A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and Validation
Diet is a recognized risk factor and cornerstone for chronic kidney disease (CKD) management; however, a tool to assess dietary intake among Bangladeshi dialysis patients is scarce. This study aims to validate a prototype Bangladeshi Hemodialysis Food Frequency Questionnaire (BDHD-FFQ) against 3-day...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-12-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/13/12/4521 |
| _version_ | 1797501735726481408 |
|---|---|
| author | Shakil Ahmed Tanjina Rahman Md Sajjadul Haque Ripon Harun-Ur Rashid Tasnuva Kashem Mohammad Syafiq Md Ali Ban-Hock Khor Pramod Khosla Tilakavati Karupaiah Zulfitri Azuan Mat Daud |
| author_facet | Shakil Ahmed Tanjina Rahman Md Sajjadul Haque Ripon Harun-Ur Rashid Tasnuva Kashem Mohammad Syafiq Md Ali Ban-Hock Khor Pramod Khosla Tilakavati Karupaiah Zulfitri Azuan Mat Daud |
| author_sort | Shakil Ahmed |
| collection | DOAJ |
| description | Diet is a recognized risk factor and cornerstone for chronic kidney disease (CKD) management; however, a tool to assess dietary intake among Bangladeshi dialysis patients is scarce. This study aims to validate a prototype Bangladeshi Hemodialysis Food Frequency Questionnaire (BDHD-FFQ) against 3-day dietary recall (3DDR) and corresponding serum biomarkers. Nutrients of interest were energy, macronutrients, potassium, phosphate, iron, sodium and calcium. The BDHD-FFQ, comprising 132 food items, was developed from 606 24-h recalls and had undergone face and content validation. Comprehensive facets of relative validity were ascertained using six statistical tests (correlation coefficient, percent difference, paired <i>t</i>-test, cross-quartiles classification, weighted kappa, and Bland-Altman analysis). Overall, the BDHD-FFQ showed acceptable to good correlations (<i>p</i> < 0.05) with 3DDR for the concerned nutrients in unadjusted and energy-adjusted models, but this correlation was diminished when adjusted for other covariates (age, gender, and BMI). Phosphate and potassium intake, estimated by the BDHD-FFQ, also correlated well with the corresponding serum biomarkers (<i>p</i> < 0.01) when compared to 3DDR (<i>p</i> > 0.05). Cross-quartile classification indicated that <10% of patients were incorrectly classified. Weighted kappa statistics showed agreement with all but iron. Bland-Altman analysis showed positive mean differences were observed for all nutrients when compared to 3DDR, whilst energy, carbohydrates, fat, iron, sodium, and potassium had percentage data points within the limit of agreement (mean ± 1.96 SD), above 95%. In summary, the BDHD-FFQ demonstrated an acceptable relative validity for most of the nutrients as four out of the six statistical tests fulfilled the cut-off standard in assessing dietary intake of CKD patients in Bangladesh. |
| first_indexed | 2024-03-10T03:22:51Z |
| format | Article |
| id | doaj.art-d62f17b3bd6743ba9b035ef20a688e07 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T03:22:51Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-d62f17b3bd6743ba9b035ef20a688e072023-11-23T09:58:55ZengMDPI AGNutrients2072-66432021-12-011312452110.3390/nu13124521A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and ValidationShakil Ahmed0Tanjina Rahman1Md Sajjadul Haque Ripon2Harun-Ur Rashid3Tasnuva Kashem4Mohammad Syafiq Md Ali5Ban-Hock Khor6Pramod Khosla7Tilakavati Karupaiah8Zulfitri Azuan Mat Daud9Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Sonapur 3814, BangladeshInstitute of Nutrition and Food Science, University of Dhaka, Dhaka 1000, BangladeshDepartment of Food Technology and Nutrition Science, Noakhali Science and Technology University, Sonapur 3814, BangladeshKidney Foundation Hospital and Research Institute, Dhaka 1216, BangladeshKidney Foundation Hospital and Research Institute, Dhaka 1216, BangladeshDepartment of Nutrition Sciences, Kulliyyah of Allied Health Sciences, International Islamic University Malaysia, Kuantan 25200, Pahang, MalaysiaFaculty of Food Science and Nutrition, Universiti Malaysia Sabah, Kota Kinabalu 88400, Sabah, MalaysiaDepartment of Nutrition and Food Science, Wayne State University, Detroit, MI 48202, USASchool of Biosciences, Taylors’ University, Subang Jaya 47500, Selangor, MalaysiaDepartment of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, MalaysiaDiet is a recognized risk factor and cornerstone for chronic kidney disease (CKD) management; however, a tool to assess dietary intake among Bangladeshi dialysis patients is scarce. This study aims to validate a prototype Bangladeshi Hemodialysis Food Frequency Questionnaire (BDHD-FFQ) against 3-day dietary recall (3DDR) and corresponding serum biomarkers. Nutrients of interest were energy, macronutrients, potassium, phosphate, iron, sodium and calcium. The BDHD-FFQ, comprising 132 food items, was developed from 606 24-h recalls and had undergone face and content validation. Comprehensive facets of relative validity were ascertained using six statistical tests (correlation coefficient, percent difference, paired <i>t</i>-test, cross-quartiles classification, weighted kappa, and Bland-Altman analysis). Overall, the BDHD-FFQ showed acceptable to good correlations (<i>p</i> < 0.05) with 3DDR for the concerned nutrients in unadjusted and energy-adjusted models, but this correlation was diminished when adjusted for other covariates (age, gender, and BMI). Phosphate and potassium intake, estimated by the BDHD-FFQ, also correlated well with the corresponding serum biomarkers (<i>p</i> < 0.01) when compared to 3DDR (<i>p</i> > 0.05). Cross-quartile classification indicated that <10% of patients were incorrectly classified. Weighted kappa statistics showed agreement with all but iron. Bland-Altman analysis showed positive mean differences were observed for all nutrients when compared to 3DDR, whilst energy, carbohydrates, fat, iron, sodium, and potassium had percentage data points within the limit of agreement (mean ± 1.96 SD), above 95%. In summary, the BDHD-FFQ demonstrated an acceptable relative validity for most of the nutrients as four out of the six statistical tests fulfilled the cut-off standard in assessing dietary intake of CKD patients in Bangladesh.https://www.mdpi.com/2072-6643/13/12/4521food frequency questionnaire (FFQ)hemodialysisdietary assessmentchronic kidney disease (CKD)Bangladeshi food intake |
| spellingShingle | Shakil Ahmed Tanjina Rahman Md Sajjadul Haque Ripon Harun-Ur Rashid Tasnuva Kashem Mohammad Syafiq Md Ali Ban-Hock Khor Pramod Khosla Tilakavati Karupaiah Zulfitri Azuan Mat Daud A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and Validation Nutrients food frequency questionnaire (FFQ) hemodialysis dietary assessment chronic kidney disease (CKD) Bangladeshi food intake |
| title | A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and Validation |
| title_full | A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and Validation |
| title_fullStr | A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and Validation |
| title_full_unstemmed | A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and Validation |
| title_short | A Food Frequency Questionnaire for Hemodialysis Patients in Bangladesh (BDHD-FFQ): Development and Validation |
| title_sort | food frequency questionnaire for hemodialysis patients in bangladesh bdhd ffq development and validation |
| topic | food frequency questionnaire (FFQ) hemodialysis dietary assessment chronic kidney disease (CKD) Bangladeshi food intake |
| url | https://www.mdpi.com/2072-6643/13/12/4521 |
| work_keys_str_mv | AT shakilahmed afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT tanjinarahman afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT mdsajjadulhaqueripon afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT harunurrashid afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT tasnuvakashem afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT mohammadsyafiqmdali afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT banhockkhor afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT pramodkhosla afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT tilakavatikarupaiah afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT zulfitriazuanmatdaud afoodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT shakilahmed foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT tanjinarahman foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT mdsajjadulhaqueripon foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT harunurrashid foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT tasnuvakashem foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT mohammadsyafiqmdali foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT banhockkhor foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT pramodkhosla foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT tilakavatikarupaiah foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation AT zulfitriazuanmatdaud foodfrequencyquestionnaireforhemodialysispatientsinbangladeshbdhdffqdevelopmentandvalidation |