Reliability and Validity of Child/Adolescent Food Frequency Questionnaires That Assess Foods and/or Food Groups

Kolodziejczyk, Julia K.; Merchant, Gina; Norman, Gregory J.

doi:10.1097/mpg.0b013e318251550e

Cited by 91 publications

(127 citation statements)

References 50 publications

Supporting

Mentioning

121

Contrasting

Unclassified

Order By: Relevance

“…This correlation is similar to some, 25 yet lower than other, 26 testeretest studies in children, but considerable differences in research contexts, study designs, and outcome measures can explain this. Previous review studies have shown that reliability correlations for food frequency questionnaires among school-age children vary considerably, 27,28 confirming instrument and setting effects. Our finding that the reliability coefficient was nonsignificant for boys yet highly significant for girls suggested a nonequal distribution of the measurement error among participants.…”

Section: Discussionmentioning

confidence: 85%

“…The usefulness of a combination of statistical methods in dietary validation that was demonstrated in this study has been highlighted by other researchers. 28,40 The diagnostic accuracy of the modified MEDFICTS dietary fat screener points to higher sensitivity at the expense of specificity. For this reason the modified MEDFICTS dietary fat screener performed well in correctly identifying those children who had high fat intakes, but was not able to correctly identify those with prudent fat intakes.…”

Section: Discussionmentioning

confidence: 99%

“…28,35 Dietary assessment is critical yet remains challenging, particularly amongst children, where cognitive factorsspecifically to record, remember, or generalize intake-as well as restricted knowledge of food and food preparation, limited motivation, and attention span are well-documented child-specific respondent factors that can contribute to error. 27,28,37 True inter-and intraindividual variability are also important. In 5-to 17-year-old children the ratio of intra-to intersubject variances in intake was about twice that observed in adults.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Reliability and Validity of a Modified MEDFICTS Dietary Fat Screener in South African Schoolchildren Are Determined by Use and Outcome Measures

Wenhold¹,

MacIntyre²,

Rheeder³

2014

Journal of the Academy of Nutrition and Dietetics

View full text Add to dashboard Cite

Background In South Africa, noncommunicable diseases and obesity are increasing and also affect children. No validated assessment tools for fat intake are available. ObjectiveTo determine test-retest reliability and relative validity of a pictorial modified meats, eggs, dairy, fried foods, fats in baked goods, convenience foods, table fats, and snacks (MEDFICTS) dietary fat screener.Design We determined test-retest reliability and diagnostic accuracy with the modified MEDFICTS as the index test and a 3-day weighed food record and parental completion of the screener as primary and secondary reference methods, respectively.Participants/setting Grade-six learners (aged 12 years, 4 months) in an urban, middleclass school (n=93) and their parents (n=72).Outcome measures Portion size, frequency of intake, final score, and classification of fat intake of the modified MEDFICTS, and percent energy from fat, saturated fatty acids, and cholesterol of the food record. Statistical analyses For categorical data agreement was based on kappa statistics,McNemar's test for symmetry, and diagnostic performance parameters. Continuous data were analyzed with correlations, mean differences, the Bland-Altman method, and receiver operating characteristics. ResultsThe classification of fat intake by the modified MEDFICTS was test-retest reliable.Final scores of the group did not differ between administrations (P=0.86). The correlation of final scores between administrations was significant for girls only (r=0.58; P=0.01). Reliability of portion size and frequency of intake scores depended on the food category. For girls the screener final score was significantly (P<0.5) correlated to total, saturated fat, and cholesterol intakes (but not to percentenergy from fat and saturated fatty acids intakes). The sensitivity of the modified MEDFICTS was very high (>90%), but chance corrected agreement between the classifications was poor. Parents did not agree with their children.

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reliability and Validity of a Modified MEDFICTS Dietary Fat Screener in South African Schoolchildren Are Determined by Use and Outcome Measures

Wenhold¹,

MacIntyre²,

Rheeder³

2014

Journal of the Academy of Nutrition and Dietetics

View full text Add to dashboard Cite

show abstract

“…While the FFQ did not include measures of portion size, frequency of consumption is a major determinant of intake (55) . FFQ have been used previously in adolescents (37,56,57) . However, previous FFQ developed for use in adolescent populations have included flavoured milk along with plain milk to calculate total milk consumption to reflect the eating habits of adolescents (e.g.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Socio-economic differences in predictors of frequent dairy food consumption among Australian adolescents: a longitudinal study

Stephens

McNaughton

Crawford

et al. 2015

Public Health Nutr.

View full text Add to dashboard Cite

Objective: Sufficient dairy food consumption during adolescence is necessary for preventing disease. While socio-economically disadvantaged adolescents tend to consume few dairy foods, some eat quantities more in line with dietary recommendations despite socio-economic challenges. Socio-economic variations in factors supportive of adolescents' frequent dairy consumption remain unexplored. The present study aimed to identify cross-sectional and longitudinal associations between intrapersonal, social and environmental factors and adolescents' frequent dairy consumption at baseline and two years later across socio-economic strata, and to examine whether socio-economic position moderated observed effects. Design: Online surveys completed at baseline (2004)(2005) and follow-up (2006-2007) included a thirty-eight-item FFQ and questions based on social ecological models examining intrapersonal, social and environmental dietary influences. Setting: Thirty-seven secondary schools in Victoria, Australia. Subjects: Australian adolescents (n 1201) aged 12-15 years, drawn from a sub-sample of 3264 adolescents (response rate = 33 %). Results: While frequent breakfast consumption was cross-sectionally associated with frequent dairy consumption among all adolescents, additional associated factors differed by socio-economic position. Baseline dairy consumption longitudinally predicted consumption at follow-up. No further factors predicted frequent consumption among disadvantaged adolescents, while four additional factors were predictive among advantaged adolescents. Socio-economic position moderated two predictors; infrequently eating dinner alone and never purchasing from school vending machines predicted frequent consumption among advantaged adolescents. Conclusions: Nutrition promotion initiatives aimed at improving adolescents' dairy consumption should employ multifactorial approaches informed by social ecological models and address socio-economic differences in influences on eating behaviours; e.g. selected intrapersonal factors among all adolescents and social factors (e.g. mealtime rules) among advantaged adolescents.

show abstract

“…Better correlation coefficients between FFQs and reference methods have been reported in studies that ask no portion sizes, measure a short period of time (previous day or week) and for whom the number of questionnaire items is limited to 20-60 items. 4 Sex, education, weight status, 2 culture 5 and ethnic group 6 are factors which may be related to the validity of FFQs. Also, misreporting based on social desirability has been observed among adults 7 as well as among children.…”

Section: Introductionmentioning

confidence: 99%

The reliability and validity of a short food frequency questionnaire among 9–11-year olds: a multinational study on three middle-income and high-income countries

et al. 2015

View full text Add to dashboard Cite

OBJECTIVE:The main aim of this study was to assess the reliability and validity of a food frequency questionnaire with 23 food groups (I-FFQ) among a sample of 9-11-year-old children from three different countries that differ on economical development and income distribution, and to assess differences between country sites. Furthermore, we assessed factors associated with I-FFQ's performance. METHODS: This was an ancillary study of the International Study of Childhood Obesity, Lifestyle and the Environment. Reliability (n = 321) and validity (n = 282) components of this study had the same participants. Participation rates were 95% and 70%, respectively. Participants completed two I-FFQs with a mean interval of 4.9 weeks to assess reliability. A 3-day pre-coded food diary (PFD) was used as the reference method in the validity analyses. Wilcoxon signed-rank tests, intraclass correlation coefficients and cross-classifications were used to assess the reliability of I-FFQ. Spearman correlation coefficients, percentage difference and crossclassifications were used to assess the validity of I-FFQ. A logistic regression model was used to assess the relation of selected variables with the estimate of validity. Analyses based on information in the PFDs were performed to assess how participants interpreted food groups. RESULTS: Reliability correlation coefficients ranged from 0.37 to 0.78 and gross misclassification for all food groups was o5%. Validity correlation coefficients were below 0.5 for 22/23 food groups, and they differed among country sites. For validity, gross misclassification was o 5% for 22/23 food groups. Over-or underestimation did not appear for 19/23 food groups. Logistic regression showed that country of participation and parental education were associated (P ⩽ 0.05) with the validity of I-FFQ.

show abstract

Reliability and Validity of Child/Adolescent Food Frequency Questionnaires That Assess Foods and/or Food Groups

Abstract: There are design and administration features of child/adolescent FFQs that should be considered to obtain reliable and valid estimates of dietary intake in this population.

Cited by 91 publications

References 50 publications

Reliability and Validity of a Modified MEDFICTS Dietary Fat Screener in South African Schoolchildren Are Determined by Use and Outcome Measures

Reliability and Validity of a Modified MEDFICTS Dietary Fat Screener in South African Schoolchildren Are Determined by Use and Outcome Measures

Socio-economic differences in predictors of frequent dairy food consumption among Australian adolescents: a longitudinal study

The reliability and validity of a short food frequency questionnaire among 9–11-year olds: a multinational study on three middle-income and high-income countries

Contact Info

Product

Resources

About