Author, as appears in the article.: Martinez-Perez C; Daimiel L; Climent-Mainar C; Martínez-González MÁ; Salas-Salvadó J; Corella D; Schröder H; Martinez JA; Alonso-Gómez ÁM; Wärnberg J; Vioque J; Romaguera D; López-Miranda J; Estruch R; Tinahones FJ; Lapetra J; Serra-Majem L; Bueno-Cavanillas A; Tur JA; Sánchez VM; Pintó X; Delgado-Rodríguez M; Matía-Martín P; Vidal J; Vázquez C; Ros E; Basterra J; Babio N; Guillem-Saiz P; Zomeño MD; Abete I; Vaquero-Luna J; Barón-López FJ; Gonzalez-Palacios S; Konieczna J; Garcia-Rios A; Bernal-López MR; Santos-Lozano JM; Bes-Rastrollo M; Khoury N; Saiz C; Pérez-Vega KA; Zulet MA; Tojal-Sierra L; Ruiz ZV; Martinez MA; Malcampo M; Ordovás JM; San-Cristobal R
Department: Bioquímica i Biotecnologia
URV's Author/s: Babio Sánchez, Nancy Elvira / Martínez Rodríguez, María Ángeles / Salas Salvadó, Jorge
Keywords: Ultra-processed food Surveys and questionnaires Questionnaire Predimed-plus Nova Noncommunicable diseases Male Humans Highly processed food Frequency questionnaire Food processing-based classification Food handling Female Fast foods Diet, mediterranean Diet validation us questionnaire predimed-plus population obesity nutrition nova impact highly processed food health food processing-based classification diet adherence
Abstract: Recent lifestyle changes include increased consumption of highly processed foods (HPF), which has been associated with an increased risk of non-communicable diseases (NCDs). However, nutritional information relies on the estimation of HPF consumption from food-frequency questionnaires (FFQ) that are not explicitly developed for this purpose. We aimed to develop a short screening questionnaire of HPF consumption (sQ-HPF) that integrates criteria from the existing food classification systems.Data from 4400 participants (48.1% female and 51.9% male, 64.9 ± 4.9 years) of the Spanish PREDIMED-Plus ("PREvention with MEDiterranean DIet") trial were used for this analysis. Items from the FFQ were classified according to four main food processing-based classification systems (NOVA, IARC, IFIC and UNC). Participants were classified into tertiles of HPF consumption according to each system. Using binomial logistic regression, food groups associated with agreement in the highest tertile for at least two classification systems were chosen as items for the questionnaire. ROC analysis was used to determine cut-off points for the frequency of consumption of each item, from which a score was calculated. Internal consistency of the questionnaire was assessed through exploratory factor analysis (EFA) and Cronbach's analysis, and agreement with the four classifications was assessed with weighted kappa coefficients.Regression analysis identified 14 food groups (items) associated with high HPF consumption for at least two classification systems. EFA showed that items were representative contributors of a single underlying factor, the "HPF dietary pattern" (factor loadings around 0.2). We constructed a questionnaire asking about the frequency of consumption of those items. The threshold frequency of consumption was selected using ROC analysis. Comparison of the four classification systems and the sQ-HPF showed a fair to high agreement. Significant changes in lifestyle characteristics were detected across tertiles of the sQ-HPF score. Longitudinal changes in HPF consumption were also detected by the sQ-HPF, concordantly with existing classification systems.We developed a practical tool to measure HPF consumption, the sQ-HPF. This may be a valuable instrument to study its relationship with NCDs.Retrospectively registered at the International Standard Randomized Controlled Trial Registry ( ISRCTN89898870 ) on July 24, 2014.© 2022. The Author(s).
Thematic Areas: Saúde coletiva Planejamento urbano e regional / demografia Physiology Physical therapy, sports therapy and rehabilitation Nutrition and dietetics Nutrition & dietetics Nutrição Medicine (miscellaneous) Medicina ii Medicina i Engenharias iii Enfermagem Educação física Antropologia / arqueologia
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: mangeles.martinez@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
Author identifier: 0000-0001-8595-3772 0000-0003-2700-7459 0000-0003-3527-5277
Record's date: 2024-09-07
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01240-6
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: International Journal Of Behavioral Nutrition And Physical Activity. 19 (1): 6-6
APA: Martinez-Perez C; Daimiel L; Climent-Mainar C; Martínez-González MÁ; Salas-Salvadó J; Corella D; Schröder H; Martinez JA; Alonso-Gómez ÁM; Wärnberg J; (2022). Integrative development of a short screening questionnaire of highly processed food consumption (sQ-HPF). International Journal Of Behavioral Nutrition And Physical Activity, 19(1), 6-6. DOI: 10.1186/s12966-021-01240-6
Article's DOI: 10.1186/s12966-021-01240-6
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV