Evaluation of the Children's Eating Habits Questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children

Huybrechts, Inge; Börnhorst, Claudia; Pala, Valeria; Moreno, Luís A.; Barba, Gianvincenzo; Lissner, Lauren; Fraterman, Arno; Veidebaum, Toomas; Hebestreit, Antje; Sieri, Sabina; Ottevaere, Charlene; Tornaritis, M; Molnár, Denés; Ahrens, Wolfgang; Henauw, Stefaan De

doi:10.1038/ijo.2011.37

Cited by 77 publications

(86 citation statements)

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“…Three studies reported using a 7 d weighed food record (21,23,28) and five studies reported using an estimated food record of 3 to 7 d (16,17,25,29) , one of which was web-based (29) . Three studies used a single 24 h recall (12,13,20) and four (18,19,27,30) (14) .…”

Section: Tool Propertiesmentioning

confidence: 99%

Evaluation of tools used to measure calcium and/or dairy consumption in children and adolescents

Magarey

Yaxley

Markow

et al. 2013

Public Health Nutr.

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Objective: To identify and critique tools that assess Ca and/or dairy intake in children to ascertain the most accurate and reliable tools available. Design: A systematic review of the literature was conducted using defined inclusion and exclusion criteria. Articles were included on the basis that they reported on a tool measuring Ca and/or dairy intake in children in Western countries and reported on originally developed tools or tested the validity or reliability of existing tools. Defined criteria for reporting reliability and validity properties were applied. Setting: Studies in Western countries. Subjects: Children. Results: Eighteen papers reporting on two tools that assessed dairy intake, ten that assessed Ca intake and five that assessed both dairy and Ca were identified. An examination of tool testing revealed high reliance on lower-order tests such as correlation and failure to differentiate between statistical and clinically meaningful significance. Only half of the tools were tested for reliability and results indicated that only one Ca tool and one dairy tool were reliable. Validation studies showed acceptable levels of agreement (,100 mg difference) and/or sensitivity (62-83 %) and specificity (55-77 %) in three Ca tools. With reference to the testing methodology and results, no tools were considered both valid and reliable for the assessment of dairy intake and only one tool proved valid and reliable for the assessment of Ca intake. Conclusions: These results clearly indicate the need for development and rigorous testing of tools to assess Ca and/or dairy intake in children and adolescents.

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Section: Tool Propertiesmentioning

confidence: 99%

Evaluation of tools used to measure calcium and/or dairy consumption in children and adolescents

Magarey

Yaxley

Markow

et al. 2013

Public Health Nutr.

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show abstract

“…10 The final CEHQ-FFQ asked for the consumption frequency of 43 pan-European food items of 14 food groups. 11 It was used in the whole sample of the IDEFICS baseline examination from September 2007 to May 2008 and was completed for more than 15 000 children between 2 and 9 years of age from the eight survey centres.…”

Section: Methodsmentioning

confidence: 99%

Reproducibility of food consumption frequencies derived from the Children's Eating Habits Questionnaire used in the IDEFICS study

et al. 2011

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Objective: To investigate the reproducibility of food consumption frequencies derived from the food frequency section of the Children's Eating Habits Questionnaire (CEHQ-FFQ) that was developed and used in the IDEFICS (Identification and prevention of dietary-and lifestyle-induced health effects in children and infants) project to assess food habits in 2-to 9-year-old European children. Design and methods: From a subsample of 258 children who participated in the IDEFICS baseline examination, parental questionnaires of the CEHQ were collected twice to assess reproducibility of questionnaire results from 0 to 354 days after the first examination. Weighted Cohen's kappa coefficients (k) and Spearman's correlation coefficients (r) were calculated to assess agreement between the first and second questionnaires for each food item of the CEHQ-FFQ. Stratification was performed for sex, age group, geographical region and length of period between the first and second administrations. Fisher's Z transformation was applied to test correlation coefficients for significant differences between strata. Results: For all food items analysed, weighted Cohen's kappa coefficients (k) and Spearman's correlation coefficients (r) were significant and positive (Po0.001). Reproducibility was lowest for diet soft drinks (k ¼ 0.23, r ¼ 0.32) and highest for sweetened milk (k ¼ 0.68, r ¼ 0.76). Correlation coefficients were comparable to those of previous studies on FFQ reproducibility in children and adults. Stratification did not reveal systematic differences in reproducibility by sex and age group. Spearman's correlation coefficients differed significantly between northern and southern European countries for 10 food items. In nine of them, the lower respective coefficient was still high enough to conclude acceptable reproducibility. As expected, longer time (4128 days) between the first and second administrations resulted in a generally lower, yet still acceptable, reproducibility. Conclusion: Results indicate that the CEHQ-FFQ gives reproducible estimates of the consumption frequency of 43 food items from 14 food groups in European children.

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“…31,32 Food consumption assessed by the CEHQ was validated against selected nutrients measured in blood and urine samples. 33 The new method to analyse the fatty acid profile in a dried drop of blood was compared with the standard analysis of serum and erythrocytes from venous blood. A validation study was carried out to compare uniaxial and triaxial accelerometers in children and to validate them using doubly labelled water as the gold standard, and to also validate body composition measures using three-and fourcompartment models.…”

Section: Quality Managementmentioning

confidence: 99%

The IDEFICS cohort: design, characteristics and participation in the baseline survey

et al. 2011

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Background: The European IDEFICS (Identification and prevention of dietary-and lifestyle-induced health effects in children and infants) study was set up to determine the aetiology of overweight, obesity and related disorders in children, and to develop and evaluate a tailored primary prevention programme. Objective: This paper focuses on the aetiological element of the multicentre study, the measures and examinations, sociodemographic characteristics of the study sample and proportions of participation. Design: Prospective cohort study with an embedded intervention study that started with a baseline survey in eight countries in [2007][2008]. Subjects and measurements: Baseline participants of the prospective cohort study were 16 224 children aged 2-9 years. Parents reported sociodemographic, behavioural, medical, nutritional and other lifestyle data for their children and families. Examinations of children included anthropometry, blood pressure, fitness, accelerometry, DNA from saliva and physiological markers in blood and urine. The built environment, sensory taste perception and other mechanisms of children's food choices and consumer behaviour were studied in subgroups. Results: Between 1507 and 2567, children with a mean age of 6.0 years and an even sex distribution were recruited from each country. Of them, 82% lived in two-parent families. The distribution of standardised income levels differed by study sample, with low-income groups being strongly represented in Cyprus, Italy and Germany. At least one 24-h dietary recall was obtained for two-thirds of the children. Blood pressure and anthropometry were assessed in more than 90%. A 3-day accelerometry was performed in 46%, motor fitness was assessed in 41%, cardiorespiratory fitness in 35% and B11% participated in taste perception tests. The proportion of children donating venous blood, urine and saliva was 57, 86 and 88%, respectively. Conclusion: The IDEFICS cohort provides valuable data to investigate the interplay of social, environmental, genetic, physiological and behavioural factors in the development of major diet-and lifestyle-related disorders affecting children at present.

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Evaluation of the Children's Eating Habits Questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children

Cited by 77 publications

References 40 publications

Evaluation of tools used to measure calcium and/or dairy consumption in children and adolescents

Evaluation of tools used to measure calcium and/or dairy consumption in children and adolescents

Reproducibility of food consumption frequencies derived from the Children's Eating Habits Questionnaire used in the IDEFICS study

The IDEFICS cohort: design, characteristics and participation in the baseline survey

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