Validation of a self-administered FFQ in adults in Argentina, Chile and Uruguay

Public Health Nutr. 2015 Jan;18(1):59-67. doi: 10.1017/S1368980013003431. Epub 2014 Jan 14.

Abstract

Objective: To assess the reproducibility and validity among adults in the Southern Cone of Latin America (Argentina, Chile and Uruguay) of a self-administered FFQ to be used in the CESCAS I Study, an ongoing observational prospective cohort study to detect and follow up CVD and their risk factors, as well as in other epidemiological studies.

Design: Relative validity of the FFQ was evaluated by comparing nutrient and selected food group intakes with those from three 24 h recalls (24HR) administered over 6 months. The FFQ was administered at baseline (FFQ1) and again after 3 months (FFQ2).

Setting: Primary-care centres in Argentina, Chile and Uruguay.

Subjects: Adults (n 147) aged 21-74 years.

Results: Reproducibility (FFQ1 v. FFQ2): the intra-class correlation coefficients for nutrients ranged from 0·52 (potassium) to 0·74 (fat). Validity (FFQ1 v. the average of three 24HR): the Pearson correlations for energy-adjusted nutrients ranged from 0·39 (thiamin and cholesterol) to 0·59 (carbohydrate). Joint classification: overall, 66 % of participants in the lowest 24HR quintile were in the lowest one or two FFQ1 quintiles, and 62 % of those in the highest 24HR quintile were in the highest one or two FFQ1 quintiles. On average, only 4 % were misclassified into extreme quintiles.

Conclusions: The FFQ version for the Southern Cone seems to present moderate to acceptable relative validity and reliability for its use in the CESCAS I Study to measure dietary exposure.

Keywords: FFQ; Reproducibility; Southern Cone of Latin America; Validity.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Argentina / epidemiology
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / ethnology
  • Cardiovascular Diseases / etiology
  • Chile / epidemiology
  • Cohort Studies
  • Diet / adverse effects
  • Diet / ethnology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Nutrition Policy*
  • Nutrition Surveys / methods*
  • Patient Compliance* / ethnology
  • Primary Health Care
  • Prospective Studies
  • Reproducibility of Results
  • Risk Factors
  • Self Report
  • Uruguay / epidemiology
  • Young Adult