Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth Restriction

Accuracy of dietary assessment instruments such as food frequency questionnaire (FFQ) is crucial in the evaluation of diet–disease relationships. Test–retest reliability and concurrent and construct validity of a FFQ were evaluated in 150 pregnant women at high risk to develop fetal growth restricti...

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Main Authors: Charlotte Juton, Sara Castro-Barquero, Rosa Casas, Tania Freitas, Ana Maria Ruiz-León, Francesca Crovetto, Mónica Domenech, Fátima Crispi, Eduard Vieta, Eduard Gratacós, Ramon Estruch, Helmut Schroder
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/5/1629
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author Charlotte Juton
Sara Castro-Barquero
Rosa Casas
Tania Freitas
Ana Maria Ruiz-León
Francesca Crovetto
Mónica Domenech
Fátima Crispi
Eduard Vieta
Eduard Gratacós
Ramon Estruch
Helmut Schroder
author_facet Charlotte Juton
Sara Castro-Barquero
Rosa Casas
Tania Freitas
Ana Maria Ruiz-León
Francesca Crovetto
Mónica Domenech
Fátima Crispi
Eduard Vieta
Eduard Gratacós
Ramon Estruch
Helmut Schroder
author_sort Charlotte Juton
collection DOAJ
description Accuracy of dietary assessment instruments such as food frequency questionnaire (FFQ) is crucial in the evaluation of diet–disease relationships. Test–retest reliability and concurrent and construct validity of a FFQ were evaluated in 150 pregnant women at high risk to develop fetal growth restriction randomly selected from those included in the improving mothers for better prenatal care trial Barcelona (IMPACT BCN). The FFQ and dietary records were performed at baseline and 34–36 weeks of gestation. Test–retest reliability of the FFQ for 12 food groups and 17 nutrients was moderate (ICC = 0.55) and good (ICC = 0.60), respectively. Concurrent validity between food, nutrients and a composite Mediterranean diet score (MedDiet score) and food records was fair for foods and nutrients (ρ average = 0.38 and 0.32, respectively) and moderate (r = 0.46) for the MedDiet score. Validation with biological markers ranged from poor (r = 0.07) for olives to moderate (r = 0.41) for nuts. A fair concordance between methods were found for nutrients (weighted κ = 0.22) and foods (weighted κ = 0.27). The FFQ-derived MedDiet score correlated in anticipated directions with intakes of nutrients and foods derived by food records. The FFQ showed a moderate test–retest reliability and reasonable validity to rank women according to their food and nutrient consumption and adherence to the Mediterranean diet.
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spelling doaj.art-442934bcd3934336a619237cfed853b52023-11-21T19:26:27ZengMDPI AGNutrients2072-66432021-05-01135162910.3390/nu13051629Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth RestrictionCharlotte Juton0Sara Castro-Barquero1Rosa Casas2Tania Freitas3Ana Maria Ruiz-León4Francesca Crovetto5Mónica Domenech6Fátima Crispi7Eduard Vieta8Eduard Gratacós9Ramon Estruch10Helmut Schroder11Institut de Recerca Sant Joan de Déu, Endocrinology Department, Esplugues de Llobregat, 08950 Barcelona, SpainDepartment of Internal Medicine Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08007 Barcelona, SpainDepartment of Internal Medicine Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08007 Barcelona, SpainDepartment of Internal Medicine Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08007 Barcelona, SpainDepartment of Internal Medicine Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08007 Barcelona, SpainBCNatal | Fetal Medicine Research Centre, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, IDIBAPS, 08007 Barcelona, SpainDepartment of Internal Medicine Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08007 Barcelona, SpainBCNatal | Fetal Medicine Research Centre, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, IDIBAPS, 08007 Barcelona, SpainDepartments of Psychiatry and Psychology, Hospital Clinic, Neuroscience Institute, IDIBAPS, University of Barcelona, 08007 Barcelona, SpainBCNatal | Fetal Medicine Research Centre, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, IDIBAPS, 08007 Barcelona, SpainDepartment of Internal Medicine Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08007 Barcelona, SpainInstitut de Recerca Sant Joan de Déu, Endocrinology Department, Esplugues de Llobregat, 08950 Barcelona, SpainAccuracy of dietary assessment instruments such as food frequency questionnaire (FFQ) is crucial in the evaluation of diet–disease relationships. Test–retest reliability and concurrent and construct validity of a FFQ were evaluated in 150 pregnant women at high risk to develop fetal growth restriction randomly selected from those included in the improving mothers for better prenatal care trial Barcelona (IMPACT BCN). The FFQ and dietary records were performed at baseline and 34–36 weeks of gestation. Test–retest reliability of the FFQ for 12 food groups and 17 nutrients was moderate (ICC = 0.55) and good (ICC = 0.60), respectively. Concurrent validity between food, nutrients and a composite Mediterranean diet score (MedDiet score) and food records was fair for foods and nutrients (ρ average = 0.38 and 0.32, respectively) and moderate (r = 0.46) for the MedDiet score. Validation with biological markers ranged from poor (r = 0.07) for olives to moderate (r = 0.41) for nuts. A fair concordance between methods were found for nutrients (weighted κ = 0.22) and foods (weighted κ = 0.27). The FFQ-derived MedDiet score correlated in anticipated directions with intakes of nutrients and foods derived by food records. The FFQ showed a moderate test–retest reliability and reasonable validity to rank women according to their food and nutrient consumption and adherence to the Mediterranean diet.https://www.mdpi.com/2072-6643/13/5/1629food frequency questionnairevalidityreliabilityMediterranean dietpregnancyfetal growth restriction
spellingShingle Charlotte Juton
Sara Castro-Barquero
Rosa Casas
Tania Freitas
Ana Maria Ruiz-León
Francesca Crovetto
Mónica Domenech
Fátima Crispi
Eduard Vieta
Eduard Gratacós
Ramon Estruch
Helmut Schroder
Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth Restriction
Nutrients
food frequency questionnaire
validity
reliability
Mediterranean diet
pregnancy
fetal growth restriction
title Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth Restriction
title_full Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth Restriction
title_fullStr Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth Restriction
title_full_unstemmed Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth Restriction
title_short Reliability and Concurrent and Construct Validity of a Food Frequency Questionnaire for Pregnant Women at High Risk to Develop Fetal Growth Restriction
title_sort reliability and concurrent and construct validity of a food frequency questionnaire for pregnant women at high risk to develop fetal growth restriction
topic food frequency questionnaire
validity
reliability
Mediterranean diet
pregnancy
fetal growth restriction
url https://www.mdpi.com/2072-6643/13/5/1629
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