Adolescent food intake: Validation and calibration of a food frequency questionnaire in a complex sampling study

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.16075

Keywords:

Adolescents; Food frequency questionnaire (FFQ); Validation; Calibration; Complex sampling.

Abstract

Studies on dietary patterns depend on the validity of methods, such as the food frequency questionnaire (FFQ), to estimate long-term food intake, which can be overestimated, and the method needs to be validated. It is questioned whether validation studies nested in studies with complex sample design (CSD) should ignore data dependence. This study aims to validate the FFQ applied to school adolescents and estimate the calibration factors in a study with complex sampling. The validity of the FFQ is tested against dietary records (DR) applied to 85 adolescents in a study with CSD, with estimation of calibration factors (λ) for energy, nutrients, and dietary groups (DG). Intraclass correlation coefficient was calculated; mean differences were compared by modeling, and agreement analyzes were performed. The means between the methods differed for energy and nutrients (p <0.05), but four DG were similar. Limits of agreement were not acceptable for nutrients. Correlation coefficients of fiber, zinc, and fatty acids, adjusted for energy, ranged from 0.,16 to 0,.22 and for DG ranged from 0.07 to 0.36. The attenuation factors corroborated the differences (λ <0,40). The FFQ presented relative validity, especially for DG, and λ, which brought the FFQ estimates to FR, being relevant when nutrients are used in epidemiological analyzes. The adjustment of the analyzes by the CSD confirmed that the structure of data dependence must be considered, even in validation studies, and it should be avoided to treat such data as if they came from a simple random sample.

Author Biographies

Rosemary da Rocha Fonseca Barroso, Universidade Federal da Bahia

 

 de traduçãNutritionist (UFPA, 1991), Specialist in Food Technology (UFPA - 1998), Master in Food, Nutrition and Health (UFBA, 2007) and PhD in Public Health (Instituto de Saúde Coletiva / UFBA, 2017). She served as coordinator of the Collegiate of the Nutrition Course at UFBa, member of the Academic Teaching Council / UFBA, member of CONSEPE / UFBA and, effective advisor to the Federal and Regional Councils of Nutritionists (CRN-5). She worked as a nutritionist in the Collective Food area and as a consultant in the agroindustry of minimally processed vegetables. She has experience in the area of Nutrition, especially in the area of teaching, with an emphasis on Administration in Collective Food Services, Food Hygiene and Inspection, Food Technology and Development of new products. She works in research in the field of Epidemiology of population groups and participates in two Research Groups: GEPAC and WORKS.

Rosana Aquino, Universidade Federal da Bahia

Médica (UFBA), Mestre em Saúde Comunitária (UFBA) e Doutora em Saúde Pública (UFBA). Médica epidemiologista do quadro permanente do Instituto de Saúde Coletiva da Universidade Federal da Bahia (ISC-UFBA) e membro da Coordenação do Programa Integrado de Pesquisa e Cooperação Técnica em Formação e Avaliação da Atenção Básica desta instituição. Orienta alunos de iniciação científica, aperfeiçoamento, mestrado e doutorado. A sua principal linha de pesquisa é a avaliação da efetividade de intervenções e políticas públicas de saúde. Sua tese de doutorado intitulada "Programa Saúde da Família: determinantes e efeitos de sua implantação no Brasil", em 2008, obteve o primeiro lugar no Concurso Nacional de Experiências em Saúde da Família promovido pelo Ministério da Saúde e Menção Honrosa no Premio de Incentivo em Ciência e Tecnologia para o SUS 2006 e no Premio CAPES de Tese 2007. Foi Editora associada do Journal of Epidemiology and Community Health de março de 2008 a junho de 2011. Participa do Comitê Coordenador da Rede de Pesquisa em Atenção Primária em Saúde da Associação Brasileira de Pós-Graduação em Saúde Coletiva (ABRASCO), desde junho de 2010. Dentre as atividades de cooperação técnica, destacam-se as participações em projetos do ISC-UFBA com o Ministério da Saúde, que resultaram na criação do Sistema de Informação da Atenção Básica e outras ferramentas de monitoramento e avaliação, como a Avaliação Normativa do PSF e a construção de indicadores e instrumentos do Pacto de Indicadores da Atenção Básica.

Leila Denise Alves Ferreira Amorim, Universidade Federal da Bahia

Possui Bacharelado em Estatística pela Universidade Federal da Bahia (1996), Licenciatura em Ciências Biológicas pela Universidade Católica do Salvador (1993), Mestrado em Saúde Coletiva pela Universidade Federal da Bahia (2000), Doutorado (2006) e Pós-Doutorado (2012) em Bioestatística pela "The University of North Carolina (UNC) at Chapel Hill" (2006). Atualmente é Professora Associada do Departamento de Estatística,e docente do Programa de Pós-Graduação em Saúde Coletica do ISC na Universidade Federal da Bahia. Tem experiência na área de Estatística Aplicada, com ênfase em Bioestatística, atuando principalmente nos seguintes temas: modelagem multinível, análise de sobrevivência,análise de dados categorizados, modelagem com variáveis latentes, métodos quantitativos em Epidemiologia e análise de dados correlacionados.

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Published

09/06/2021

How to Cite

BARROSO, R. da R. F. .; AQUINO, R. .; AMORIM, L. D. A. F. Adolescent food intake: Validation and calibration of a food frequency questionnaire in a complex sampling study. Research, Society and Development, [S. l.], v. 10, n. 6, p. e5391016075, 2021. DOI: 10.33448/rsd-v10i6.16075. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16075. Acesso em: 13 nov. 2024.

Issue

Vol. 10 No. 6

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Health Sciences

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