Reproducibility and Validity of Dietary Assessment Instruments

Pietinen, Pirjo; Hartman, Anne M.; Haapa, Eliina; Rásänen, Leena; Haapakoski, Jaason; Palmgren, Juni; Albanês, Demetrius; Virtamo, Jarmo; Huttunen, Jussi K.

doi:10.1093/oxfordjournals.aje.a115014

Cited by 194 publications

(59 citation statements)

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“…This finding is similar to previous observations [16,19,32,33]. In many studies, classification in the same segment of the distribution using two different methods is found in 30% to 40% of subjects [16,32,34]. …”

Section: Discussionsupporting

confidence: 92%

Validity and reproducibility of an interviewer-administered food frequency questionnaire for healthy French-Canadian men and women

Goulet

Nadeau

Lapointe

et al. 2004

Nutr J

139

158

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Objective: To evaluate the validity (study 1) and the reproducibility (study 2) of an intervieweradministered food frequency questionnaire (FFQ). Method:The FFQ was designed at Laval University and contains 91 items and 33 subquestions. Study 1: The FFQ was compared against a 3-day food record (2 week-days and 1 weekend-day), at week 0, 6 and 12 of a nutritional intervention. Study 2: In order to evaluate the reproducibility of the FFQ, 2 registered dietitians administered the FFQ 4-weeks apart among subjects who were not part of the nutritional intervention. Results: Study 1:Mean values for intake of most nutrients assessed by the FFQ and by the 3-day food record were not statistically different. Energy-adjusted correlation coefficients for major macronutrients ranged from 0.36 for proteins to 0.60 for carbohydrates (p ≤ 0.01). Agreement analysis revealed that on average, 35% of the subjects were classified in the same quartile when nutrients were assessed by either the 3-day food record or the FFQ. Study 2: Significant associations were observed between dietary measurements derived from the two FFQs administered 4 weeks apart. Correlation coefficients for the reproducibility of macronutrients ranged from 0.66 for carbohydrates to 0.83 for lipids after energy adjustment. On average, 46% of the subjects were classified in the same quartile when nutrient intakes were assessed by either FFQ. Conclusion:These data indicated that the FFQ developed has a good validity and is reproducible.

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Section: Discussionsupporting

confidence: 92%

Validity and reproducibility of an interviewer-administered food frequency questionnaire for healthy French-Canadian men and women

Goulet

Nadeau

Lapointe

et al. 2004

Nutr J

139

158

View full text Add to dashboard Cite

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“…Questions included, but were not limited to, smoking history, physical activity, diabetes status, and family history of cancer. A validated food frequency questionnaire that consisted of inquiries regarding portion size, and frequency of consumption of 276 foods and beverages in the past 12 months was used in order to estimate dietary intake(14). In addition to the questionnaires, a fasting serum sample was collected from participants on their first visit and stored at −70°C, height and weight were measured, and body mass index (BMI) calculated [(weight in kilograms)/(height in meters) 2 ](11).…”

Section: Methodsmentioning

confidence: 99%

Serum Insulin, Glucose, Indices of Insulin Resistance, and Risk of Lung Cancer

Argirion

Weinstein

Männistö

et al. 2017

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background Although insulin may increase risk of some cancers, few studies have examined fasting serum insulin and lung cancer risk. Methods We examined serum insulin, glucose, and indices of insulin resistance (insulin:glucose molar ratio and homeostasis model assessment of insulin resistance [HOMA-IR]) and lung cancer risk using a case-cohort study within the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Studyof Finnish men. 196 cases and 395 subcohort members were included. Insulin and glucose were measured in fasting serum collected 5–12 years pre-diagnosis. Cox proportional hazards models were utilized to estimate the relative risk of lung cancer. Results The average time between blood collection and lung cancer was 9.6 years. Fasting serum insulin levels were 8.7% higher in subcohort members than cases. After multivariable adjustment, men in the fourth quartile of insulin had a significantly higher risk of lung cancer than those in the first quartile (HR=2.10, 95%CI=1.12–3.94). A similar relationship was seen with HOMA-IR (HR=1.83, 95%CI=0.99–3.38). Risk was not strongly associated with glucose or the insulin:glucose molar ratio (Ptrend=0.55 and Ptrend=0.27, respectively). Conclusions Higher fasting serum insulin concentrations, as well as the presence of insulin resistance, appear to be associated with an elevated risk of lung cancer development. Impact Although insulin is hypothesized to increase risk of some cancers, insulin and lung cancer remains understudied. Higher insulin levels and insulin resistance were associated with increased lung cancer risk. Although smoking cessation is the best method of lung cancer prevention, other lifestyle changes that impact insulin concentrations and sensitivity may reduce lung cancer risk.

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“…Daily nutrient intakes were calculated using the food composition database from the National Public Health Institute in Finland. The food use questionnaire was developed specifically for use in the ATBC Study and was validated in a pilot study that collected 12 two-day food consumption records distributed evenly over a period of 6 months from 190 subjects; Pearson correlation coefficients (unadjusted) were 0.41, 0.64, 0.58, 0.47, and 0.62 for vitamin A, vitamin E, vitamin C, vegetables, and fruits, respectively 19. A total of 27,111 men (93% of the full cohort) successfully completed the dietary questionnaire.…”

Section: Methodsmentioning

confidence: 99%

No association between fruit, vegetables, antioxidant nutrients and risk of renal cell carcinoma

Bertoia

Albanês

Mayne

et al. 2010

Intl Journal of Cancer

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Previous epidemiologic studies that have examined the relationship between renal cell carcinoma (RCC) risk and intakes of plant foods and antioxidant nutrients have yielded inconsistent results. We therefore examined the associations between intakes of fruit, vegetables, carotenoids, flavonoids, vitamin E and vitamin C and RCC risk in the Alpha-Tocopherol, BetaCarotene Cancer Prevention (ATBC) Study cohort. At baseline, 27,062 male Finnish smokers aged 50-69 years completed a 276-item dietary questionnaire that included questions on frequency of consumption and portion size. During up to 19 years of follow-up, 255 men developed RCC. Cox proportional hazards models were utilized to estimate relative risks (RR) and 95% confidence intervals (CI). Despite a large range in intake, no association was observed between fruit, vegetables or antioxidant nutrients and RCC risk. For example, multivariate RRs and 95% CIs for the highest versus the lowest quartile of intake were 0.79 (0.55-1.14), 1.23 (0.85-1.79), 1.09 (0.74-1.60), 0.83 (0.57-1.21), 1.09 (0.73-1.64) and 0.99 (0.67-1.46) for fruit, vegetables, total carotenoids, total flavonoids, total vitamin E and vitamin C, respectively (all p values for trend > 0.05). Our results indicate that diet may not play a large role in the etiology of RCC in male smokers, although further examination of these associations in nonsmokers, women and diverse racial populations is warranted.The incidence of renal cell carcinoma (RCC) is increasing both in the United States and globally.1,2 The rise in incidence is due in part to more frequent use of ultrasonography, computed tomography, and magnetic resonance imaging, which inadvertently detect kidney cancers.3 However, the incidence of advanced and metastatic disease has also increased, suggesting that the rise is not entirely due to earlier detection. 2Established risk factors for RCC include age, race, gender, smoking and obesity, with most studies also demonstrating a positive association with hypertension.2,4 Dietary factors also appear to play a role, with higher fruit and vegetable intake linked to lower risks of this disease in several studies. 5-10Fruits and vegetables are rich sources of free-radical scavenging antioxidant nutrients, including carotenoids, flavonoids, and vitamin C. Vitamin E is also a powerful antioxidant, although its major food sources are not fruits and vegetables. Rather, vitamin E is found predominantly in vegetable oils and nuts.11 Because oxidative stress is hypothesized to play a role in the development of RCC, 12 higher dietary intakes and/or blood levels of these nutrients may protect against the initiation and progression of this malignancy. Studies that have examined the relationship between RCC and individual antioxidant nutrients, however, have yielded inconsistent results. 6,7,9,10,[13][14][15][16] We investigated associations of fruits, vegetables and individual antioxidant nutrients with subsequent risk of RCC in a large cohort study of male smokers. With 255 incident RCC cases available for ...

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Reproducibility and Validity of Dietary Assessment Instruments

Cited by 194 publications

References 0 publications

Validity and reproducibility of an interviewer-administered food frequency questionnaire for healthy French-Canadian men and women

Validity and reproducibility of an interviewer-administered food frequency questionnaire for healthy French-Canadian men and women

Serum Insulin, Glucose, Indices of Insulin Resistance, and Risk of Lung Cancer

No association between fruit, vegetables, antioxidant nutrients and risk of renal cell carcinoma

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