentar: questões metodológicas na construção [Food list reduction for a food frequency questionnaire: methodological issues]. Rev Bras Epidemiol. 2007;10(3):410-20.
Molina MCB, Benseñor IM, Cardoso LO, et al. Reprodutibilidade e validade relativa do Questionário de Frequência Alimentar do ELSA-Brasil [Reproducibility and relative validity of the Food Frequency Questionnaire used in the ELSA-Brasil]. Cad Saúde Pública. 2013;29(2):379-89.
Molina MDB, Faria CP, Cardoso LO, et al. Diet assessment in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Development of a food frequency questionnaire]. Rev Nutr. 2013;26(2):167-76.
Dietary intake data were collected and analyzed using Nutrition Data System for Research software version. Minneapolis: Nutrition Coordinating Center, University of Minnesota; 2010.
Núcleo de Estudos e Pesquisas em Alimentação, Universidade Estadual de Campinas. Tabela brasileira de composição de alimentos. 2a edição. Campinas: Universidade Estadual de Campinas; 2006. Available from: http://www.unicamp.br/nepa/taco/contar/taco_ versao2.pdf. Accessed in 2015 (Jun 22).
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, et al, editors. Survey Measurement and Process Quality. New York: Wiley and Sons; 1997. p. 689-709.
Willett WC, Howe GR, Kushi LH. Adjustment for total energy intake in epidemiologic studies. Am J Clin Nutr. 1997;65(4 Suppl):1220S-1228S; discussion 1229S-1231S.
Nelson PM. The validation of dietary assessment. In: Nelson PM, editor. Design concepts in nutrition epidemiology. 2nd ed Oxford: Oxford University Press; 1997. p. 241-72.
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986; 1(8476):307-10.
Aquino EM, Barreto SM, Bensenor IM, et al. Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): objectives and design. Am J Epidemiol. 2012;175(4):315-24.
Constanzo S, Di Castelnuovo A, Donati MB, Iacoviello L, de Gaetano G. Wine, beer or spirit drinking in relation to fatal and non-fatal cardiovascular events: a meta-analysis. Eur J Epidemiol. 2011;26(11):883-50.
Block G, Hartman AM, Naughton D. A reduced dietary questionnaire: development and validation. Epidemiology. 1990;1(1):58-64.
Henn RL, Fuchs SR, Moreira LB, Fuchs FD. Development and validation of a food frequency questionnaire (FFQ-Porto Alegre) for adolescent, adult and elderly populations from Southern Brazil [Desenvolvimento e validação de um questionário de freqüência alimentar (QFA-Porto Alegre) para a população de adolescentes, adultos e idosos do Sul do Brasil]. Cad Saúde Pública. 2010;26(11):2068-79.
Zanolla AF, Olinto MTA, Henn RL, Wahrlich V, Anjos LA. Avaliação de reprodutibilidade e validade de um questionário de frequência alimentar em adultos residentes em Porto Alegre, Rio Grande do Sul, Brasil [Assessment of reproducibility and validity of a food frequency questionnaire in a sample of adults living in Porto Alegre, Rio Grande do Sul State, Brazil]. Cad Saúde Pública. 2009;25(4):840-8.
Giacomello A, Schmidt MI, Nunes MAA, et al. Validação relativa de Questionário de Freqüência Alimentar em gestantes usuárias de serviços do Sistema Único de Saúde em dois municípios no Rio Grande do Sul, Brasil [Validation of a Food Frequency Questionnaire conducted among pregnant women attended by the Brazilian National Health Service, in two municipalities of the State of Rio Grande do Sul, Brazil]. Rev Bras Saúde Matern Infant. 2008;8(4):445-54.
Lima FEL, Slater Vilar B, Latorre MRDO, Fisberg RM. Validade de um questionário quantitativo de frequência alimentar desenvolvido para população feminina do nordeste do Brasil [Validity of a quantitative food frequency questionnaire developed for women in the Northeast of Brazil]. Rev Bras Epidemiol. 2007;10(4):483-90.
Crispim SP, Ribeiro RCL, Panato E, et al. Validade relativa de um questionário de freqüência alimentar para utilização em adultos [Relative validity of a food frequency questionnaire for use in adults]. Rev Nutr. 2009;22(1):81-95.
Sichieri R, Everhart JE. Validity of a Brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Nutrition Research. 1998;18(10):16494-59. Available from: http://www.nrjournal.com/article/S0271-5317%2898%2900151-1/pdf. Accessed in 2015 (Jun 9).
Cardoso MA, Kida AA, Tomita LY, Stocco PR. Reproducibility and validity of a food frequency questionnaire among women of Japonese ancestry living in Brazil. Nutrition Research., 2001;21(5):725-33. Available from: http://www.sciencedirect.com/science/article/pii/S0271531701002834. Accessed in 2015 (Jun 22).
