Quantitative Food Frequency Questionnaire Research Articles

Diet Quality and Glycemic Control in Patients with Type 2 Diabetes

BackgroundThe overall diet quality of individuals and populations can be assessed by dietary indexes based on information from food surveys. Few studies have evaluated the diet quality of individuals with type 2 diabetes or its potential associations with glycemic control. ObjectiveTo evaluate the relationship between diet quality and glycemic control. DesignCross-sectional study with consecutive enrollment from 2013 to 2016. ParticipantsOutpatients with type 2 diabetes treated at a university hospital in southern Brazil. Main outcome measuresDietary information was obtained by a quantitative food frequency questionnaire validated for patients with diabetes. Overall diet quality was evaluated by the Healthy Eating Index 2010. Glycemic control was assessed by fasting plasma glucose and glycated hemoglobin. Statistical analysesA receiver operating characteristic curve was constructed to find the optimal Healthy Eating Index cutoff point to discriminate diet quality, considering good glycemic control as glycated hemoglobin level <7%. Patients were then classified as having lower vs higher diet quality, and the two groups were compared statistically. Logistic regression models were constructed with glycated hemoglobin level ≥7% as the dependent variable, adjusted for age, current smoking, diabetes duration and treatment, physical activity, body mass index, high-density lipoprotein cholesterol level, and energy intake. ResultsA total of 229 patients with type 2 diabetes (median age=63.0 years [interquartile range=58.0 to 68.5 years]; diabetes duration=10.0 years [interquartile range=5 to 19 years]; body mass index 30.8±4.3; and glycated hemoglobin=8.1% [interquartile range=6.9% to 9.7%]) were evaluated. A Healthy Eating Index score >65% yielded the best properties (area under the receiver operator characteristic curve=0.60; sensitivity=71.2%; specificity=52.1%; P=0.018). Patients with lower-quality diets were younger and more likely to be current smokers than patients with higher-quality diets. After adjusting for confounders, patients with lower-quality diets had nearly threefold odds of poorer glycemic control (2.92; 95% CI 1.27 to 6.71; P=0.012) than those in the higher-quality diet group. ConclusionsLower diet quality, defined as an Healthy Eating Index 2010 score <65%, was associated with poor glycemic control in this sample of outpatients with type 2 diabetes.

The Difference of Sodium Intake, Physical Activities and Psychological Problems of Patients Suffering from Hypertension in Rural and Urban Areas

Introduction: The patients suffering from hypertension require treatment to prevent the complications by performing both pharmacological and non-pharmacological hypertension management. This research aims at revealing the difference of sodium intake, physical activities, and psychological problems in patients suffering from hypertension in rural and urban areas. Methods: This descriptive-quantitative research employs a cross sectional design. The research was conducted at Gondokusuman Community Health Center 1 as the representation from the urban areas and Cangkringan Community Health Center as the representation from the rural areas. There were 81 patients from rural areas and 74 from urban areas. Data were collected using a consecutive sampling technique with Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), Global Physical Activity Questionnaire (GPAQ) and Depression, Anxiety, Stress Scale 42 (DASS 42). The data analysis was conducted using both chi-square test and independent t-test. Results: The result of independent t-test for sodium intake was at p = 0.669 (p &gt; 0.005). The result of analysis using chi-square test for physical activity was at p = 0.000 (p &lt; 0.05). The result of analysis using chi-square test for depression level is at p = 0.964 (p &gt; 0.05), anxiety level at p = 0.005 (p &lt; 0.05) and stress level at p = 0.846 (p &gt; 0.05). Conclusions: There are some differences in physical activities and anxiety levels in patients suffering from hypertension in rural and urban areas.

PERBEDAAN ASUPAN MAKRONUTRIEN MAHASISWA ASING SEBELUM DAN SAAT TINGGAL DI SURABAYA, INDONESIA

Population transfers between countries occur a lot, especially because of education. There are m any international students in various parts of the world, including in Surabaya, Indonesia. E nvironment al difference s cause change s in the eating habits that affect the amount of macronutrients intake among international students. The aims of this research was to analyze the difference s of macronutrients intake among international students before and while li ve in Surabaya. This study was a cross-sectional design with 30 samples. Data were collected by in-depth interviews, the Dietary History instruments and Semi Quantitative Food Frequency Questionnaire through interview . Data were analized by t-test through the SPPS application . The results show ed that there were difference s in macronutrient intake of international students before and during their stay in Surabaya (p<0,005). The re was a decrease in the average intake of energy, proteins, fat, and carbohydrate s. It was due to inadequate access to food , often skipping meals, and can not accept the taste of Indonesian cuisine . Frequency and number of food portions of international s tudents need to be increase d. In addition, assistance from the universit ies are needed to increase access to food for international students.

Kecenderungan dehidrasi pada remaja obesitas

Background : The content of water in fat cells in obese people is lower than muscle cells so that obese people are more easily dehydrated.Objective : The purpose of this study is to determine the risk factors of dehydration in adolescents.Methods : This study was a cross sectional study which began with screening of 168 students at SMA N 1 and 2 Semarang and found 63 students fulfilled the inclusion criteria. Subjects were selected by consecutive sampling. The dependent variable of this study is hydration status measured by the urine spesific gravity method. The independent variables consisted of obesity status that determined by the BMI/Age Z-score value, fluid intake was assessed using Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was assessed using physical activity questionnaire, whereas knowledge regarding fluid was assessed by questionnaire. Data were analyzed using Chi Square test.Results ; There were 52,4% (n=33) subjects who were obese and only 9,5% (n=6) subjects were well-hydrated. The incidence of dehydration in obese adolescents (63,6%) was higher than non obese adolescents (36,7%). Obese subjects was 1.73 times more dehydrated than non obese subjects. Subject with deficiency of fluid intake was 1,85 times more dehydrated than subject with adequate fluid intake. Knowledge regarding fluid and physical activity was not a risk factor for dehydration in adolescents.Conclusion :Obesity and inadequate fluid intake ia risk factor for dehydration in adolescents

The association of dietary patterns with migraine attack frequency in migrainous women

ABSTRACT Objectives: Migraine is a debilitating neurovascular disorder. The relation of diets and migraine is a controversial topic yet. This study assessed the association of dietary patterns of migrainous women with attack frequency. Methods: In this cross sectional study 285 volunteer migrainous women (25–55 years old) based on the third edition of International Classification of Headache Disorders (ICHD-3) recruited from neurology clinics of Golestan Hospital in Ahwaz, Iran. For collecting the data, the patients were interviewed. Dietary patterns of participants were assessed using a validated semi quantitative food frequency questionnaire which included 168 food items. Extraction of dietary patterns was performed using factor analysis. The association between dietary patterns and migraine attack frequency was analyzed by ordinal regression. Results: Two major dietary patterns which were extracted include the “western” and the “healthy” patterns. After adjustment for confounders, subjects with high adherence to healthy pattern had lower attack frequency (OR: 1.09; 95% CI: [0.51–2.25]; P for trend = 0.04); whereas, subjects with high adherence to western pattern had more attack frequency (OR: 0.89; 95% CI: [0.42–1.88]; P for trend = 0.02) significantly. Conclusions: Based on the results, adherence to healthy dietary pattern in migrainous women may be effective in controlling migraine attacks.

Development and validation of a quantitative choline food frequency questionnaire for use with drinking and non-drinking pregnant women in Cape Town, South Africa

BackgroundAlthough animal and human studies have demonstrated interactions between dietary choline and fetal alcohol spectrum disorders, dietary choline deficiency in pregnancy is common in the US and worldwide. We sought to develop and validate a quantitative food frequency questionnaire (QFFQ) to estimate usual daily choline intake in pregnant mothers.MethodsA panel of nutrition experts developed a Choline-QFFQ food item list, including sources with high choline content and the most commonly consumed choline-containing foods in the target population. A data base for choline content of each item was compiled. For reliability and validity testing in a prospective longitudinal cohort, 123 heavy drinking Cape Coloured pregnant women and 83 abstaining/light-drinking controls were recruited at their first antenatal clinic visit. At 3 prenatal study visits, each gravida was interviewed about alcohol, smoking, and drug use, and administered a 24-hour recall interview and the Choline-QFFQ.ResultsAcross all visits and assessments, > 78% of heavy drinkers and controls reported choline intake below the Dietary Reference Intakes adequate intake level (450 mg/day). Women reported a decrease in choline intake over time on the QFFQ. Reliability of the QFFQ across visits was good-to-acceptable for 2 of 4 group-level tests and 4 of 5 individual-level tests for both drinkers and controls. When compared with 24-hr recall data, validity of the QFFQ was good-to-acceptable for 3 of 4 individual-level tests and 3 of 5 group-level tests. For controls, validity was good-to-acceptable for all 4 individual-level tests and all 5 group-level tests.ConclusionsTo our knowledge, this is the first quantitative choline food frequency screening questionnaire to be developed and validated for use with both heavy and non-drinking pregnant women and the first to be used in the Cape Coloured community in South Africa. Given the high prevalence of inadequate choline intake and the growing evidence that maternal choline supplementation can mitigate some of the adverse effects of prenatal alcohol exposure, this tool may be useful for both research and future clinical outreach programs.

Unscrambling the relations of egg and meat consumption with type 2 diabetes risk

ABSTRACTBackgroundMeat intake is associated with increased risk of type 2 diabetes (T2D). It is not clear if egg intake is associated with T2D risk because purported associations may be due to concurrent consumption of eggs with meat.ObjectiveOur aim was to differentiate any associations between meat and egg consumption and the risk of T2D.DesignIn this longitudinal study, 55,851 participants of the Adventist Health Study 2 who were free of diabetes provided demographic, anthropometric, and dietary data at baseline. Meat and egg intakes were assessed with a validated quantitative food-frequency questionnaire. Responses to 2 follow-up questionnaires determined incident T2D cases. Multivariate-adjusted logistic regression was used to determine relations between meat and egg intake and incident T2D.ResultsT2D cases identified during a mean 5.3 y of follow-up totaled 2772. Meat intake of >0 to <25 g/d, ≥25 to <70 g/d, and ≥70 g/d significantly increased the risk of T2D compared with no meat intake (OR: 1.29; 95% CI: 1.16, 1.44; OR: 1.42; 95% CI: 1.25, 1.61; and OR: 1.65; 95% CI: 1.39, 1.96, respectively; P-trend < 0.0001). Egg intake compared with no egg intake was not associated with T2D risk. A significant meat-egg interaction (P = 0.019) showed that within every category of egg intake, there was an incremental rise in T2D risk as meat intake increased. However, within categories of meat intake, increasing egg intake did not increase the risk of T2D except among nonmeat-eaters consuming ≥5 eggs/wk (OR: 1.52; 95% CI: 1.09, 2.12).ConclusionsMeat consumption, but not egg consumption, is independently associated with T2D risk. Egg intake seems not to increase T2D risk further with meat intake. Our findings suggest that the purported egg-T2D risk relation in US populations may be biased due to failure to investigate egg-meat interactions. Further investigations are needed to ascertain T2D risk among nonmeat-eaters with high egg intakes.

Diet quality measured by four a priori-defined diet quality indices is associated with lipid-soluble micronutrients in the Multiethnic Cohort Study (MEC).

Background/ObjectivesThis study examined the long-term relation of lipid-soluble micronutrients with diet quality as assessed by four a priori-defined dietary patterns.Subjects/MethodsIn a prospective design, nutritional biomarkers (carotenoids, tocopherols, retinol, and coenzyme Q10) were measured using a validated HPLC based assay. General linear models were applied to obtain covariate-adjusted means of biomarkers for tertiles of 4 a priori diet quality indices: Healthy Eating Index (HEI) 2010, Alternative HEI (AHEI) 2010, Alternate Mediterranean Diet Score (aMED), and Dietary Approaches to Stop Hypertension (DASH). For a subcohort of 8 367 participants within the Multiethnic Cohort (MEC), diet was assessed by a validated quantitative food frequency questionnaire in 1993–96 and serum was collected in 2001–06.ResultsParticipants with the highest diet quality scores had significantly higher serum concentrations of all carotenoids, total tocopherols, and α-tocopherol, while γ-tocopherol was inversely associated with diet quality. Adjusted means for the lowest vs. highest tertile of HEI 2010 were 1.2 vs. 1.5 mg/L for total carotenoids, 11.4 vs. 12.3 mg/L for total tocopherols, and 1.9 vs. 1.6 mg/L for γ-tocopherol (ptrend<0.0001). The associations for the other dietary indices were similar; no indication for sex and ethnic differences was detected. Vegetable and fruit components were major predictors of most circulating micronutrients, but most other components were also associated.ConclusionsHigher diet quality scores measured by four a priori diet quality indices were significantly associated higher serum concentrations of carotenoids and α-tocopherol, while γ-tocopherol was inversely associated with diet quality.

Asupan mikronutrien sebagai faktor risiko kejadian sindrom pramenstruasi pada wanita vegetarian

Background : Inadequate of vitamin B6, magnesium, zinc, and calcium intake and a lower body mass index can lead to Premenstrual syndrome (PMS) in vegetarian woman. The objective of this study was to determine the association between micronutrients intake, nutritional status and PMS among vegetarian women.Objectives : The objective of this study was to determine the association between micronutrients intake, nutritional status and PMS among vegetarian women.Methods : A cross sectional study was conducted to 44 vegetarians women.Subjects of this study were collected consecutively. Dietary intake were measured by Semi Quantitative Food Frequency Questionnaire (SQFFQ). Score of PMS were measured by Shortened Premenstrual Assessment Form (sPAF).Physical activity were measured by International Physical Activity Questionnaire (IPAQ). Score of stress level were measured by International Physical Activity Questionnaire (PSS-10). Data were analyzed by Chi Square test and ratio prevalence to determine the risk factor.Results : There were 54.55% of subject have a moderate PMS level. There were a correlation between vitamin B6 and PMS (p=0.019;RP=2.96;95%CI=0.9-10), magnesium and PMS (p=0.033;RP=3.8;95%CI=0.6-23), zinc and PMS (p=0.002;RP=6.17;95%CI=0.9-39), physical activity and PMS (p=0.033;RP=3.79;95%CI=0.6-23), stress level and PMS(p=0.045;RP=0.39;95%CI=0.1-1.3). There were no correlation between calcium intake and PMS (p=0.211;RP=1.816;95%;CI=0.569-5.794), BMI and PMS (p=0.355;RP=0.753;95 %; CI=1.443).Conclusion : Intake of vitamin B6, magnesium and zinc, physical activity and stress level were correlated to PMS. Calcium intake and BMI were not correlated to PMS.

Association between dietary total antioxidant capacity and hepatocellular ballooning in nonalcoholic steatohepatitis: a cross-sectional study.

Nonalcoholic steatohepatitis (NASH) is characterized by steatosis, lobular inflammation, ballooning, and in some cases, fibrosis, which can progress to cirrhosis and carcinoma. The progression of NASH is closely related to oxidative stress. Dietary intake of antioxidants has been suggested in protection against oxidative damage and related clinical complications. Thus, we evaluated the potential association of dietary total antioxidant capacity (TAC) with disease severity in NASH patients, as well as with anthropometric and body composition markers and biochemical parameters. Thirty-three outpatients with a mean age of 48.4 ± 1.9years were evaluated. Dietary TAC was estimated from a quantitative food frequency questionnaire. NASH severity, determined by liver biopsy, lifestyle characteristics, occurrence of comorbidities, anthropometry, body composition, and biochemical parameters were assessed. NASH patients who had a higher dietary TAC had fewer ballooned hepatocytes compared to those with a lower TAC (p = 0.024). The patients with the highest dietary TAC had a reduction of approximately 20% in the risk of having many ballooned hepatocytes (OR 0.791; 95% CI 0.643-0.974; p = 0.027). There was no association of steatosis, lobular inflammation, and fibrosis with dietary TAC. The same occurred for lifestyle characteristics, occurrence of comorbidities, anthropometry, body composition, and biochemical parameters. Dietary TAC is higher in patients with lower hepatic injury (ballooning), suggesting a possible role of food intake naturally high in its antioxidant capacity in reducing free radical production and, consequently, oxidative stress.

Validity and Reproducibility of a Food Frequency Questionnaire for Children

Introdução: Um Questionário de Frequência Alimentar Quantitativo (QUEFAC) foi construído por Hinnig et al. para avaliar a dieta habitual de crianças de 7 a 10 anos, uma vez que os desenvolvidos para adultos podem superestimar o consumo de crianças. Porém, precisa ser testado quanto sua validade e reprodutibilidade para se afirmar que o instrumento apresenta qualidade reconhecida. Objetivo: Avaliar a reprodutibilidade e a validade do QUEFAC em crianças de 7 a 10 anos. Método: A reprodutibilidade foi realizada com 89 crianças que responderam a dois QUEFAC’s. A validade foi realizada com 167 crianças que responderam a três Recordatórios de 24 horas (método de referência) e a um QUEFAC. Para avaliação, utilizaram-se o teste t pareado e Wilcoxon, os coeficientes de correlação intraclasse e Kappa ponderado e análise dos gráficos de Bland-Altman.Resultados: Para reprodutibilidade, observou-se diferença de médias para todos os nutrientes investigados, os coeficientes de correlação variaram de 0,12 a 0,54 e os valores de Kappa de 0,01 a 0,39. Na validade, observou-se diferença de média para todos os nutrientes, com exceção da energia e zinco, os coeficientes de correlação variaram de 0 a 0,37, valores de Kappa de 0 a 0,27 e gráficos de Bland-Altman mostraram distribuição aleatória para a maioria dos nutrientes investigados. Conclusão: O QUEFAC não se mostrou válido para avaliação da dieta habitual dos últimos três meses em crianças de 7 a 10 anos em São Paulo e apresentou moderada reprodutibilidade para energia, proteínas, cálcio, fósforo, ferro, potássio, magnésio e vitamina B2.

Omega 3 Consumption and Anxiety Disorders: A Cross-Sectional Analysis of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Few studies have evaluated the association between diet and mental disorders, and it has been established that ω-3 (n-3) fatty acids may have a beneficial effect for sufferers of anxiety disorders. This study is part of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)—a population-based cohort study on diet and mental health—and searched for associations between anxiety disorders and consumption of n-3 polyunsaturated fatty acids (PUFA). The study had a cross-sectional design, with a total sample of 12,268 adults. Dietary exposure was measured by a quantitative food-frequency questionnaire, and mental diagnoses were assessed by the Clinical Interview Schedule—Revised Version and diagnosed according to the International Classification of Diseases (ICD-10). Logistic regression models were built using quintiles of n-3, ω 6 (n-6), n-6/n-3 ratio, and PUFA, using the 1st quintile as reference. Anxiety disorders were identified in 15.4% of the sample. After adjusting for sociodemographic variables, cardiovascular risk factors, diet variables, and depression, intakes in the 5th quintile were inversely associated with anxiety disorders for EPA (OR = 0.82, 95% CI = 0.69–0.98), DHA (OR = 0.83, 95% CI = 0.69–0.98), and DPA (OR = 0.82, 95% CI = 0.69–0.98). Participants in the fifth quintile of n-6/n-3 ratio had a positive association with anxiety disorders. Although results suggest a possible protective effect of n-3 fatty acids against anxiety, all associations lost significance after adjustment for multiple comparisons.

Intake of cocoa products and risk of type-2 diabetes: the multiethnic cohort.

As cocoa products may be protective against chronic disease due to their polyphenol content, the current study determined the association of chocolate consumption and flavanol intake with type-2 diabetes (T2D) incidence in the Multiethnic Cohort (MEC) Study. The analysis included 151,691 participants of Native Hawaiian, Japanese American, Latino, African American, and white ancestry with 8487 incident T2D cases after 7.8 ± 3.5 years of follow-up. T2D status was based on three self-reports and confirmed by at least one of three administrative data sources. Dietary intake was assessed using a validated quantitative food frequency questionnaire, and flavanols from cocoa products were estimated from self-reported consumption of chocolate candy and drinks. Cox hazard regression, adjusted for potential confounders was applied to estimate hazard ratios (HR) and 95% confidence intervals (CI). For chocolate candy, both the highest vs. lowest (≥10 vs. <1 g/day) consumption (HR = 0.90; 95% CI, 0.83-0.97; ptrend = 0.01) and the frequency (≥4/week vs. <1/month) of intake (HR = 0.81; 95% CI, 0.72-0.91; ptrend = 0.0002) were inversely associated with T2D. The estimated flavanol intake from cocoa products (≥3 vs. <1 mg/day) also showed an inverse association with T2D risk (HR = 0.93; 95% CI, 0.88-0.99; ptrend = 0.02). Significant interaction terms indicated that the inverse relation was limited to Japanese Americans, normal-weight individuals, and to those without comorbidities. The current study confirms previous reports that participants with high intake of chocolate products and cocoa-derived flavanols experience a reduced risk of developing T2D even after controlling for sugar intake, diet quality, and other aspects of the diet.

A Cross-sectional Study of Nutritional Status, Diet, and Dietary Restrictions Among Persons With an Ileostomy or Colostomy

Little is known about the nutritional status and dietary habits of persons with an intestinal stoma, and no specific dietary guidelines have been established. A cross-sectional study was conducted among patients of a Stoma Patient Health Care Service in Juiz de Fora, Brazil, to compare the nutritional status of persons with an ileostomy or colostomy and to evaluate which foods are avoided most frequently and why. Anthropometric measurements (weight, height, arm circumference, and triceps and subscapular skinfold thickness) and body fat were assessed. Habitual dietary intake (energy, protein, carbohydrate, fiber, fat, calcium, iron, sodium, potassium, thiamin, riboflavin, vitamin B6, vitamin B3 [niacin], and vitamin B12) was assessed using a validated quantitative food frequency questionnaire. Foods avoided and reasons for avoidance (increased odor, increased gas, increased output, constipation, appliance leakage, and feelings regarding leaving home) were assessed. All data were collected without personal identifiers and stored in electronic files. Data were analyzed descriptively, and the Student's t test or Mann-Whitney test was used to compare the groups. Chi-squared analysis with Yates' continuity correction or Fisher's exact test was employed to examine the differences in the frequency of avoided foods by reasons for avoidance between the 2 groups. Of the 103 participants (52 [50.5%] men, 51 [49.5%] women; mean age 60.5 ± 12.9 years); 63 (61.2%) had a colostomy and 40 (38.8%) had an ileostomy. For both groups combined, time since surgery ranged from 1 to 360 months. Anthropometric measurements and body composition did not suggest nutritional deficiencies and did not differ significantly between groups. Persons with an ileostomy had a significantly lower fat and niacin intake than persons with a colostomy (P <.05). No other dietary intake differences were observed. Avoiding foods due to appliance leakage was more common among participants with an ileostomy (8, 20%) than a colostomy (3, 4.8%), and vegetables and fruits were reported as the most problematic foods. None of the other cited reasons was significantly different. The results of this study confirm that many persons with a stoma adjust their dietary intake and avoid certain foods which, especially in persons with an ileostomy, may increase their risk for nutritional deficiencies. Additional research to assess dietary intake and nutritional status variables as well as patient needs is needed to facilitate the development of specific nutritional status monitoring and dietary recommendations for persons with an ileostomy or colostomy.

Portion Sizes from 24-Hour Dietary Recalls Differed by Sex among Those Who Selected the Same Portion Size Category on a Food Frequency Questionnaire

BackgroundAccounting for sex differences in food portions may improve dietary measurement; however, this factor has not been well examined. ObjectiveThe aim of this study was to examine sex differences in reported food portions from 24-hour dietary recalls (24HDRs) among those who selected the same portion size category on a quantitative food frequency questionnaire (QFFQ). DesignThis study was conducted with a cross-sectional design. Participants/settingParticipants (n=319) were members of the Hawaii–Los Angeles Multiethnic Cohort who completed three 24HDRs and a QFFQ in a calibration study conducted in 2010 and 2011. Main outcome measuresPortions of individual foods reported from 24HDRs served as the outcome measures. Statistical analyses performedMean food portions from 24HDRs were compared between men and women who reported the same portion size on the QFFQ, after adjustment for race/ethnicity using a linear regression model. Actual amount and the assigned amount of the selected portion size in the QFFQ were compared using one-sample t test for men and women separately. ResultsOf 163 food items with portion size options listed in the QFFQ, 32 were reported in 24HDRs by ≥20 men and ≥20 women who selected the same portion size in the QFFQ. Although they chose the same portion size on the QFFQ, mean intake amounts from 24HDRs were significantly higher for men than for women for “beef/lamb/veal,” “white rice,” “brown/wild rice,” “lettuce/tossed salad,” “eggs cooked/raw,” “whole wheat/rye bread,” “buns/rolls,” and “mayonnaise in sandwiches.” For men, mean portions of 14 items from the 24HDRs were significantly different from the assigned amounts for QFFQ items (seven higher and seven lower), whereas for women, mean portions of 14 items were significantly lower from the assigned amounts (with five significantly higher). ConclusionsThese sex differences in reported 24HDR food portions—even among participants who selected the same portion size on the QFFQ—suggest that the use of methods that account for differences in the portions consumed by men and women when QFFQs are quantified may provide more accurate absolute dietary intakes.

HUBUNGAN KONSUMSI PANGAN SUMBER KALSIUM DAN AKTIVITAS FISIK DENGAN KEPADATAN TULANG LACTO OVO VEGETARIAN DI YAYASAN BUDDHA TZU CHI SURABAYA

Vegetarian is one of dietary pattern that is believed to prevent degenerative diseases, but vegetarian apparently can lower calcium absorption due to the high intake of oxalic and phytate acid that can reduce bone density. Physical activity can also affect the bone density. Intense physical activity will make bone density stronger. The purpose ofthis study was to analyze the correlation between consumption of calcium food sources and physical activity with bone density of lacto ovo vegetarian at Buddha Tzu Chi Surabaya Foundation. This research was an observational analytic, using cross sectional study design. The sample were 31 adult, taken through the inclusion criteria of alacto ovo vegetarian, a vegetarian diet ≥ 1 year, age ≥ 20 years old. Data collection through measurement of Bone Mineral Density (BMD) using bone densitometry Quantitative Ultrasound (QUS) method, interview of respondent characteristics, consumption of calcium food sources by Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), and physical activity by International Physical Activity Questionnaire (IPAQ). The data was analyzed using Pearson Test. The results showed that there was a correlation between consumption of calcium food sources (p = 0.000) and physical activity (p = 0.022) with bone density of lacto ovo vegetarian. The higher consumption of calcium food sources and physical activity can increase bone density. Respondents should increase physical activity and doing routine exercise to make bone density stronger, and consume high calcium of foods such as broccoli, pokcoy, orange, and cow’s milk.

HUBUNGAN ASUPAN KARBOHIDRAT DAN STATUS GIZI DENGAN TINGKAT KEBUGARAN JASMANI PADA ATLET BASKET REMAJA SISWA SEKOLAH MENENGAH PERTAMA

Good physical fi tness in athletes is essential in order to reach maximum performance during the game. Factors which affect the physical fi tness are nutrition intake, nutritional status dan age. The role of carbohydrates in sports is very important to spare muscle glycogen during exercise. This study purpose was to analyze the correlation between carbohydrate intake, nutritional status and physical fi tness in adolescent athletes of junior high school. This study used a cross-sectional study design. Total subjects in this study using a total population of about 37 people who are members of basketball team in junior high school 2 Ngamprah West Bandung District. Data of Carbohydrate intake was obtained through semi quantitative food frequency questionnaire method. Nutritional status was obtained by measuring body weight using digital bathroom scales and measuring height using microtoise tools. The average intake of carbohydrates was 375.4 grams which was 29.7% have a less carbohydrate intake and 70.3% have a adequate carbohydrate intake, average BMI for age z-score was -0.166 SD as much as 2.7% have a very thin nutritional status, 5.4% have a thin nutritional status, 70.3% have a normal nutritional status, 13.5% overweight and 8.1% obese. The average fi tness score was 14.9 (range 5-20) that means average they have a good physical fi tness which was as much as 13.5% have a lack physical fi tness and 86.5% have a good physical fi tness. Results revealed that there is correlation between carbohydrate intake and physical fi tness (p=0.025 and r= -0.367), nutritional status and physical fi tness (p =0.038 and r = 0.342). The conclusion of this study is carbohydrate intake and nutritional status related to the physical fi tness of adolescence basketballs athletes. Adolescent basketball athletes are advised to provide carbohydrate intake and maintain their nutritional status in the normal category in order to have good physical fi tness.

A Raw Food Based Quantitative Food Frequency Questionnaire to Assess Long-Term Dietary-Intake among Urban Adults of South India: Relative Validity and Reproducibility

Food Frequency Questionnaire (FFQ) is a commonly used tool for the measurement of food intake of a large population. However, FFQ could be influenced by the cultures, seasons and food habits. Thus FFQ should be validated against a known or standard tool like a multiple 24-hour dietary recalls (24h) and also needs to be tested for its reproducibility. Hence, in this study, the reproducibility of a Raw food based quantitative FFQ (RFFQ) was assessed and validated against the standard multiple 24h method. A community-based longitudinal study was conducted among 106 urban adult subjects in Hyderabad Metropolitan city of South India. The reproducibility of RFFQ was assessed at two reference periods of a year and seasonal variation was investigated across three seasons. Further, RFFQ was validated against 24h across three seasons of the year. The median and Inter Quartile Range (IQR) of food and nutrient intakes have shown that the RFFQ was comparable to 24h of four months duration and also between baseline and final RFFQs. No significant seasonal difference in food and nutrient intake was observed by the RFFQs (p&amp;gt;0.05). Bland-Altman analysis showed an agreement between the RFFQ and 24h indicating relative validity of the RFFQ in the study population. The reproducibility of the RFFQs was found to be good as observed by Intra class Correlation Coefficients (ICC). The RFFQ of one year duration is thus a valid tool to elicit long-term habitual dietary intake pattern of urban adult subjects in South India. As the RFFQ used in this study is raw food based it could be adopted to other parts of the country.

Eating Patterns in Patients with Compensated Cirrhosis: A Case-Control Study.

Background: There is growing evidence suggesting that maintaining an adequate nutritional status for patients with liver cirrhosis (LC) is relevant to prevent complications. The present study aimed to describe dietary behaviours of patients with compensated and non-complicated LC and comparing them with those of subjects from the general population. Methods: In this case-control study, patients were volunteers enrolled in the ALICIR (ALImentation et CIRrhose) study, an observational survey nested in two French prospective cohorts of patients with biopsy-proven compensated cirrhosis related either to excessive alcohol consumption (CIRRAL) or to hepatitis B or C virus infection (CirVir). Controls were selected from the NutriNet-Santé cohort. Dietary data were collected through a semi quantitative food frequency questionnaire. Dietary and nutritional data were compared using multi-adjusted paired Student’s tests. Results: Between June 2014 and February 2016, 174 patients of CirVir (N = 97) or CIRRAL (N = 77) were matched with 348 controls from the NutriNet-Santé cohort, according to gender, age, BMI and educational level. Compared to controls, patients (mean ± SD) consumed more sodas (236.0 ± 29.8 mL vs. 83.0 ± 33.0 mL) and water (1787.6 ± 80.6 mL vs. 933.6 ± 85.3 mL), and lower amounts of salty snacks (4.2 ± 1.42 g vs. 9.0 ± 1.6 g) and alcoholic beverages (71.8 ± 23.4 g vs. 151.2 ± 25.9 g), with all p values < 0.0001. Dietary behaviours differed according to LC aetiology. Conclusions: Dietary behaviour of patients significantly differed from subjects from the general population.

Faktor yang berhubungan dengan perilaku konsumsi buah dan sayur siswa SMP di Denpasar

Background : Adolescence is the transition from child to adulthood. Adolescents usually change their lifestyle, includes consumption patterns, because it is influenced by peers’ environment. Adolescents nutritional needs are relatively large because of rapid growth and development process. One of the nutrition problems among adolescents is the lack of fruit and vegetable consumption that is influenced by internal and external factors.Objective : The purpose of this research was to know the relationship between attitude, nutrition knowledge, food preference, food availability, media exposure, and parents income with fruit and vegetable consumption behavior among SMPK 1 Harapan students. Methods : This study used cross sectional design and was conducted on April-May 2017. Subjects of this study were 85 grade VIII students selected by using simple random sampling. Information on attitude, nutrition knowledge, food preference, food availability, media exposure, and parents’ income were collected using questionnaire, while fruit and vegetables consumption behaviour were collected using semi quantitative food frequency questionnaire (SQ-FFQ).Results : The results of this study showed that most subjects has good fruit and vegetables consumption behavior (71.8%). There was a significant correlation between fruit and vegetables consumption behaviour with attitude (p&lt;0,01), nutrition knowledge (p&lt;0.01), food availability (p&lt;0.01), media exposure (p&lt;0.01), and parents income (p&lt;0.01), but not related with food preference (p = 0.55).Conclusion :This study indicated a significant relationship between attitude, nutritional knowledge, food availability, media exposure, and parents income with fruits and vegetables consumption behaviour.