Abstract
The purpose of this study was to assess the validity of MEDFICTS (Meats, Eggs, Dairy, Fried foods, fat In baked goods, Convenience foods, fats added at the Table, Snacks) questionnaire in Turkish population. MEDFICTS questionnaire is a brief dietary assessment tool developed as part of the National Cholesterol Education Program Adult Treatment Panel guidelines, and it measures the adherence to Step 1 and Step 2 diets that are recommended for the prevention and treatment of CVD. MEDFICTS questionnaire was administered with 3-d food record to compare overall dietary fat intake. This study was conducted at the Hacettepe University (Ankara, Turkey) in 2017. Subjects were university students, recruited from several departments of Hacettepe University by trained dietitians. A total of 442 adults (249 females and 194 males) between the ages of 18 and 31 years participated in the study. Students with CVD were excluded. Total fat intake ratio was higher than the recommended level for both males and females (39·4 % and 39·9 %, respectively). Mean MEDCISTS score was 66·3 ± 27·24 points. Total energy, total fat, SFA and cholesterol intakes from 3-d food records within the different MEDFICTS diet groups significantly differed (P < 0·001 for all). Receiver operating characteristics curve analysis demonstrated that a cut-off point of 60 showed 80 % sensitivity and 65 % specificity. Our data indicate that the MEDFICTS questionnaire is moderately accurate; however, sensitivity analysis did not demonstrate the recommended 40 points as an optimal cut-off point for Turkish population.
Highlights
MEDFICTS (Meats, Eggs, Dairy, Fried foods, fat In baked goods, Convenience foods, fats added at the Table, Snacks) is a brief dietary assessment tool developed as part of the National Cholesterol Education Program Adult Treatment Panel guidelines[12]
According to AHA guidelines, a diet pattern increasing the intake of fish, nuts, whole grains, fruits and vegetables, and legumes, decreasing the intake of Na and cholesterol, replacing saturated fats with polyunsaturated and monounsaturated fats, avoiding trans fats and limiting the intake of processed meats, refined carbohydrates and sweetened drinks may reduce the risk of CVD[17,18]
We compared the MEDFICTS questionnaire with 3-d food records to evaluate the validity of MEDFICTS in Turkish population
Summary
MEDFICTS (Meats, Eggs, Dairy, Fried foods, fat In baked goods, Convenience foods, fats added at the Table, Snacks) is a brief dietary assessment tool developed as part of the National Cholesterol Education Program Adult Treatment Panel guidelines[12]. We compared MEDFICTS questionnaire scores to total fat, SFA and cholesterol intake levels from 3-d food records in a group of university students without any CVD.
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