The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validation

Dietary carotenoids are associated with lower risk of CHD. Assessment of dietary carotenoid intake using questionnaires can be susceptible to measurement error. Consequently, there is a need to validate data collected from FFQs which measure carotenoid intake. This study aimed to assess the performa...

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Main Authors: Teagan Kucianski, Hannah L. Mayr, Audrey Tierney, Hassan Vally, Colleen J. Thomas, Leila Karimi, Lisa G. Wood, Catherine Itsiopoulos
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679024000065/type/journal_article
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author Teagan Kucianski
Hannah L. Mayr
Audrey Tierney
Hassan Vally
Colleen J. Thomas
Leila Karimi
Lisa G. Wood
Catherine Itsiopoulos
author_facet Teagan Kucianski
Hannah L. Mayr
Audrey Tierney
Hassan Vally
Colleen J. Thomas
Leila Karimi
Lisa G. Wood
Catherine Itsiopoulos
author_sort Teagan Kucianski
collection DOAJ
description Dietary carotenoids are associated with lower risk of CHD. Assessment of dietary carotenoid intake using questionnaires can be susceptible to measurement error. Consequently, there is a need to validate data collected from FFQs which measure carotenoid intake. This study aimed to assess the performance of the Cardio-Med Survey Tool (CMST)-FFQ-version 2 (v2) as a measure of dietary carotenoid intake over 12-months against plasma carotenoids biomarkers and 7-Day Food Records (7DFR) in an Australian cardiology cohort. Dietary carotenoid intakes (β- and α-carotene, lycopene, β-cryptoxanthin and lutein/zeaxanthin) were assessed using the 105-item CMST-FFQ-v2 and compared to intakes measured by 7DFR and plasma carotenoid concentrations. Correlation coefficients were calculated between each dietary method, and validity coefficients (VCs) were calculated between each dietary method and theoretical true intake using the ‘methods of triads’. Thirty-nine participants aged 37–77 years with CHD participated in the cross-sectional study. The correlation between FFQ and plasma carotenoids were largest and significant for β-carotene (0.39, p=0.01), total carotenoids (0.37, p=0.02) and β-cryptoxanthin (0.33, p=0.04), with weakest correlations observed for α-carotene (0.21, p=0.21) and lycopene (0.21, p=0.21). The FFQ VCs were moderate (0.3–0.6) or larger for all measured carotenoids. The strongest were observed for total carotenoids (0.61) and β-carotene (0.59), while the weakest were observed for α-carotene (0.33) and lycopene (0.37). In conclusion, the CMST-FFQ-v2 measured dietary carotenoids intakes with moderate confidence for most carotenoids, however, there was less confidence in ability to measure α-carotene and lycopene intake, thus further research is warranted using a larger sample.
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spelling doaj.art-9e7080c9357d480280fa89578e45cd512024-04-11T07:03:12ZengCambridge University PressJournal of Nutritional Science2048-67902024-01-011310.1017/jns.2024.6The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validationTeagan Kucianski0https://orcid.org/0000-0002-1142-8446Hannah L. Mayr1Audrey Tierney2Hassan Vally3Colleen J. Thomas4Leila Karimi5Lisa G. Wood6Catherine Itsiopoulos7School of Allied Health, Human Services and Sport, Faculty of Science and Engineering, La Trobe University, Bundoora, Victoria, AustraliaSchool of Allied Health, Human Services and Sport, Faculty of Science and Engineering, La Trobe University, Bundoora, Victoria, Australia Centre for Functioning and Health Research, Metro South Hospital and Health Service, Brisbane, Queensland, Australia Department of Nutrition and Dietetics, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia Greater Brisbane Clinical School, Faculty of Medicine, The University of Queensland, St Lucia, Queensland, AustraliaSchool of Allied Health, Human Services and Sport, Faculty of Science and Engineering, La Trobe University, Bundoora, Victoria, Australia School of Allied Health, Health Implementation Science and Technology Centre, Health Research Institute, University of Limerick, Limerick, IrelandInstitute for Health Transformation, Deakin University, Melbourne, Victoria, AustraliaDepartment of Physiology, Anatomy and Microbiology, School of Agriculture, Biomedicine and Environment, La Trobe University, Bundoora, Victoria, Australia Centre for Cardiovascular Biology and Disease Research, School of Agriculture, Biomedicine and Environment, La Trobe University, Bundoora, Victoria, Australia Florey Institute of Neuroscience and Mental Health, Pre-Clinical Critical Care Unit, University of Melbourne, Melbourne, Victoria, AustraliaSchool of Health and Biomedical Sciences, Department of Psychology, RMIT University, Melbourne, Victoria, AustraliaSchool of Biomedical Science and Pharmacy, University of Newcastle, Callaghan, New South Wales, AustraliaSchool of Health and Biomedical Sciences, RMIT University, Melbourne, AustraliaDietary carotenoids are associated with lower risk of CHD. Assessment of dietary carotenoid intake using questionnaires can be susceptible to measurement error. Consequently, there is a need to validate data collected from FFQs which measure carotenoid intake. This study aimed to assess the performance of the Cardio-Med Survey Tool (CMST)-FFQ-version 2 (v2) as a measure of dietary carotenoid intake over 12-months against plasma carotenoids biomarkers and 7-Day Food Records (7DFR) in an Australian cardiology cohort. Dietary carotenoid intakes (β- and α-carotene, lycopene, β-cryptoxanthin and lutein/zeaxanthin) were assessed using the 105-item CMST-FFQ-v2 and compared to intakes measured by 7DFR and plasma carotenoid concentrations. Correlation coefficients were calculated between each dietary method, and validity coefficients (VCs) were calculated between each dietary method and theoretical true intake using the ‘methods of triads’. Thirty-nine participants aged 37–77 years with CHD participated in the cross-sectional study. The correlation between FFQ and plasma carotenoids were largest and significant for β-carotene (0.39, p=0.01), total carotenoids (0.37, p=0.02) and β-cryptoxanthin (0.33, p=0.04), with weakest correlations observed for α-carotene (0.21, p=0.21) and lycopene (0.21, p=0.21). The FFQ VCs were moderate (0.3–0.6) or larger for all measured carotenoids. The strongest were observed for total carotenoids (0.61) and β-carotene (0.59), while the weakest were observed for α-carotene (0.33) and lycopene (0.37). In conclusion, the CMST-FFQ-v2 measured dietary carotenoids intakes with moderate confidence for most carotenoids, however, there was less confidence in ability to measure α-carotene and lycopene intake, thus further research is warranted using a larger sample.https://www.cambridge.org/core/product/identifier/S2048679024000065/type/journal_articleCarotenoid biomarkersDietary intake assessmentFood Frequency QuestionnaireValidation
spellingShingle Teagan Kucianski
Hannah L. Mayr
Audrey Tierney
Hassan Vally
Colleen J. Thomas
Leila Karimi
Lisa G. Wood
Catherine Itsiopoulos
The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validation
Journal of Nutritional Science
Carotenoid biomarkers
Dietary intake assessment
Food Frequency Questionnaire
Validation
title The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validation
title_full The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validation
title_fullStr The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validation
title_full_unstemmed The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validation
title_short The assessment of dietary carotenoid intake of the Cardio-Med FFQ using food records and biomarkers in an Australian cardiology cohort: a pilot validation
title_sort assessment of dietary carotenoid intake of the cardio med ffq using food records and biomarkers in an australian cardiology cohort a pilot validation
topic Carotenoid biomarkers
Dietary intake assessment
Food Frequency Questionnaire
Validation
url https://www.cambridge.org/core/product/identifier/S2048679024000065/type/journal_article
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