Reliability and Validity of Food Frequency Questions to Assess Beverage and Food Group Intakes among Low-Income 2- to 4-Year-Old Children

Koleilat, Maria; Whaley, Shannon E.

doi:10.1016/j.jand.2016.02.014

Cited by 20 publications

(30 citation statements)

References 37 publications

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“…There are a limited number of FFQs available for toddlers. Studies involving the development and validation of FFQs have been conducted in North America [8][9][10][11][12][13][14][15], Europe [16][17][18][19][20][21][22][23], Australia and New Zealand [24][25][26]. The age ranges included in these studies were 1.5-4 years.…”

Section: Introductionmentioning

confidence: 99%

Relative validity of a semi-quantitative food frequency questionnaire for Singaporean toddlers aged 15–36 months

Allan

Kader²,

Ang

et al. 2018

BMC Nutr

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Background: There is presently no simple tool for use in large epidemiological studies to understand the food and nutrient intakes of Asian toddlers. This study aimed to assess the relative validity of a semi-quantitative food frequency questionnaire (sqFFQ) developed for multi-ethnic Singaporean toddlers aged 15-36 months. Methods: Ninety-one parents completed the sqFFQ and a 2-day weighed food record as the reference method. Intake of energy and 25 nutrients were determined for each method and compared using Pearson correlations corrected for attenuation, Bland-Altman plots, and weighted kappa according to quartiles; sqFFQ calibration was performed using multivariable linear regression. Results: Deattenuated correlations for energy and all nutrients were acceptable (r = ≥0.30, p < 0.001). The sqFFQ was highly reproducible, but significantly overestimated intake of energy and all nutrients except vitamin A. Bland-Altman plots showed wide limits of agreement for energy and all nutrients. Weighted kappa ranged from 0.12 (slight) to 0.53 (moderate). After calibration, deattenuated correlations improved for energy and 10/25 nutrients, with no change or a slight decline for the remainder, including one falling to r = 0.27. Limits of agreement narrowed for energy and all nutrients, and except for DHA, median intakes were not significantly different except for vitamin A, enabling population estimates of absolute intakes. Weighted kappa improved overall; energy and 16 nutrients now had moderate agreement (0.41-0.60), while 9 nutrients had fair agreement (0.21-0.40). Conclusions: The Singaporean toddler semi-quantitative food frequency questionnaire is suitable for ranking nutrient intakes of Singaporean toddlers in larger epidemiological studies. However, for population estimates of absolute nutrient intakes, it is recommended that a subsample within a cohort complete weighed food records for calibration purposes. Trial registration: This study was registered retrospectively on clinicaltrials.gov on 3rd May 2017 (identifier code: NCT03138330).

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Section: Introductionmentioning

confidence: 99%

Relative validity of a semi-quantitative food frequency questionnaire for Singaporean toddlers aged 15–36 months

Allan

Kader²,

Ang

et al. 2018

BMC Nutr

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“…A Child Food and Beverage Questionnaire to assess intake of fruit, vegetables and sweetened foods and beverages was able to rank intakes rather than assess absolute intake in pre-school children estimated based on 3 × 24-h recalls [39]. Seven beverage survey questions had good correlation with data from 3 × 24-h recalls but the importance of asking times/day rather than servings/day in the questionnaires was noted [40].…”

Section: State Of the Art In The Assessment Of Total Fluid Intakesmentioning

confidence: 99%

Challenges in the assessment of total fluid intake in children and adolescents: a discussion paper

Warren¹,

Guelinckx

Livingstone

et al. 2018

Eur J Nutr

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PurposeIn recent years, evidence has emerged about the importance of healthy fluid intake in children for physical and mental performance and health, and in the prevention of obesity. Accurate data on water intake are needed to inform researchers and policymakers and for setting dietary reference values. However, to date, there are few published data on fluid or water intakes in children. This is due partly to the fact that drinking water is not always reported in dietary surveys. The aim of this paper is to review the current status of the literature and highlight the challenges of assessing total fluid intake in children and adolescents.ResultsFrom the dietary assessment literature it is apparent that children present unique challenges to assessing intake due to ongoing cognitive capacity development, limited literacy skills, difficulties in estimating portion sizes and multiple caregivers during any 1 day making it difficult to track intakes. As such, many issues should be considered when assessing total fluid intakes in children or adolescents. Various methods to assess fluid intakes exist, each with its own strengths and weaknesses; the ultimate choice of method depends on the research question and resources available. Based on the literature review, it is apparent that if the research focus is to assess only fluid intake, a fluid-specific method, such as a diary or record, appears to be a feasible approach to provide an accurate estimate of intakes.

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“…SSBs frequency of intake was divided into tertiles to create three equal groups as categorical variables (ie, low SSB [≤1 serving/d], medium SSB [>1 and ≤3 servings/d], and high SSB [>3 servings/d]) . This dietary screener was previously tested to assess reliability and validity of sweetened foods and beverages intake among children (2‐4 y of age) against three 24‐hour recalls in a subsample of 70 primarily Hispanic mothers . Intraclass correlation coefficient (ICC) for total SSB (excluding milk, chocolate milk, and 100% fruit juice) yielded to 0.7 (ie, moderate agreement), and for chocolate or sweetened milk yielded to 0.84 (ie, substantial agreement).…”

Section: Methodsmentioning

confidence: 99%

Association of breastfeeding and early exposure to sugar‐sweetened beverages with obesity prevalence in offspring born to mothers with and without gestational diabetes mellitus

et al. 2019

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Background:The relationship of gestational diabetes mellitus (GDM), exclusive breastfeeding (EBF), and sugar-sweetened beverages (SSBs) on obesity prevalence in children has rarely been evaluated.Objective: This study examined the association of GDM status, EBF, and SSB with obesity prevalence in children (1-5 y).Methods: Data are from the 2014 Los Angeles County WIC Survey, which included 3707 mothers and their children (1-5 y). Results:Compared with GDM offspring who were not EBF, GDM offspring who were EBF had lower odds of obesity, as did non-GDM offspring who were and were not EBF. Compared with GDM offspring with high-concurrent SSB intake (>3 servings/d) and no EBF, GDM offspring with high SSB intake and EBF did not have lower odds of obesity, whereas those with GDM, low SSB (≤1 serving/d), and EBF had lower odds of obesity. Using non-GDM, EBF, and low SSB as referent, non-GDM offspring who were not EBF, with either high or low SSB, had approximately a fourfold increase in odds of obesity. Conclusions:In GDM offspring, EBF is only associated with lower obesity levels if later SSB intake is also low, whereas EBF is protective against obesity in non-GDM offspring regardless of high or low later SSBs intake.

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Reliability and Validity of Food Frequency Questions to Assess Beverage and Food Group Intakes among Low-Income 2- to 4-Year-Old Children

Cited by 20 publications

References 37 publications

Relative validity of a semi-quantitative food frequency questionnaire for Singaporean toddlers aged 15–36 months

Relative validity of a semi-quantitative food frequency questionnaire for Singaporean toddlers aged 15–36 months

Challenges in the assessment of total fluid intake in children and adolescents: a discussion paper

Association of breastfeeding and early exposure to sugar‐sweetened beverages with obesity prevalence in offspring born to mothers with and without gestational diabetes mellitus

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