Development, validation and utilisation of food-frequency questionnaires – a review

Cade, Janet; Thompson, Rachel; Burley, Victoria J.; Warm, Daniel

doi:10.1079/phn2001318

Cited by 1,138 publications

(1,777 citation statements)

References 161 publications

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“…[54] Other shortcomings in dietary assessment using FFQs are issues with measurement error and the tendency to over-estimate consumption of certain foods like fruit and vegetables. [55] Uncontrolled confounding is a limitation with observational work, [56] meaning some other lifestyle or dietary factor, not adequately controlled for or accounted for in models, could explain observations. Therefore evidence from randomised controlled trials would be required to confirm associations as causal.…”

Section: Discussionmentioning

confidence: 99%

Dietary fibre and cardiovascular disease mortality in the UK Women’s Cohort Study

et al. 2013

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Objectives and Background: Dietary fibre has been associated with improvements in key risk factors for cardiovascular disease (CVD). Prior research has focussed more on CVD development in men andour aim was therefore to explore the association between dietary fibre intake and CVD mortality using data from the United Kingdom Women's Cohort Study (UKWCS).Methods and results: Dietary fibre intake from 31,036 women was calculated both as non-starch polysaccharide (NSP) and using the Association of Official Analytical Chemist (AOAC) method from food-frequency questionnaires. Participants were free from history of CVD at baseline and mean age at recruitment was 51.8 years (standard deviation 9.2). Mortality records for participants were linked from national registry data and 258 fatal CVD cases (130 stroke, 128 coronary heart disease (CHD)) were observed over an average follow-up period of 14.3 years.Total dietary fibre (NSP/AOAC) or fibre from different food sources were not associated with reduced fatal CHD, stroke or CVD risk in the full sample. For every 6g/day increase in NSP, the hazard ratio (HR) was 0.91 (95%Confidence Interval (CI) 0.76 to 1.08) or for every 11g/day increase in fibre assessed as AOAC, the HR was 0.92 (95% CI 0.80 to 1.05). Sensitivity analyses suggest a possible protective association for cereal sources of fibre on fatal stroke risk in overweight women, 0.80 (95%CI 0.65 to 0.93) p<0.01 and for fibre density and fatal stroke in women free of hypertension or angina 0.83 (95% CI 0.70 to 0.99) p=0.04Conclusions: In the UKWCS, a sample of health-conscious women, greater dietary fibre intake may confer no additional cardiovascular benefit, in terms of mortality, but may contribute to lower fatal stroke risk in those free of cardiovascular risk factors (hypertension/angina) or overweight women who consume greater cereal fibre.

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Section: Discussionmentioning

confidence: 99%

Dietary fibre and cardiovascular disease mortality in the UK Women’s Cohort Study

et al. 2013

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“…In many instances, although pet food companies were contacted by telephone, they frequently did not have specific analytical results, but instead provided the amounts of vitamin D that were included in the vitamin and mineral premix added to their food. Second, food frequency questionnaires are typically used in epidemiologic studies in humans to assess dietary intake in relation to development of disease 40. However, food questionnaires should be validated and compared with a gold standard diet analysis technique for the specific population under study 40, 41.…”

Section: Discussionmentioning

confidence: 99%

“…Second, food frequency questionnaires are typically used in epidemiologic studies in humans to assess dietary intake in relation to development of disease 40. However, food questionnaires should be validated and compared with a gold standard diet analysis technique for the specific population under study 40, 41. The diet questionnaire used in this study has not been validated and it is possible that vitamin D intake was overestimated in dogs with CHF or underestimated in the unaffected controls, and therefore must be considered a very crude estimation of vitamin D intake.…”

Section: Discussionmentioning

confidence: 99%

Relation of Vitamin D Status to Congestive Heart Failure and Cardiovascular Events in Dogs

Kraus

Rassnick

Wakshlag

et al. 2013

Veterinary Internal Medicne

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BackgroundVitamin D plays a pivotal role in cardiac function, and there is increasing evidence that vitamin D deficiency is associated with the development of congestive heart failure (CHF) in people.HypothesisSerum vitamin D concentration is lower in dogs with CHF compared with unaffected controls and serum vitamin D concentration is associated with clinical outcome in dogs with CHF.AnimalsEighty‐two client‐owned dogs.MethodsIn this cross‐sectional study, we examined the association between circulating 25‐hydroxyvitamin D [25(OH)D], a measure of vitamin D status, and CHF in dogs. In the prospective cohort study, we examined whether 25(OH)D serum concentration was associated with clinical outcome in dogs with CHF.ResultsMean 25(OH)D concentration (100 ± 44 nmol/L) in 31 dogs with CHF was significantly lower than that of 51 unaffected dogs (123 ± 42 nmol/L; P = .023). The mean calculated vitamin D intake per kg of metabolic body weight in dogs with CHF was no different from that of unaffected dogs (1.37 ± 0.90 μg/kg metabolic body weight versus 0.98 ± 0.59 μg/kg body weight, respectively, P = .097). There was a significant association of serum 25(OH)D concentration on time to clinical manifestation of CHF or sudden death (P = .02).Conclusion and Clinical RelevanceThese findings suggest that low concentrations of 25(OH)D may be a risk factor for CHF in dogs. Low serum 25(OH)D concentration was associated with poor outcome in dogs with CHF. Strategies to improve vitamin D status in some dogs with CHF may prove beneficial without causing toxicity.

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“…19 The assessment of eating behaviors has taken various forms (eg, blood tests, food frequency questionnaires, urine tests). 25,26 Field-based research has been considered advantageous because it enables rapid generalizability of findings for applied uses, 27 however eating-behavior assessment can be invasive, expensive, and difficult to accommodate in practical settings. Because the intake of F/V has been considered a proxy for an overall healthy diet, 28,29 and sweets have been categorized as a calorie-dense, nutrient-poor food, 30,31 they represent (positively and negatively based) measures of treatment effects that can be more readily incorporated into field research.…”

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confidence: 99%

Weight-Loss Treatment-induced Physical Activity Associated with Improved Nutrition through Changes in Social Cognitive Theory Variables in Women with Obesity

Annesi¹,

Mareno²

2017

Health Behavior Research

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Behavioral weight-loss treatments have typically been unsuccessful and a theoretical. Even when treatments were scientifically derived, theory has rarely been used to decompose, and understand the bases of, their effects. This 2-year study evaluated mediation of the prediction of nutritional changes by changes in physical activity, through social cognitive theory variables. Data from women with Class 1-2 obesity, classified as "insufficiently active" (N = 50; Mage = 47.6 years), were extracted from 2 initial trials of a new cognitivebehavioral intervention. That treatment sought to improve self-regulation, mood, and self-efficacy through increased physical activity, to then induce improved eating and long-term weight loss. Data showed significant improvements in self-regulation for controlled eating, mood, self-efficacy for eating, physical activity/exercise outputs, and intake of fruits/vegetables and sweets. In the prediction of changes in fruit/vegetable intake over 6, 12, and 24 months by physical activity changes, changes in the 3 psychosocial variables were significant mediators. For each of those significant overall models (R 2 -values =.31, .30, and .25, respectively), selfregulation and self-efficacy change were independent mediators. When change in sweets was substituted for fruits/vegetable intake in otherwise identical models, although overall significance was not found, change in mood was a significant mediator. Changes in intake of fruits/vegetables and sweets significantly predicted a 2-year mean weight loss of 5.4 kg (-5.7% reduction). Results generally supported the basis for the architecture of the new cognitive-behavioral treatment. Based on findings, much of the effect of physical activity/exercise on weight loss could be explained through its impact on psychosocial correlates of healthier eating. AbstractBehavioral weight-loss treatments have typically been unsuccessful and atheoretical. Even when treatments were scientifically derived, theory has rarely been used to decompose, and understand the bases of, their effects. This 2-year study evaluated mediation of the prediction of nutritional changes by changes in physical activity, through social cognitive theory variables. Data from women with Class 1-2 obesity, classified as "insufficiently active" (N = 50; Mage = 47.6 years), were extracted from 2 initial trials of a new cognitive-behavioral intervention. That treatment sought to improve self-regulation, mood, and self-efficacy through increased physical activity, to then induce improved eating and long-term weight loss. Data showed significant improvements in self-regulation for controlled eating, mood, self-efficacy for eating, physical activity/exercise outputs, and intake of fruits/vegetables and sweets. In the prediction of changes in fruit/vegetable intake over 6, 12, and 24 months by physical activity changes, changes in the 3 psychosocial variables were significant mediators. For each of those significant overall models (R 2 -values = .31, .30, and .25, respectively), self...

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Development, validation and utilisation of food-frequency questionnaires – a review

Cited by 1,138 publications

References 161 publications

Dietary fibre and cardiovascular disease mortality in the UK Women’s Cohort Study

Dietary fibre and cardiovascular disease mortality in the UK Women’s Cohort Study

Relation of Vitamin D Status to Congestive Heart Failure and Cardiovascular Events in Dogs

Weight-Loss Treatment-induced Physical Activity Associated with Improved Nutrition through Changes in Social Cognitive Theory Variables in Women with Obesity

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