Development, reproducibility and validity of the food frequency questionnaire in the Poland arm of the Prospective Urban and Rural Epidemiological (PURE) study
How to cite this article: Dehghan M., Ilow R., Zatonska K., Szuba A., Zhang X., Mente A. & Regulska‐Ilow B. (2012) Development, reproducibility and validity of the food frequency questionnaire in the Poland arm of the Prospective
Urban and Rural Epidemiological (PURE) study. J Hum Nutr Diet. 25, 225–232 Abstract
Background: A food frequency questionnaire (FFQ) is the most commonly used method
in large epidemiological studies. The validation of an FFQ is essential for specific populations because foods are culture‐dependent. The present study aimed to develop an FFQ and evaluate its validity and reproducibility in estimating the intake of nutrients in urban and rural areas
Methods: Adult participants (n = 146) in the Polish arm of the ongoing Prospective Urban and Rural Epidemiological (PURE) study completed FFQs on two occasions, as well as four 24‐h dietary recalls (DRs) during a 12‐month period. Correlation
coefficients (r) and de‐attenuated correlation coefficients between dietary recalls and both FFQs were calculated for selected macro‐ and micronutrients. Agreement between the two methods was evaluated by classification into quartiles and the Bland–Altman method.
Reproducibility was assessed by the intra‐class correlation coefficient (ICC).
Results: The final food list contained 134 food items. For urban participants, FFQ2 generally underestimated energy, protein and fat compared to the FFQ1 and mean of DRs. In rural areas, compared
to DRs, both FFQs overestimated energy and macronutrients. For both urban and rural settings, de‐attenuated correlation exceeded 0.4 for almost all nutrients and the exact agreement in quartile categorisation was >66%. When assessing repeatability, ICC varied from 0.39–0.63
in an urban setting and 0.19–0.45 in a rural setting.
Conclusions: This 134‐item FFQ has good validity and reproducibility in relation to the reference method and can be used to rank individuals based on their macro‐ and micronutrient intake.
Document Type: Research Article
Department of Medicine, Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada
Department of Food Science and Dietetics, Wroclaw Medical University, Wroclaw, Poland
Department of Social Medicine, Wroclaw Medical University, Wroclaw, Poland
Department of Internal and Occupational Diseases and Hypertension, Wroclaw Medical University, Wroclaw, Poland
Department of Dietetics, Wroclaw Medical University, Wroclaw, Poland
Publication date: June 1, 2012