Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort Study

PurposeA semi-quantitative food frequency questionnaire (FFQ) was developed for use in the Prospective Epidemiological Research Studies in IrAN (PERSIAN Cohort), investigating non-communicable disease risk factors. This study aimed to assess the validity and reproducibility of this FFQ, through food...

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Main Authors: Sareh Eghtesad, Azita Hekmatdoost, Elnaz Faramarzi, Reza Homayounfar, Maryam Sharafkhah, Hamid Hakimi, Ali Dehghani, Mahmood Moosazadeh, Zinat Mortazavi, Yahya Pasdar, Hossein Poustchi, Walter C. Willett, Reza Malekzadeh
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1059870/full
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author Sareh Eghtesad
Azita Hekmatdoost
Elnaz Faramarzi
Reza Homayounfar
Reza Homayounfar
Maryam Sharafkhah
Hamid Hakimi
Ali Dehghani
Mahmood Moosazadeh
Zinat Mortazavi
Yahya Pasdar
Hossein Poustchi
Walter C. Willett
Walter C. Willett
Reza Malekzadeh
author_facet Sareh Eghtesad
Azita Hekmatdoost
Elnaz Faramarzi
Reza Homayounfar
Reza Homayounfar
Maryam Sharafkhah
Hamid Hakimi
Ali Dehghani
Mahmood Moosazadeh
Zinat Mortazavi
Yahya Pasdar
Hossein Poustchi
Walter C. Willett
Walter C. Willett
Reza Malekzadeh
author_sort Sareh Eghtesad
collection DOAJ
description PurposeA semi-quantitative food frequency questionnaire (FFQ) was developed for use in the Prospective Epidemiological Research Studies in IrAN (PERSIAN Cohort), investigating non-communicable disease risk factors. This study aimed to assess the validity and reproducibility of this FFQ, through food group intake.MethodsParticipants, recruited from seven PERSIAN cohort centers, completed the FFQ at the beginning of the study (FFQ1) and at the end (FFQ2), with a 12-month interval in between, during which two 24-h dietary recalls (24 h) were completed each month. Correlation coefficients of the median intake of food groups recorded by the FFQs were compared to those of the 24 h to assess validity, and the two FFQs were compared to assess reproducibility of findings.ResultsOverall, data from 978 participants were included in this validation analysis. Of the 26 food groups assessed, Tea, Sugars, Whole/Refined Grains, and Solid Fats/Oils, had the strongest correlations (0.6–0.79), while Red Meat, Chicken and Eggs showed moderate correlations (0.42–0.59). The weakest correlations observed belonged to Fresh fruit Juice and Other Meats (0.23–0.32). Reproducibility was assessed among those who completed both FFQ1 and FFQ2 (n = 848), revealing moderate to strong correlations in all food groups, ranging from 0.42 in Legumes to 0.72 in both Sugar and Sweetened Drinks.ConclusionThe PERSIAN Cohort FFQ is appropriate to rank individuals based on food group intake.
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spelling doaj.art-927ef42020b24021ae06612a9960d21c2023-08-04T08:25:28ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-08-011010.3389/fnut.2023.10598701059870Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort StudySareh Eghtesad0Azita Hekmatdoost1Elnaz Faramarzi2Reza Homayounfar3Reza Homayounfar4Maryam Sharafkhah5Hamid Hakimi6Ali Dehghani7Mahmood Moosazadeh8Zinat Mortazavi9Yahya Pasdar10Hossein Poustchi11Walter C. Willett12Walter C. Willett13Reza Malekzadeh14Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Clinical Nutrition and Dietetics, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, IranLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, IranNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, IranFaculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, IranLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IranImmunology of Infectious Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, IranCentre for Healthcare Data Modeling, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, IranGastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, IranHealth Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran0Nutritional Sciences Department, Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, IranLiver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran1Department of Nutrition, Harvard T. H. School of Public Health, Boston, MA, United States2Department of Epidemiology, Harvard T. H. School of Public Health, Boston, MA, United States3Digestive Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IranPurposeA semi-quantitative food frequency questionnaire (FFQ) was developed for use in the Prospective Epidemiological Research Studies in IrAN (PERSIAN Cohort), investigating non-communicable disease risk factors. This study aimed to assess the validity and reproducibility of this FFQ, through food group intake.MethodsParticipants, recruited from seven PERSIAN cohort centers, completed the FFQ at the beginning of the study (FFQ1) and at the end (FFQ2), with a 12-month interval in between, during which two 24-h dietary recalls (24 h) were completed each month. Correlation coefficients of the median intake of food groups recorded by the FFQs were compared to those of the 24 h to assess validity, and the two FFQs were compared to assess reproducibility of findings.ResultsOverall, data from 978 participants were included in this validation analysis. Of the 26 food groups assessed, Tea, Sugars, Whole/Refined Grains, and Solid Fats/Oils, had the strongest correlations (0.6–0.79), while Red Meat, Chicken and Eggs showed moderate correlations (0.42–0.59). The weakest correlations observed belonged to Fresh fruit Juice and Other Meats (0.23–0.32). Reproducibility was assessed among those who completed both FFQ1 and FFQ2 (n = 848), revealing moderate to strong correlations in all food groups, ranging from 0.42 in Legumes to 0.72 in both Sugar and Sweetened Drinks.ConclusionThe PERSIAN Cohort FFQ is appropriate to rank individuals based on food group intake.https://www.frontiersin.org/articles/10.3389/fnut.2023.1059870/fullfood frequency questionnaireFFQPERSIAN cohortvalidityreproducibility
spellingShingle Sareh Eghtesad
Azita Hekmatdoost
Elnaz Faramarzi
Reza Homayounfar
Reza Homayounfar
Maryam Sharafkhah
Hamid Hakimi
Ali Dehghani
Mahmood Moosazadeh
Zinat Mortazavi
Yahya Pasdar
Hossein Poustchi
Walter C. Willett
Walter C. Willett
Reza Malekzadeh
Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort Study
Frontiers in Nutrition
food frequency questionnaire
FFQ
PERSIAN cohort
validity
reproducibility
title Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort Study
title_full Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort Study
title_fullStr Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort Study
title_full_unstemmed Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort Study
title_short Validity and reproducibility of a food frequency questionnaire assessing food group intake in the PERSIAN Cohort Study
title_sort validity and reproducibility of a food frequency questionnaire assessing food group intake in the persian cohort study
topic food frequency questionnaire
FFQ
PERSIAN cohort
validity
reproducibility
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1059870/full
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