Reliability and relative validity of a child nutrition questionnaire to simultaneously assess dietary patterns associated with positive energy balance and food behaviours, attitudes, knowledge and environments associated with healthy eating

Wilson, Annabelle; Magarey, Anthea; Mastersson, Nadia

doi:10.1186/1479-5868-5-5

Cited by 121 publications

(186 citation statements)

References 27 publications

(39 reference statements)

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“…Secondly, FFQ for schoolchildren are highly limited, and non-existent in Barcelona, and this study presents a cost-affordable validated tool that can be used for other studies in a similar context. We agree with other authors in believing that POIBA-HDWE, as a FFQ, is a good tool to classify consumers and non-consumers [23,24]. In addition, in future studies, it will allow for comparison of different foods in the same person over time.…”

Section: Discussionsupporting

confidence: 87%

“…Unsurprisingly, the items with the strongest correlation were those not commonly consumed at school, such as soft drinks and juices, and those that parents give special attention to, such as fruits and nuts. The POIBA-HDWE FFQ and YANA-C showed moderate correlations, even among nine-year-old pupils [23,24], for fried potatoes, soft drinks, dairy products and juices, which is consistent with previous reports [25]. At these ages, children remember items better according to their preference, which could be the case for dairy products, juices, fried potatoes or soft drinks [4].…”

Section: Discussionsupporting

confidence: 84%

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Validation of ‘POIBA-How do we eat?’ questionnaire in 9-10 years old schoolchildren

Ariza

Arechavala

Valmayor³

et al. 2017

Food & Nutrition Research

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Background: It is difficult to obtain good food reports with Food Frequency Questionnaires (FFQ) among children. In addition, validated questionnaires are scarce. Objective: The aim of this study was to validate the ‘POIBA-How do we eat?’ (POIBA-HDWE) FFQ and whether it could be administered to children under 10 years of age. Design: We validated the FFQ POIBA-HDWE as part of the Childhood Obesity Prevention Program (POIBA project) in Barcelona. Forty-two out of 63 primary school students (9–10 years old) answered three questionnaires: FFQ POBA-HDWE; another questionnaire, ‘POIBA-How do our children eat?’ (POIBA-HDOCE), which was administered to the children’s parents; and the 24-h recall computer program ‘Young Adolescents’ Nutrition Assessment on Computer’ (YANA-C), which was used on three different days as a gold standard. We tested for correlations using the Spearman test for non-parametric variables. Results: We found low compliance with food recommendations (<50%). The POIBA-HDWE and POIBA-HDOCE questionnaires showed a moderate correlation for soft drinks (r = 0.49; p < 0.01), nuts (r = 0.59; p < 0.01), dairy products (r = 0.41; p < 0.01) and juices (r = 0.49; p < 0.01). There were moderate correlations between POIBA-HDWE and YANA-C for fried potatoes (r = 0.42; p = 0.01), dairy products (r = 0.53; p < 0.01), juices (r = 0.41; p < 0.01), and grains(r = 0.50; p < 0.01). Food frequency questions showed a homogeneity of 0.69, and a sensitivity of over 60% for all food items except chips (37.5%) and sweets (51.7%). Conclusions: The POIBA-HDWE FFQ showed moderate correlations with the gold standard, high sensitivity for most food types and acceptable internal consistency. It is an easy and affordable tool for recording food frequency in children under 10 years old.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 84%

Validation of ‘POIBA-How do we eat?’ questionnaire in 9-10 years old schoolchildren

Ariza

Arechavala

Valmayor³

et al. 2017

Food & Nutrition Research

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“…Several researchers have developed measures of the availability and accessibility of healthy and less healthy foods in the home with most emphasis placed on fruits and vegetables (18,36,(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)54,55,57,59,(61)(62)(63)65) . While no gold standard exists for examining availability and accessibility of foods, some trials have used in-home inventories.…”

Section: Food Availability and Accessibilitymentioning

confidence: 99%

“…The FNPA assesses caregiver role modelling of nutrition and PA, television availability and dietary/nutrition/sleep behaviours. Similarly, Wilson et al (65) developed and tested the Child Nutrition Questionnaire which assesses fruit and vegetable availability and accessibility and policies for healthy eating in fourteen items. They found moderate test-retest reliability in ten of the twelve scales and low to moderate internal consistencies (a 5 0?50-0?80).…”

Section: Screeners or Short Measuresmentioning

confidence: 99%

Measures of the home environment related to childhood obesity: a systematic review

Pinard

Yaroch

Hart

et al. 2011

Public Health Nutr.

103

102

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Objective: Due to a proliferation of measures for different components of the home environment related to childhood obesity, the purpose of the present systematic review was to examine these tools and the degree to which they can validly and reliably assess the home environment. Design: Relevant manuscripts published between 1998 and 2010 were obtained through electronic database searches and manual searches of reference lists. Manuscripts were included if the researchers reported on a measure of the home environment related to child eating and physical activity (PA) and childhood obesity and reported on at least one psychometric property. Results: Of the forty papers reviewed, 48 % discussed some aspect of parenting specific to food. Fifty-per cent of the manuscripts measured food availability/ accessibility, 18 % measured PA availability/accessibility, 20 % measured media availability/accessibility, 30 % focused on feeding style, 23 % focused on parenting related to PA and 20 % focused on parenting related to screen time. Conclusions: Many researchers chose to design new measures for their studies but often the items employed were brief and there was a lack of transparency in the psychometric properties. Many of the current measures of the home food and PA environment focus on one or two constructs; more comprehensive measures as well as short screeners guided by theoretical models are necessary to capture influences in the home on food and PA behaviours of children. Finally, the current measures of the home environment do not necessarily translate to specific subpopulations. Recommendations were made for future validation of measures in terms of appropriate psychometric testing. Keywords Child obesity Home environment Measurement PsychometricsThe prevalence and severity of childhood overweight have increased significantly in the past three decades (1)(2)(3) . Negative sequalae from being overweight during childhood include being at a higher risk for a number of chronic and acute conditions (4) as well as negative social and psychological outcomes (5) . The source for the majority of childhood obesity cases can be attributed to energy imbalance which has been linked to changes in the food and physical activity (PA) environments (6,7) . The home environment has been documented as one that can either facilitate or inhibit healthful eating and PA, and caregivers play a key role in the development of the social and physical environment within a household (8,9) . From a social environment perspective, caregivers serve as role models for PA, dietary and media behaviours and influence the child's health behaviours and weight status through parenting strategies and feeding styles (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) . In addition, a child participates in more PA when a greater amount of space and active toys are available in the home (22,23) . Likewise, access to food items can impact consumption (24,25) . Similarly, when more screen opportunities are available, children are more likely to engage i...

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“…A structured questionnaire was adapted from Wilson, Magarey, & Mastersson (2008) to evaluate the food behaviours, attitudes, environments and knowledge associated with healthy eating. The identified students were given a pre-and post-intervention questionnaire.…”

Section: Data Collectionmentioning

confidence: 99%

Impact of the Nutritional Educational Program to the Healthy Food Behaviour, Knowledge, Attitude and Environment for Obese Children

Said

2017

E-BPJ

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Overweightness and obesity is a problem that has been rising in the Malaysian suburban environment. This study is conducted to evaluate the healthy food behavior, attitudes, knowledge and healthy environment of obese school children aged 10-11 years old. Obese school children received the nutritional educational program (NEP) comprised of a video, a comic reading session and a food selection game. The intervention resulted in a significant increase for healthy food behaviour, attitude and knowledge. However, there is an only minimal impact for a healthy environment. Overall, the results indicate that the nutritional educational program has positive impact in preventing obesity.

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Reliability and relative validity of a child nutrition questionnaire to simultaneously assess dietary patterns associated with positive energy balance and food behaviours, attitudes, knowledge and environments associated with healthy eating

Cited by 121 publications

References 27 publications

Validation of ‘POIBA-How do we eat?’ questionnaire in 9-10 years old schoolchildren

Validation of ‘POIBA-How do we eat?’ questionnaire in 9-10 years old schoolchildren

Measures of the home environment related to childhood obesity: a systematic review

Impact of the Nutritional Educational Program to the Healthy Food Behaviour, Knowledge, Attitude and Environment for Obese Children

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