Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous Population
Nutrition-related chronic diseases are a major problem among Indigenous populations. Appropriate dietary intake assessment tools are needed for nutritional surveillance and intervention; however, tools designed to measure the habitual dietary intake of Indigenous persons are largely lacking. We deve...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/23/5012 |
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| author | Kathleen Abu-Saad Moran Accos Arnona Ziv Fiona Collins Carrington Shepherd Sandra Eades Ofra Kalter-Leibovici |
| author_facet | Kathleen Abu-Saad Moran Accos Arnona Ziv Fiona Collins Carrington Shepherd Sandra Eades Ofra Kalter-Leibovici |
| author_sort | Kathleen Abu-Saad |
| collection | DOAJ |
| description | Nutrition-related chronic diseases are a major problem among Indigenous populations. Appropriate dietary intake assessment tools are needed for nutritional surveillance and intervention; however, tools designed to measure the habitual dietary intake of Indigenous persons are largely lacking. We developed a digital food frequency questionnaire (FFQ) to measure habitual consumption among Australian Aboriginal adults and support personalized nutrition counseling. The primary contributors to energy, select nutrients, and inter-person variation (83 food groups) were identified from nationally representative 24 h recall (24HR) data, and they accounted for >80% of the total intake and inter-person variation of the nutrients of interest. Based on community input, a meal-based FFQ format was adopted, with a main food/beverage list of 81 items and the capacity to report on >300 additional items via the digital platform. The nutrient database was based on the Australian Food and Nutrient Database. Data for the first 60 study participants (70% female; median age: 48 years) were used to assess the FFQ’s utility. The participants’ median [IQR] reported energy intake (10,042 [6968–12,175] kJ/day) was similar to their median [IQR] estimated energy expenditure (10,197 [8636–11,551] kJ/day). Foods/beverages on the main FFQ list accounted for between 66% and 90% of the participants’ reported energy and nutrient intakes; the remainder came from participant-selected extra items. The digital FFQ platform provides a potentially valuable resource for monitoring habitual dietary intake among Aboriginal adults and supporting chronic disease prevention and management interventions. |
| first_indexed | 2024-03-09T01:44:51Z |
| format | Article |
| id | doaj.art-468bbde13c1e4db3971012c663e77c05 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T01:44:51Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-468bbde13c1e4db3971012c663e77c052023-12-08T15:23:38ZengMDPI AGNutrients2072-66432023-12-011523501210.3390/nu15235012Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous PopulationKathleen Abu-Saad0Moran Accos1Arnona Ziv2Fiona Collins3Carrington Shepherd4Sandra Eades5Ofra Kalter-Leibovici6Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan 52126, IsraelGertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan 52126, IsraelGertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan 52126, IsraelSouth West Aboriginal Medical Service, Bunbury, WA 6230, AustraliaCurtin Medical School, Faculty of Health Sciences, Curtin University, Perth, WA 6102, AustraliaMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, AustraliaGertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan 52126, IsraelNutrition-related chronic diseases are a major problem among Indigenous populations. Appropriate dietary intake assessment tools are needed for nutritional surveillance and intervention; however, tools designed to measure the habitual dietary intake of Indigenous persons are largely lacking. We developed a digital food frequency questionnaire (FFQ) to measure habitual consumption among Australian Aboriginal adults and support personalized nutrition counseling. The primary contributors to energy, select nutrients, and inter-person variation (83 food groups) were identified from nationally representative 24 h recall (24HR) data, and they accounted for >80% of the total intake and inter-person variation of the nutrients of interest. Based on community input, a meal-based FFQ format was adopted, with a main food/beverage list of 81 items and the capacity to report on >300 additional items via the digital platform. The nutrient database was based on the Australian Food and Nutrient Database. Data for the first 60 study participants (70% female; median age: 48 years) were used to assess the FFQ’s utility. The participants’ median [IQR] reported energy intake (10,042 [6968–12,175] kJ/day) was similar to their median [IQR] estimated energy expenditure (10,197 [8636–11,551] kJ/day). Foods/beverages on the main FFQ list accounted for between 66% and 90% of the participants’ reported energy and nutrient intakes; the remainder came from participant-selected extra items. The digital FFQ platform provides a potentially valuable resource for monitoring habitual dietary intake among Aboriginal adults and supporting chronic disease prevention and management interventions.https://www.mdpi.com/2072-6643/15/23/5012food frequency questionnairedigital dietary assessment toolsIndigenous populationsAustralian Aboriginal adultscultural adaptation |
| spellingShingle | Kathleen Abu-Saad Moran Accos Arnona Ziv Fiona Collins Carrington Shepherd Sandra Eades Ofra Kalter-Leibovici Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous Population Nutrients food frequency questionnaire digital dietary assessment tools Indigenous populations Australian Aboriginal adults cultural adaptation |
| title | Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous Population |
| title_full | Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous Population |
| title_fullStr | Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous Population |
| title_full_unstemmed | Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous Population |
| title_short | Development and Functionality of a Parsimonious Digital Food Frequency Questionnaire for a Clinical Intervention among an Indigenous Population |
| title_sort | development and functionality of a parsimonious digital food frequency questionnaire for a clinical intervention among an indigenous population |
| topic | food frequency questionnaire digital dietary assessment tools Indigenous populations Australian Aboriginal adults cultural adaptation |
| url | https://www.mdpi.com/2072-6643/15/23/5012 |
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