Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project
Measuring dietary intakes in a multi-ethnic and multicultural setting, such as Malaysia, remains a challenge due to its diversity. This study aims to develop and evaluate the relative validity of an interviewer-administered food frequency questionnaire (FFQ) in assessing the habitual dietary exposur...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-04-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/13/4/1163 |
| _version_ | 1797539219309068288 |
|---|---|
| author | Suzana Shahar Mohd Razif Shahril Noraidatulakma Abdullah Boekhtiar Borhanuddin Mohd Arman Kamaruddin Nurul Ain Md Yusuf Andri Dauni Hanisah Rosli Nurzetty Sofia Zainuddin Rahman Jamal |
| author_facet | Suzana Shahar Mohd Razif Shahril Noraidatulakma Abdullah Boekhtiar Borhanuddin Mohd Arman Kamaruddin Nurul Ain Md Yusuf Andri Dauni Hanisah Rosli Nurzetty Sofia Zainuddin Rahman Jamal |
| author_sort | Suzana Shahar |
| collection | DOAJ |
| description | Measuring dietary intakes in a multi-ethnic and multicultural setting, such as Malaysia, remains a challenge due to its diversity. This study aims to develop and evaluate the relative validity of an interviewer-administered food frequency questionnaire (FFQ) in assessing the habitual dietary exposure of The Malaysian Cohort (TMC) participants. We developed a nutrient database (with 203 items) based on various food consumption tables, and 803 participants were involved in this study. The output of the FFQ was then validated against three-day 24-h dietary recalls (n = 64). We assessed the relative validity and its agreement using various methods, such as Spearman’s correlation, weighed Kappa, intraclass correlation coefficient (ICC), and Bland–Altman analysis. Spearman’s correlation coefficient ranged from 0.24 (vitamin C) to 0.46 (carbohydrate), and almost all nutrients had correlation coefficients above 0.3, except for vitamin C and sodium. Intraclass correlation coefficients ranged from −0.01 (calcium) to 0.59 (carbohydrates), and weighted Kappa exceeded 0.4 for 50% of nutrients. In short, TMC’s FFQ appears to have good relative validity for the assessment of nutrient intake among its participants, as compared to the three-day 24-h dietary recalls. However, estimates for iron, vitamin A, and vitamin C should be interpreted with caution. |
| first_indexed | 2024-03-10T12:42:08Z |
| format | Article |
| id | doaj.art-004a51da9e6a4b709c40a97151bb638d |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T12:42:08Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-004a51da9e6a4b709c40a97151bb638d2023-11-21T13:45:59ZengMDPI AGNutrients2072-66432021-04-01134116310.3390/nu13041163Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort ProjectSuzana Shahar0Mohd Razif Shahril1Noraidatulakma Abdullah2Boekhtiar Borhanuddin3Mohd Arman Kamaruddin4Nurul Ain Md Yusuf5Andri Dauni6Hanisah Rosli7Nurzetty Sofia Zainuddin8Rahman Jamal9Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaCentre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaUKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaUKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaUKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaUKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaUKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaFaculty of Allied Health Sciences, Cyberjaya University College of Medical Sciences, Persiaran Bestari, Cyberjaya 63000, MalaysiaSchool of Health Sciences, Universiti Sains Malaysia, Kota Bharu 16150, MalaysiaUKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaMeasuring dietary intakes in a multi-ethnic and multicultural setting, such as Malaysia, remains a challenge due to its diversity. This study aims to develop and evaluate the relative validity of an interviewer-administered food frequency questionnaire (FFQ) in assessing the habitual dietary exposure of The Malaysian Cohort (TMC) participants. We developed a nutrient database (with 203 items) based on various food consumption tables, and 803 participants were involved in this study. The output of the FFQ was then validated against three-day 24-h dietary recalls (n = 64). We assessed the relative validity and its agreement using various methods, such as Spearman’s correlation, weighed Kappa, intraclass correlation coefficient (ICC), and Bland–Altman analysis. Spearman’s correlation coefficient ranged from 0.24 (vitamin C) to 0.46 (carbohydrate), and almost all nutrients had correlation coefficients above 0.3, except for vitamin C and sodium. Intraclass correlation coefficients ranged from −0.01 (calcium) to 0.59 (carbohydrates), and weighted Kappa exceeded 0.4 for 50% of nutrients. In short, TMC’s FFQ appears to have good relative validity for the assessment of nutrient intake among its participants, as compared to the three-day 24-h dietary recalls. However, estimates for iron, vitamin A, and vitamin C should be interpreted with caution.https://www.mdpi.com/2072-6643/13/4/1163food frequency questionnairerelative validitydietary intakeThe Malaysian Cohort |
| spellingShingle | Suzana Shahar Mohd Razif Shahril Noraidatulakma Abdullah Boekhtiar Borhanuddin Mohd Arman Kamaruddin Nurul Ain Md Yusuf Andri Dauni Hanisah Rosli Nurzetty Sofia Zainuddin Rahman Jamal Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project Nutrients food frequency questionnaire relative validity dietary intake The Malaysian Cohort |
| title | Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project |
| title_full | Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project |
| title_fullStr | Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project |
| title_full_unstemmed | Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project |
| title_short | Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project |
| title_sort | development and relative validity of a semiquantitative food frequency questionnaire to estimate dietary intake among a multi ethnic population in the malaysian cohort project |
| topic | food frequency questionnaire relative validity dietary intake The Malaysian Cohort |
| url | https://www.mdpi.com/2072-6643/13/4/1163 |
| work_keys_str_mv | AT suzanashahar developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT mohdrazifshahril developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT noraidatulakmaabdullah developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT boekhtiarborhanuddin developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT mohdarmankamaruddin developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT nurulainmdyusuf developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT andridauni developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT hanisahrosli developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT nurzettysofiazainuddin developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject AT rahmanjamal developmentandrelativevalidityofasemiquantitativefoodfrequencyquestionnairetoestimatedietaryintakeamongamultiethnicpopulationinthemalaysiancohortproject |