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To evaluate the performance of a short dietary questionnaire, using weights to estimate nutrient intake.
Design
Using dietary data collected in 1993–1995 from a large cohort of French women, stepwise regression analysis was used to identify the food groups that best predicted nutrient intakes, resulting in a short list of twenty-three foods. This list was used to design a twenty-three-item dietary questionnaire. Nutrient intake was estimated from the answers to the twenty-three questions, applying weights to each response. Weights were calculated from the large database as regression coefficients of the nutrient intake against the twenty-three food groups. In 2005–2006, 103 women responded (at a 1-year interval) to both the short questionnaire and a previously validated dietary history questionnaire. Intakes of twenty nutrients and energy estimated from these two questionnaires were compared.
Setting
French adult female population.
Subjects
For developing the instrument, 73 034 women aged 41–72 years; for testing, 103 women aged 55–80 years in 2005.
Results
Mean nutrient intakes generally differed by less than 10 % between the two methods. Correlation coefficients of nutrient intakes ranged from 0·23 for vitamin D to >0·65 for Mg, vitamin B3 and alcohol. For most nutrients, at least 70 % of subjects fell into the same or an adjacent quintile when classified by either of the two questionnaires.
Conclusions
In light of both its strengths and limitations, this short questionnaire could be used in French adult women to obtain some general nutritional information, notably for adjustment purposes when response to an extensive questionnaire cannot be obtained.
To assess the short- and long-term reproducibility of a short food group questionnaire, and to compare its performance for estimating nutrient intakes in comparison with a 7-day diet diary.
Design
Participants for the reproducibility study completed the food group questionnaire at two time points, up to 2 years apart. Participants for the performance study completed both the food group questionnaire and a 7-day diet diary a few months apart. Reproducibility was assessed by kappa statistics and percentage change between the two questionnaires; performance was assessed by kappa statistics, rank correlations and percentages of participants classified into the same and opposite thirds of intake.
Setting
A random sample of participants in the Million Women Study, a population-based prospective study in the UK.
Subjects
In total, 12 221 women aged 50–64 years.
Results
In the reproducibility study, 75% of the food group items showed at least moderate agreement for all four time-point comparisons. Items showing fair agreement or worse tended to be those where few respondents reported eating them more than once a week, those consumed in small amounts and those relating to types of fat consumed. Compared with the diet diary, the food group questionnaire showed consistently reasonable performance for the nutrients carbohydrate, saturated fat, cholesterol, total sugars, alcohol, fibre, calcium, riboflavin, folate and vitamin C.
Conclusions
The short food group questionnaire used in this study has been shown to be reproducible over time and to perform reasonably well for the assessment of a number of dietary nutrients.
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