Author, as appears in the article.: Babio, N; de las Heras-delgado, S; De Miguel-Etayo, P; Pastor-Villaescusa, B; Leis, R; Garcidueñas-Fimbres, TE; Larruy-García, A; Navas-Carretero, S; Portoles, O; Flores-Rojas, K; Vázquez-Cobela, R; Shyam, S; Miguel-Berges, ML; Martínez, JA; Codoñer-Franch, P; Gil-Campos, M; Moreno, LA; Salas-Salvadó, J
Department: Bioquímica i Biotecnologia
URV's Author/s: Babio Sánchez, Nancy Elvira / De las Heras Delgado, Sara / GARCIDUEÑAS FIMBRES, TANY ELIZABETH / Salas Salvadó, Jorge / Shyam, Sangeetha
Keywords: Validity Reproducibly Food frequency questionnaire Dietary-intake Dietary assessment Children validity reproducibly habits ffq dietary assessment children
Abstract: A reliable food and beverage frequency questionnaire (F&B-FQ) to measure dietary intakes for children across Spain is currently unavailable. Thus, we designed and assessed the reproducibility and relative validity of a new F&B-FQ in 210 Spanish children aged 3-11 years. COME-Kids F&B-FQ contained 125 items to assess the usual diet intake in the past year among children. To explore the reproducibility, caregivers answered COME-Kids F&B-FQ twice over a 15-day period (± 1 week). To evaluate the relative validity, estimates from a third COME-Kids F&B-FQ administered at 1 year of follow-up were compared with the mean estimates from 3-day dietary records (3d-DR) collected at baseline, 6 months, and after 1 year of follow-up. Reproducibility and relative validity of the COME-Kids F&B-FQ in estimating food groups and nutrients were assessed using Pearson (r) and intra-class (ICC) correlation coefficients. We used the kappa index to evaluate the agreement in repeat administrations or with the 3d-DR. We used Bland-Altman plots to identify bias across levels of intake. A total of 195 children (105 boys, 90 girls) completed the study. The reproducibility of data estimated from COME-Kids F&B-FQ was substantial with mean r and ICC being 0.65 and 0.64 for food groups and 0.63 and 0.62 for nutrients, respectively. Validation assessments comparing the FFQ and 3d-DRs showed r = 0.36 and ICC = 0.30 for food groups and r = 0.29 and ICC = 0.24 for nutrients. The mean agreement for food group reproducibility and relative validity was 86% and 65%, respectively. These estimates were 85% for reproducibility and 64% for relative validity in the case of nutrients. For reproducibility and relative validity, the overall mean kappa index was 63% and 37% for all food groups and 52% and 27% for nutrients, respectively. Bland-Altman plots showed no specific bias relating to the level of intake of nutrients and several food groups.COME-Kids F&B-FQ showed substantial reproducibility and acceptable relative validity to assess food and beverage intake in Spanish children aged 3 to 11 years. Most children were correctly classified in relation to the intake of food groups and nutrients, and misclassification was unlikely with reference to 3d-DR.• The estimation of dietary intake in children is complex, especially in large cohorts. • The food frequency questionnaire is a well-recognized and the most frequently used method for assessing food consumption.• A new food and beverage frequency questionnaire including a beverage section and novel plant-based food items has been validated in Spanish children aged 3-11 years.© 2023. The Author(s).
Thematic Areas: Saúde coletiva Pediatrics, perinatology and child health Pediatrics Odontología Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Biotecnología
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: sangeetha.shyam@urv.cat sara.delasheras@urv.cat tanyelizabeth.garciduenas@urv.cat sara.delasheras@urv.cat tanyelizabeth.garciduenas@urv.cat tanyelizabeth.garciduenas@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
Author identifier: 0000-0003-2700-7459 0000-0003-3527-5277
Record's date: 2024-08-03
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: European Journal Of Pediatrics. 182 (12): 5577-5589
APA: Babio, N; de las Heras-delgado, S; De Miguel-Etayo, P; Pastor-Villaescusa, B; Leis, R; Garcidueñas-Fimbres, TE; Larruy-García, A; Navas-Carretero, S; (2023). Reproducibility and relative validity of a semi-quantitative food and beverage frequency questionnaire for Spanish children aged 3 to 11 years: the COME-Kids F&B-FQ. European Journal Of Pediatrics, 182(12), 5577-5589. DOI: 10.1007/s00431-023-05220-9
Entity: Universitat Rovira i Virgili
Journal publication year: 2023
Publication Type: Journal Publications
Repositori URV