Relative Validity of Starch and Sugar Intake in Japanese Adults as Estimated With Comprehensive and Brief Self-Administered Diet History Questionnaires

Fujiwara, Aya; Murakami, Kentaro; Sasaki, Satoshi

doi:10.2188/jea.je20190026

Cited by 8 publications

(8 citation statements)

References 41 publications

(89 reference statements)

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“…Finally, we observed that the reproducibility of the six-item tool had better performance than its relative validity against the FFQ. While we cannot predict if a larger sample size would yield stronger analysis, our observation may be attributable to the inherent weakness of brief dietary intake screening tools, as several other studies with larger sample sizes have drawn similar conclusions (52)(53)(54) .…”

Section: Discussionmentioning

confidence: 62%

Validation of a six-item dietary calcium screening tool among HIV patients in China

Tseng

Xie

Pan

et al. 2021

Public Health Nutr.

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Objective: Individuals with HIV are at increased risk for osteoporosis. A healthy diet with adequate calcium is recommended to promote bone health. However, lengthy nutritional assessments pose barriers to routine screenings in clinical practice. This study aimed to examine the validity and reproducibility of a six-item dietary calcium screening tool among Chinese individuals with HIV. Design: We conducted a two time-point study in an outpatient setting. Volunteers self-administered the six-item tool upon enrollment and again at one-month follow-up. At baseline, participants also completed a validated food frequency questionnaire and surveys regarding demographic and clinical risk factors. Setting: Beijing, China; Shenzhen, Guangdong, China Participants: Upon enrollment, 127 individuals with HIV participated in the study, of whom 83 completed the follow-up screening. Results: Mean age of participants was 35.2±9.3 years, average BMI was 22.8±3.8 kg/m2, and 89% were men. Among the participants, 54.7% reported calcium intake less than 800 mg/day. The six-item tool demonstrated fair-to-moderate relative validity with a correlation of 0.39 and 75.7% of subjects classified in same/adjacent quartiles as the reference, and moderate-to-good reproducibility with a correlation of 0.60 and 83.1% of subjects classified in same/adjacent quartiles. Finally, ROC analyses yielded a sensitivity of 87.0% and a specificity of 39.4% with optimized cut-off level. Conclusions: The six-item tool presented adequate validity and reproducibility to identify individuals with low calcium intake among the target population, providing a convenient instrument for categorizing calcium intake in clinical practice, prompting referrals for further assessment, and raising awareness of dietary calcium in bone disease prevention.

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Section: Discussionmentioning

confidence: 62%

Validation of a six-item dietary calcium screening tool among HIV patients in China

Tseng

Xie

Pan

et al. 2021

Public Health Nutr.

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“…Added sugar intake was similarly calculated based on a recently developed comprehensive composition database by subtracting total sugar contents derived from fruit juices from free sugar contents [ 31 ]. According to studies assessing the relative validity of the BDHQ against the 16-day dietary records in Japanese women aged 31–69 years, the median value of Spearman’s correlation coefficients for food intake was 0.44 (range: 0.14–0.82) [ 28 ], the corresponding value of Pearson’s correlation coefficients for nutrient intake was 0.54 (range: 0.34–0.87) [ 29 ], and the Spearman’s correlation coefficients for added sugar was 0.40 [ 32 ]. Food and nutrient intakes were energy-adjusted, using the density method for assessing dietary intake differences because of varied energy requirements and to reduce the influence of misreporting [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

Association of Hours of Paid Work with Dietary Intake and Quality in Japanese Married Women: A Cross-Sectional Study

et al. 2021

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This study investigated the association of hours of paid work with dietary intake and diet quality among Japanese married women. This cross-sectional study was a secondary analysis of a nationwide population survey in 2013. The analytic sample included 644 married women aged 20–59 years. The participants were categorized into five groups according to hours of paid work per week: 0 (housewives), 1–14, 15–34, 35–42, and ≥43 h. Dietary intake was assessed by a self-administered diet history questionnaire. The Nutrient-Rich Food Index 9.3 (NRF9.3) was used to measure the dietary quality. The association of hours of paid work with dietary intake and NRF9.3 score was assessed using a multivariable general linear regression analysis with adjustments for confounders. Hours of paid work were associated with a higher intake of rice and lower intake of vegetables, potatoes, soy products, and seaweeds and nutrients including protein, dietary fiber, and most vitamins and minerals. Hours of paid work were negatively associated with the NRF9.3 score. This study showed that Japanese married women engaging in paid work, especially those who work long hours, have less healthy diets. Efforts to improve the dietary intake of married women with paid work might be needed.

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“…Dietary intake was evaluated using the brief-type selfadministered diet history questionnaire (BDHQ), which consists of 58 food and beverage items that have been validated against dietary records (20)(21)(22) and comprises items that are commonly consumed, according to the National Health and Nutrition Survey in Japan (23). The BDHQ examined only the frequency of consumption of the food and beverage items in the preceding month.…”

Section: Dietary Assessmentmentioning

confidence: 99%

Association Between Temporal Changes in Diet Quality and Concurrent Changes in Dietary Intake, Body Mass Index, and Physical Activity Among Japanese Adults: A Longitudinal Study

et al. 2022

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BackgroundMany cross-sectional studies have identified modifiable factors such as dietary intake, physique, and physical activity associated with diet quality but were unable to determine how a specific individual's diet quality changes with these factors. These relationships may vary depending on an individual's dietary intake. We aimed to determine the association between temporal changes in diet quality and concurrent changes in dietary intake, body mass index (BMI), and physical activity according to the diet quality trajectory pattern.MethodsThis longitudinal prospective study included 697 Japanese adults aged 26–85 years, at baseline, with available data from at least two dietary intake surveys (4,118 measurements). Dietary intake and physical activity were evaluated using validated dietary questionnaires and a triaxial accelerometer. Diet quality was calculated using the Nutrient-Rich Food Index 9.3 (NRF9.3), while physical activity was calculated based on the duration of activity performed at each level of intensity (sedentary, light, moderate, and vigorous). Body mass index was calculated from the measured height and weight. Statistical analyses involved latent class growth models (LCGM) and random-effect panel data analysis.ResultsDuring a mean follow-up period of 6.8 years, NRF9.3 scores were assessed, on average, 5.4 times in men and 6.1 times in women. Based on the NRF9.3 score, three separate trajectory groups—“low-increasing,” “medium-increasing,” and “high-stable”—among individuals aged 26–90 years were identified using LCGM. In the multivariate analysis, the NRF9.3 score trajectory was positively associated with intake of energy, protein, dietary fiber, vitamins A and C, magnesium, and food items, such as fruits and vegetables, and was negatively associated with BMI and the intake of added sugar, saturated fats, sodium, and food items, such as meat and sugar and confectioneries, even after adjusting for covariates. These relationships displayed heterogeneity across the identified NRF9.3 score trajectory groups. In the low-increasing group, an inverse relationship was observed between sedentary behavior and NRF9.3 score trajectory.ConclusionsWe identified modifiable factors associated with temporal changes in diet quality across a wide age range; however, these factors may vary according to the diet quality trajectories. Our findings may help develop effective strategies for improving diet quality, according to the trajectory of diet quality.

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Relative Validity of Starch and Sugar Intake in Japanese Adults as Estimated With Comprehensive and Brief Self-Administered Diet History Questionnaires

Cited by 8 publications

References 41 publications

Validation of a six-item dietary calcium screening tool among HIV patients in China

Validation of a six-item dietary calcium screening tool among HIV patients in China

Association of Hours of Paid Work with Dietary Intake and Quality in Japanese Married Women: A Cross-Sectional Study

Association Between Temporal Changes in Diet Quality and Concurrent Changes in Dietary Intake, Body Mass Index, and Physical Activity Among Japanese Adults: A Longitudinal Study

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