Short Food Frequency Questionnaire Research Articles

Dietary Practice and Associated Factors Among Pregnant Women at Public Health Institution in Mizan-Aman Town, Southwest Ethiopia.

Background:A poor dietary intake of key macronutrients and micronutrients adversely affects pregnancy outcomes and neonatal health. The occurrence of dietary inadequacy during pregnancy is higher compared to any other stage of the life cycle. Therefore, this study aimed to assess dietary practice and associated factors among pregnant women.Methods:A facility-based cross-sectional study design was conducted among 378 pregnant women from March to May 2021 at the public health institution of Mizan-Aman town, southwest Ethiopia. A systematic random sampling technique was used to reach the study participants. The short food-frequency questionnaires and nutrition-behaviors checklist measurement were used to assess the dietary practice. Nine questions were applied to assess the dietary attitudes of the respondents. After the summation of the score, the respondent was categorized as favorable attitude if their score was > the median and unfavorable attitude if their score was ⩽ to the median of the score. The data were entered into Epi Data 3.1 and exported to Statistical Package for Social Science (SPSS) version 21 software for analysis. Variables of P-value <.25 during bivariate logistic regression analysis were considered for multivariate analysis. Finally variables with an adjusted odds ratio of P-value <.05 along with a 95% Confidence interval (CI) were declared statistically significant.Results:The overall magnitude of good dietary practice among pregnant women was 25.1% (95% CI: 20.9, 29.71%). In multivariate logistic regression analysis, the variables having television/radio (AOR = 4.2, 95% CI: 1.8, 10.2), household food security (AOR = 3.1, 95% CI: 1.0, 9.9), good dietary knowledge(AOR = 4.1, 95% CI: 1.98, 8.6), favorable dietary attitude (AOR = 4.34, 95% CI: 1.2, 8.7), monthly income of 1000 to 2000 Ethiopian birr (AOR = 3.7, 95% CI: 1.3,11.2) and >2000 Ethiopian birr (AOR = 7.0;95% CI: 3.3,15.4) were significantly associated with good dietary practice.Conclusion:The dietary practice among pregnant women was very low. The factors like having television/radio, good dietary knowledge, household food security, favorable dietary attitude, and monthly income of 1000 to 200 and greater than 2000 Ethiopian birr were significantly associated with the good dietary practice of pregnant women.

Development of a short food frequency questionnaire to assess diet quality in UK adults

Development of a short food frequency questionnaire to assess diet quality in UK adults

FODMAP project: Development, validation and reproducibility of a short food frequency questionnaire to estimate consumption of fermentable carbohydrates

Irritable bowel syndrome (IBS) is a functional disorder that is characterized by gastrointestinal symptoms and that has a major impact on quality of life, resulting in direct and indirect health care costs. The majority of patients with IBS suffer from food intolerances, most commonly related to the consumption of fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs). This study aimed to develop and verify the validity and reproducibility of a short food frequency questionnaire (FFQ) to assess typical FODMAP consumption in adults with IBS. The primary FFQ list consisted of source foods of FODMAPs that contributed at least 10% to the frequency of consumption among 855 adults from a population-based study in the municipality of Campinas in 2014/2015. In addition, source foods of FODMAPs (according to the Monash University Low FODMAP Diet application) and foods commonly consumed by the Brazilian population (according to the FFQ for adults validated in the city of São Paulo) were included. One hundred and five (n=105) healthy subjects were recruited to respond to the FFQ twice and to respond the 24-hdietary recall (24HR) three times during a 3-month period. The relative validity of the proposed instrument was compared with the average of the three 24HRs, and the reproducibility of the instrument was assessed by comparing both FFQ applications. The following statistical analyses were used for validation and reproducibility: Wilcoxon's test, Spearman's correlation analysis, weighted kappa, Bland Altman's plot and index, and interclass correlation coefficient. The final list of items for the short FFQ included 54 different foods. The foods were organized by FODMAP groups: free fructose, lactose, total oligosaccharides and total polyols, with variations of categories of responses for consumption frequency between 0 and 10 times and the unit of time in days, weeks or months. In the validity analyses, the correlation coefficients ranged from 0.209 (polyols) to 0.652 (lactose) (p<0.05). There was no correlation between the methods in the fructose and oligosaccharide groups. The lactose group presented good agreement, and the remaining groups had a lack of agreement, with a mean of 15.7%. The Bland-Altman index values were 4.7% (fructose), 3.8% (lactose), 5.7% (oligosaccharides) and 6.6% (polyols). Regarding reproducibility, the interclass and Spearman's correlation coefficients varied from ICC=0.781 and r=0.725 (oligosaccharides) to ICC=0.913 and r=0.807 (lactose) (p<0.05), showing strongly reproducible results for lactose and polyols and good results for fructose and oligosaccharides. Accurate agreement between FFQ applications had a mean of 67.3%, and 3.0% showed disagreement between FFQ1 and FFQ2. The weighted kappa coefficient ranged from 0.576 (polyols) to 0.645 (lactose). The semi-quantitative short FFQ was developed to evaluate the consumption of FODMAPs in adults in São Paulo. The instrument presents good reproducibility for all groups of FODMAPs, good validity for lactose and weaker validity for fructose, polyols and oligosaccharides. As the short FFQ was carefully designed for the study population, its estimates are relatively reliable at the population group level. A future reanalysis of this questionnaire would be useful when the chemical composition data of FODMAPs are available.

Gut microbiota composition in relation to intake of added sugar, sugar-sweetened beverages and artificially sweetened beverages in the Malm\xf6 Offspring Study

PurposeIt has been suggested that a high intake of sugar or sweeteners may result in an unfavorable microbiota composition; however, evidence is lacking. Hence, in this exploratory epidemiological study, we aim to examine if intake of added sugar, sugar-sweetened beverages (SSBs) or artificially sweetened beverages (ASBs) associate with the gut microbiota composition.MethodsParticipants (18–70 years) in the Malmö Offspring Study have provided blood, urine, and fecal samples and completed both web-based 4 day food records and short food frequency questionnaires. The gut microbiota was assessed by 16S rRNA sequencing, processed in QIIME and matched to Greengenes (v.13.8), giving 64 included genera after filtering. Intake of added sugar (n = 1371) (also supported by the overnight urinary sugar biomarker in a subgroup n = 577), SSBs (n = 1086) and ASBs (n = 1085) were examined as exposures in negative binomial regressions.ResultsVarious genera nominally associated with intake of added sugar, SSBs, and ASBs. Only the negative association between SSB intake and Lachnobacterium remained significant after multiple testing correction. A positive association between SSB intake and the Firmicutes:Bacteroidetes ratio was also observed.ConclusionIn this wide population, the cross-sectional associations between added sugar and sweet beverage intake and the gut microbiota are modest, but the results suggest that SSB intake is associated negatively with the genus Lachnobacterium and positively with the Firmicutes:Bacteroidetes ratio. Larger studies, preferably using metagenomic sequencing, are needed to further evaluate if a link exists between intake of sugars and sweeteners and the human gut microbiota.

Dietary Practices and Adolescent Obesity in Secondary School Learners at Disadvantaged Schools in South Africa: Urban-Rural and Gender Differences.

South Africa has a high prevalence of obesity in black female adolescents and a paucity of knowledge regarding contributing dietary practices. The aim of this study was to assess the dietary practices and weight status of male and female adolescents at secondary schools in the Eastern Cape province in urban and rural areas. Sixteen schools and grade 8–12 learners (N = 1360) were randomly selected from three health districts comprising poor disadvantaged communities. A short unquantified food frequency questionnaire was used to collect data on learners’ usual eating practices with regards to weekly meal pattern, breakfast consumption, foods taken to school, takeaways, and snacks eaten while watching television (TV). Body mass index measurements were determined for each learner. Prevalence of combined overweight and obesity differed significantly between genders, 9.9% in males versus 36.1% in females (p < 0.001). Significant gender differences were noted regarding eating practices. Females had a higher frequency of eating sugary snacks (p < 0.001) and a lower frequency of eating breakfast (p < 0.01) than males. Females ate significantly more fried fish (p < 0.05), pizza (p < 0.05) fat cakes (fried dough balls) (p < 0.05), hotdogs (p < 0.01), candy (p < 0.001), cake (p < 0.01), and crisps (p < 0.001). Compared to urban areas, the frequency of eating breakfast (p < 0.01) and sugary snacks (p < 0.05) was significantly higher in rural areas. Significantly more learners in urban areas consumed boerewors (beef sausage) rolls (p = 0.027), hamburgers (p = 0.004), and soft drinks (p = 0.019), while more learners in the rural areas consumed cordial (p = 0.001). In conclusion, a high prevalence of combined overweight and obesity was found in black female adolescents and a high prevalence of poor dietary practices was observed, with significant gender and urban–rural differences.

Relative validation of a food frequency questionnaire to assess dietary fatty acid intake

ABSTRACT Objectives: This study aimed to develop and validate a Food Frequency Questionnaire (FFQ) for assessing consumption of fatty acids among pregnant women. Methods: Two lists of foods were created according to percent contribution of each nutrient estimated by three 24-hour recalls: a long and short version FFQ to estimate long-chain polyunsaturated fatty acids (LCPUFAs). Student paired t-test and Pearson correlation coefficients were used to verify the differences in mean consumption of nutrients from the FFQ and 24-hour recall. The concordance between the consumption values of the two methods was assessed using the Bland-Altman method and quartiles concordance. Results: For the FFQ - long version, correlation values ranged from 0.33 (p<0.05) to 0.62 (p<0.01) for docosahexaenoic acid (DHA) and linoleic acid (LA), respectively. Eicosapentaenoic acid (EPA) and docosapentaenoic acid (DPA) were not correlated. Exact concordance ranged from 49.0% (energy) to 22.4% (EPA), and discordance ranged from 14.3% (DPA) to 2.0% (Saturated). The FFQ - short version had high correlations for LCPUFAs. Exact concordance ranged from 36.7% (n-3 LCPUFA) to 16.3% (DHA); and discordance from 12.2% (DPA) to 2.0% (arachidonic acid). Bland-Altman analysis showed good concordance for both versions. Conclusion: This nutrient-specific FFQ is a valid instrument to be used to estimate the level of consumption of fatty acids among pregnant women.

The development of a short food frequency questionnaire to assess diet quality in UK adolescents

AbstractUK adolescents have poorer diets than other age groups. Improving adolescents’ diets has the potential to improve their health now and in later life, and the health of their future offspring. Established dietary assessment techniques can be difficult to use with adolescents due to high participant burdens. Robust and easy-to-implement techniques are required to assess adolescent diet in large-scale studies. This study aimed to identify the key indicator foods that contribute most to better quality dietary patterns in UK adolescents for use in a short food frequency questionnaire (FFQ).Dietary data, collected using 4-day diet diaries, and nutritional biomarker data from waves 1–8 of the National Diet and Nutrition Survey rolling programme were used. Principal component analysis (PCA) was applied to 139 food groups to identify the key indicator foods that contribute most to better quality dietary patterns.A 20-group diet score was calculated using coefficients for the 20 indicator foods from the 139-group PCA and multiplying by their standardised reported frequency of consumption. Scores were standardised to a mean of zero and a standard deviation (SD) of one.The association and the agreement between the 139-group diet quality score and 20-group score were calculated using Spearman's correlation coefficient and Bland-Altman limits of agreement, respectively. Spearman's correlations were used to examine the associations between the two diet quality scores and nutritional biomarkers.NDNS dietary data were available for 1282 boys and 1305 girls aged 11–18 years. The first PCA component explained 3.0% of variance in the dietary data. A high-quality diet was characterised by greater consumption of fruit, vegetables, beans and pulses, wholegrains, nuts, and tap water, plus lower consumption of sugar-sweetened beverages, chips, processed meats, white bread, crisps, whole milk, baked beans, and added sugar.A correlation of 0.86 was observed between the full 139-group score and the 20-group score with the difference between being 0 SDs. Bland-Altman 95% limits of agreement were -0.98 to 0.98 SDs. Correlations, in the expected direction, were seen between the 139-group score and all nutritional biomarkers (25-hydroxyvitamin D(rs = 0.14), vitamin C(rs = 0.30), total carotenoids(rs = 0.25), total serum folate(rs = 0.42), homocysteine(rs = -0.25) and vitamin B12(rs = 0.21)). Correlations with the 20-group score were only slightly attenuated.The 20-group diet quality score showed reasonable agreement with the full 139-item score. Both scores were correlated with nutritional biomarkers. A short 20-item FFQ can provide a meaningful and easy-to-implement tool to assess diet quality in adolescents.

A 12-week multi-component dietary intervention improves markers of non-alcoholic fatty liver disease in Irish patients in tertiary care

AbstractNon-alcoholic fatty liver disease (NAFLD) is a significant public health concern closely linked to obesity, affecting an estimated 25% of adults in Europe. Understudied in Ireland, the aim of this research was to examine the effects of a 12-week multi-component dietary intervention on weight loss and markers of liver injury in Irish NAFLD patients in tertiary care. Biopsy confirmed NAFLD patients (n = 27) were recruited from St James’ Hospital in Dublin, Ireland. Consenting participants underwent a 12-week moderate-intensity intervention incorporating weekly group nutritional education, behavioural change and group support, as well as individualised advice and weigh-ins from a trained nutritionist. Control group participants were given routine clinical care. All participants were clinically reviewed before, immediately after, and 3 months post intervention. Individuals (n = 12) with histological evidence of steatohepatitis underwent a repeat liver biopsy on completion of the intervention. Detailed dietary assessment was performed using both a 4-day diet diary (4DDD) and a novel, recently validated, short food frequency questionnaire (SFFQ) designed specifically to assess habitual intakes of food items related to NAFLD. Nutrient intakes were analysed using myFood24TM dietary analysis software, and the Mediterranean diet quality score (MDQS) was used to assess the overall change in dietary patterns. Of the 15 participants who completed the intervention, 80% (n = 12) achieved a weight loss exceeding 5%, with 47% (n = 7) achieving &gt; 7%. There were significant improvements from baseline to week 12 in the intervention group for the majority of clinical parameters including HbA1c (p = 0.0054), liver enzymes (ALT, p = 0.0108; GGT, p = 0.0001) and transient elastography (kPA, p = 0.0308; CAP, p = 0.0081). However, these results failed to maintain significance when analysed compared to controls. The overall dietary pattern was significantly improved after 12 weeks as assessed by the MDQS (p = 0.03), with no apparent compromise in micronutrient intake despite the energy reduction. Reductions in energy, saturated fat, carbohydrate and sugar intakes at 12 weeks, were maintained at three months follow up. Analysis of pre- and post-intervention liver biopsies in the intervention group demonstrated a clinically significant improvement in NAS score (p = 0.0273), attributable to reductions in hepatic steatosis (p = 0.0078). A significant correlation was observed between improvement in liver histology and change in sugar intake (r = 0.7534, p = 0.0093). Although results were somewhat limited by small sample size, nutritional education achieved beneficial dietary changes that persisted after the intervention ceased. Notably, achieving reductions in sugar intakes may be particularly beneficial in reducing the severity of hepatic steatosis in Irish adults with NAFLD.

Development of a food-based diet quality score and associations with eating styles and nutrient intakes in Finnish twins

AbstractShort dietary assessment instruments are often included to large-scale twin studies that focus on multiple health behaviors and disease outcomes. Due to their feasibility and low cost, food frequency questionnaires (FFQs) are usually employed to provide data on dietary intake and diet quality. Diet quality have been linked with eating styles such as meal and snacking frequency. However, little is known about how diet quality is related with various eating styles. We aimed to construct a food-based diet quality score (DQS) from a short FFQ to estimate diet quality and to examine its association with eating styles and nutrient intakes in Finnish twins. Participants were 3592 twin individuals (764 dizygotic [DZ] pairs and 430 monozygotic [MZ] pairs) aged 31–37 from the wave 5 of the FinnTwin16 study. The DQS (range 0–12 points) was constructed from a short FFQ that included dark bread, white bread, fruits and berries, vegetables, fish, whole grain, fast food, fat free or reduced-fat milk or milk products, sugar-sweetened soft drinks or juices, energy drinks, butter and margarine/vegetable oils. Eating styles were self-reported by questionnaire. Nutrient intakes were calculated from food diaries completed in a subsample of 249 twin individuals (45 same-sex DZ pairs and 60 MZ pairs). Data were analyzed using Pearson correlations and multiple regression models adjusted for covariates in individuals and pairwise analyses. Both in individuals and within twin pairs, a higher diet quality was associated with health-conscious eating, having breakfast, fewer evening meals, and a higher frequency and regularity of eating. No associations were found with night eating styles, food as a reward or food restricting/overeating. Among individuals, the DQS was positively correlated with the intakes of protein, fiber and magnesium and negatively with the intakes of total fat, saturated fat and sucrose (rmax = 0.30 for magnesium). The associations with saturated fat, fiber and magnesium remained significant within same-sex DZ twin pairs (rmax = 0.40 for magnesium) and with sucrose within MZ twin pairs (r = -0.42). The DQS is an easy-to-use short tool for ranking individuals and twin pairs according to overall diet quality. The DQS reflects eating styles and intakes of key nutrients related to diet quality.

Development and implementation of online tools for personalized dietary advice at home or in a clinical setting: Eetscore and NutriProfiel

AbstractIntroduction:It is known that significant proportions of the general public do not meet current recommendations. This may be explained by a lack of knowledge or perceived difficulty trying to adhere to the recommendations. In addition, health professionals, such as general physicians, lack solid education in nutrition, which hampers optimal care and prevention in diet-related disorders. In order to help people and health professionals to improve dietary habits, the Eetscore and NutriProfiel tools were developed and implemented.Methods:The Eetscore tool assesses to what extent daily intake adheres to the 2015 Dutch Food Based Dietary Guidelines developed by the Dutch Health Council. The tool consists of a short online food frequency questionnaire (FFQ) which is scored with the Dutch Healthy Diet Index. The total Eetscore (including 16 subscores) ranges from zero to 160, with higher scores implying better adherence to the guidelines. Both FFQ and Index have been validated.NutriProfiel is a specific application in which the Eetscore monitors micronutrients. Micronutrient deficiencies are common and diagnosed with blood tests. A deficiency may be explained by poor diet or pathophysiology, which requires different follow-up. Therefore, it is important to include information on dietary intake while interpreting micronutrient blood concentrations. For NutriProfiel, the clinical laboratory information system is coupled to the Eetscore questionnaire. Patients who undergo laboratory testing for vitamin B6, folate, B12 and/or D receive a link to the Eetscore questionnaire. Nutriprofiel combines blood values and dietary intake to generate a dietary advice. The advice contains practical hints to increase micronutrient intake and is reported electronically to the doctor.Results:The Eetscore and NutriProfiel tools have been successfully developed and implemented in 2015, with an increasing number of (clinical) users. The Eetscore has been evaluated and applied for monitoring intake in research, and in medical practices as part of an ehealth platform in health professionals and patients.The NutriProfiel tool has been positively evaluated by its users and is currently available for all requests for vitamin blood analyses coming from general physicians and selected medical specialists (e.g. gastrointestinal medicine, internal medicine).Discussion:Both the Eetscore and NutriProfiel have been successfully developed and implemented for use in both home settings as well as clinical settings. Future perspectives include further implementation of the Eetscore for other clinical disciplines or specific patient populations. For NutriProfiel, future perspectives also include expanding the list of nutrient biomarkers for which a personalized dietary advice can be provided.

Within-country, regional variations in dietary patterns in a representative sample of Polish females 13–21-year-old: finding from the GEBaHealth study

AbstractSome dietary patterns (DPs) identified across the world are classified as universal (e.g. ‘Western’ or ‘Prudent’) while other patterns are country-specific, often labelled as ‘Traditional’. Regional, country-level variations in DPs adherence were not extensively studied to date. The aim of this study was to analyse differences in DPs adherence among Polish females between country regions. A cross-sectional study was performed using data from a representative sample (n = 1107) of Polish females 13–21-year-old, enrolled for the Girls Eating Behaviours and Health Study. Initially, 2104 females were randomly selected from the Universal Electronic System of Population Register database. The response rate was 52.6%. All data were adjusted for survey weights to maintain the representativeness. Three short form food frequency questionnaires were applied. Four DPs were identified by principal component analysis: ‘Traditional Polish’ (positively loaded by higher consumption frequency of white bread, potatoes, meat and fat), ‘Vegetables and fruit’, ‘Fast-food and sweets’ and ‘Dairy and fats’. In line with the Polish database of Central Statistical Office, six Polish regions were considered: East (with the lowest Gross Domestic Product, GDP = 69.7; Poland = 100), North (DP = 84.8), North-West (GDP = 95.1), South (GDP = 98.8), South-West (GDP = 104.8) and Central (the highest GDP = 140.4). Multiple logistic regression analysis was used. Odds ratios (ORs) were adjusted for age and body mass index. Higher adherence to ‘Traditional Polish’ DP was found in 4 out of 5 regions (OR 2.02 to 2.53) when compared to the East region. Higher adherence to ‘Vegetables and fruit’ DP was found in 2 out of 5 regions (the South and the South-West; OR 1.71 and 1.81, respectively), when compared to the East region, and in 3 out of 5 regions (the South, the South-West and the Central; OR 1.69 to 2.23), when compared to the North-West region. Higher adherence to ‘Fast-food and sweets’ DP was found in the North region when compared to the three other regions as reference: the East (OR 1.94), the North-West (OR 1.93), and the South (OR 2.10). In young Polish females, high adherence to the ‘Traditional Polish’ DP was observed across the country, except of the poorest region (the East). The study highlights that young females from economically deprived regions are at higher risk of unhealthy (westernized) dietary behaviors while those living in more affluent regions more frequently consume fruit and vegetables being a high-cost food. Increasing the affordability of healthy foods should be considered as an important component of public health interventions, particularly in more deprived regions.

The Assessment of the Supply of Calcium and Vitamin D in the Diet of Women Regularly Practicing Sport.

Introduction The appropriate intake of calcium and vitamin D in women's diet is significant for a proper maintenance of the skeletal system. Research Aim The aim of the research was to assess the calcium and vitamin D supply in a diet among women regularly practicing sport. Methodology The research was completed by 593 women at the age of 18–50 (median 25) who played sports regularly (at least 2 times a week). To assess the calcium and vitamin D intake, short Food Frequency Questionnaires for calcium and vitamin D (VIDEO-FFQ) were used. The examined group was provided with the questionnaires via social media. To assess intake levels, the authors applied the group-based cutoff point method (calcium norm was EAR 800 mg/day; vitamin D norm was AI 15 μg/day). Results The median of calcium and vitamin D intake in a diet was 502 mg/day and 5.2 μg/day, respectively (Q25 and Q75 for calcium was 387 mg/day and 627 mg/day, respectively, and for vitamin D was 3.4 μg/day and 8.2 μg/day, respectively). In relation to the EAR norm for calcium and AI norm for vitamin D, 92.0% of the examined participants in a group demonstrated lower than recommended calcium intake levels and 97.3% showed lower than recommended vitamin D intake levels. Calcium and vitamin D supplementation was used by 13.1% (in this subgroup, 11.5% of the examined group members did not need it) and 56.8% of the examined women (in this subgroup, 2.4% of the examined group did not need it), respectively. After including the calcium and vitamin D intake, the supply median for the whole group was 535 mg/day and 28.8 μg/day, respectively (Q25 and Q75 for calcium was 402 mg/day and 671 mg/day, and for vitamin D was 6.3 µg/day and 55.7 μg/day, respectively); 87.5% of the examined participants did not meet the EAR norms for calcium and 42.0% did not meet the AI norm for vitamin D. Among the women supplementing calcium, 58.9% did not reach the reference intake value; however, all women supplementing vitamin D fulfilled the expected nutritional need. Conclusions It is important to educate women about the necessity to provide the body with proper calcium and vitamin D intake levels in a diet in order to avoid health problems resulting from the deficit of the nutrients.

Associations of changes in diet and leisure-time physical activity with employer’s direct cost of short-term sickness absence

Several unhealthy lifestyles are associated with increased sickness absence (SA). This study examined the associations of changes in diet and leisure-time physical activity (LTPA) with employer’s direct cost of subsequent short-term (<10 working days) SA. The survey data from phases 1 (2000−2002) and 2 (2007) of the Helsinki Health Study (HHS), a longitudinal cohort study of initially 40−60-year-old employees of the City of Helsinki, Finland, were linked with SA register data. Final data consisted of 4157 employees. Dietary habits were inquired with a short food frequency questionnaire. Consumption of fruits (F) and vegetables (V) was used to indicate healthiness of diet. LTPA was measured with a series of questions on the intensity and the amount of LTPA. Data on short-term SA and salaries (2008−2012) were received from the employers’ registers. A two-part model was used to analyse the associations. Those who improved their F&V consumption from non-daily to daily and persevered physically active got 620 € (95% CI −1194, −47) lower cost than those remaining non-daily F&V consumers and physically inactive. When examining LTPA only, those who persevered physically active or improved from moderately active to active got 19% less cost for the employer than those remaining inactive. Dietary changes were not independently associated with the cost. Improving employees’ diet and LTPA may reduce employer’s direct cost of SA. Although the associations of diet with SA cost were not statistically significant, improvements in diet may contribute to the beneficial associations of LTPA and employer’s cost of SA.

Can regular long-term breakfast cereals consumption benefits lower cardiovascular diseases and diabetes risk? A longitudinal population-based study

PurposeStudies indicate breakfast cereals may reduce the risk of overweight, cardiovascular diseases, and diabetes, but a limited number of longitudinal studies have explored these relationships, indicating the need for further assessment. MethodsWe used 45 and Up Study data to examine the longitudinal association between breakfast cereals (and different categories of cereals) and heart disease, stroke, and diabetes. Dietary consumption was assessed by a short food frequency questionnaire. Diagnosed heart disease, stroke, and diabetes were self-reported. Generalized estimating equation models were used to examine the longitudinal associations. ResultsOf a total of 142,503 participants (aged 45 years and older), people in the older age group (aged 80 or older) had significantly higher breakfast cereal consumption (P < .001) than those in the younger age group (aged 45–64 years). A significantly inverse association was found between breakfast muesli and heart disease, stroke, and diabetes across all age groups. Associations between other categories of breakfast cereals (biscuit, bran, and oat cereals) and these three diseases differed by age groups. A positive association was found between oat cereals and diabetes for people in the younger age groups (aged 80 years and younger), but not for people in the older age group (aged 80 years and older). ConclusionsThe benefit of breakfast muesli consumption was highlighted in prevention of these three diseases. The result suggests that age-specific dietary guidelines, with a particular focus on the types of breakfast cereals consumption in prevention of chronic diseases for older people need to be developed.

SUN-108 DIARRHOEA AND OTHER GI SYMPTOM PREVALENCE IN STABLE RENAL TRANSPLANT RECIPIENTS IS NOT RELATED TO DIET QUALITY

In renal transplant recipients chronic diarrhoea is the most commonly reported GI symptom1 however is likely to be higher in the early post-transplant period than in stable renal transplant recipients but little data exists in this cohort. A recent scoping review by our group looking at dietary intakes or the impact of dietary interventions such as dietary fibre, prebiotics or probiotics on diarrhoea in renal transplant recipients found very few studies. In addition, very few studies have reported quantitative nutrient or qualitative food intake data in renal transplant recipients. The aim of this study was to assess prevalence and severity of diarrhoea and other GI symptoms in stable renal transplant recipients and compare to markers of diet quality. Adult renal transplant recipients transplanted between September 2016 and March 2018 were recruited from Central Northern Adelaide Renal and Transplantation Service, SA, Australia. Detailed demographic and clinical characteristics were collected and all participants were asked to complete the gastrointestinal symptom rating scale (GSRS), Bristol Stool Chart (BSC) & short Food Frequency Questionnaire (sFFQ). We used sFFQ serves of fruit, vegetable, legumes and wholegrain breads and cereals data to create a composite diet quality (DQ) score. The median was used to divide the cohort into lower and higher diet quality groups for analysis. STATA 15.1 was used for Chi squared and Fishers exact tests to analyse stool frequency, stool consistency and GSRS symptoms and domains by diet quality. Thirty-five patients stable renal transplant recipients (24 male: 11 female, mean age 54years (27-78yrs), mean 14 months post renal transplant) were included. Overall diet quality was low (mean 4.9 serves per day out of maximum 8.5). Table 1 shows key food group intakes were well below targets (2 fruit, 4-5 vegetables, 3-4 wholegrains per day, legumes more than once per week) for healthy eating after renal transplant2 Table 2 shows there was no significant difference in stool frequency, consistency or GSRS domains between lower and higher diet quality groups. The WHO defines diarrhoea as the passage of 3 or more loose or liquid stools per day*. Using this definition, Table 3 shows 8.5% of our cohort had diarrhoea. Table 3: Prevalence of diarrhoeaView Large Image Figure ViewerDownload Hi-res image Download (PPT)View Large Image Figure ViewerDownload Hi-res image Download (PPT) - Diet quality overall was much lower than recommended for nutritional management after renal transplant with low intakes of fruit, vegetables, legumes and wholegrains reported.

Relevance of the semi-quantitative short Food Frequency Questionnaire in assessment of calcium consumption by female inhabitants of Zabrze over the age of 55\xa0years (the Silesia Osteo Active Study)

SummaryIn the study, we compare two methods used to assess the effects of nourishment on the bone status. Statistical analysis demonstrated a moderate conformity of both methods. Short Food Frequency Questionnaires can be used as short medical screening tool for calcium intake among women over 55 years of life.IntroductionOsteoporosis is a civilisation disease, the development of which is, among others, controlled and affected by diet. The factors which promote the health of bones include calcium, vitamin D, vitamin K, phosphorus, magnesium, and protein. A number of nutritional epidemiology methods can be applied to assess the effects of nourishment on the bone status, e.g. Food Frequency Questionnaire (FFQ) in its full or short (sFFQ) version or 3-day food record (3DFR). Both methods are known and widely used tools.MethodsIn the reported study, we attempted to compare and assess the sFFQ and 3DFR tools. Both methods were employed to examine 156 women, the majority of whom presented with an overweight-indicating BMI. An analysis of sFFQ data brought an observation that most of the studied patients (33.3%) consumed milk once a day.ResultsBased on 3DFR and sFFQ, we compared the measured volumes of consumed calcium which were 557.8 mg/day and 880.7 mg/day, respectively. The Cohen’s kappa calculator was used for a diagnostic evaluation of both tools; the kappa index was 0.5047, demonstrating a moderate conformity of both methods. In addition, sensitivity and specificity indices were calculated, revealing the values of 97% and 12%, respectively.ConclusionssFFQ can be used as a short medical screening. It is suggested to use both the 3DFR, conducted by the patient, and sFFQ, as a complementary method. It is necessary to continue this type of studies and to standardise the methods of nutritional status assessment with regard to selected groups.

766-P: Development and Validation of a Smartphone-Based Short Food Frequency Questionnaire for Chinese Population

Objective: To develop and evaluate a smartphone-based short food frequency questionnaire. Methods: We developed a digitalized short food frequency questionnaire adapted to the diet habit of the Chinese people. Seventy participants were recruited by quota sampling. Participants completed an FFQ face to face (1st FFQ) and a 3-day dietary record (DR) at the baseline for validation. A second FFQ (2nd FFQ) was completed 3 weeks later for reproducibility study, either face to face or on the phone. Results: Sixty-seven participants completed the study per protocol and rendered eligible FFQs and 3-day DR. Twenty-one people were interviewed on the phone for 2nd FFQ and correlation coefficients of energy and nutrient intakes with 1st FFQ were 0.848∼0.959(all P&amp;lt;0.01). Difference between 2nd FFQ and DR was not significant either and correlation coefficients were 0.504∼0.878(all P&amp;lt;0.01). Correlation coefficients of energy and nutrient intakes between two FFQs ranged from 0.912 to 0.959(all P&amp;lt;0.001). Correlation coefficients of energy and nutrient intakes between 2nd FFQ and DR ranged from 0.584 to 0.861 (all P&amp;lt;0.01). The agreement rates of two FFQs for classifying food and nutrient intakes into same and adjacent quartiles were 65.67%∼74.63% and 25.37%∼31.34%, respectively; and between 2nd FFQ and DR, the corresponding agreement rates 38.81%-59.70% and 29.85%∼40.30%, respectively. Results of subgroup correlation analysis showed that reproducibility and validity coefficients were higher in females, well-educated group, and lower income group. We also carried out correlation analysis in diabetic patients. Correlation coefficients between two FFQs were 0.893∼0.947(P&amp;lt;0.01), between 2nd FFQ and DR were 0.661∼0.833(all P&amp;lt;0.01). Conclusion: Our FFQ had satisfying reproducibility and validity in general and diabetic population and was ready to apply to remote surveys. Disclosure D. Yang: None. C. Wang: None. S. Luo: None. X. Zheng: None. Q. Lin: None. X. Wei: None. J. Yan: None. J. Weng: None.

Reproducibility and Validity of a Short Food Frequency Questionnaire for Dietary Assessment in Children Aged 7⁻9 Years in Spain.

The purpose of this study was to examine if the short semi-quantitative food frequency questionnaire (FFQ) is a reliable and valid tool to assess the diet of Spanish children aged 7–9 years. We collected data from 156 children of the birth cohort INMA (Infancia y Medio Ambiente (Environment and Childhood)). Children’s parents or care-givers completed a 46-item FFQ on two occasions over a 9–12-month period about the children’s diet. To explore the reproducibility of the FFQ, the nutrient and food group intake collected from the both FFQs were compared, while validity was examined by contrasting the nutrient values from the FFQs and the average of three 24-hour dietary recalls (24hDRs) taken in this period, and also with the concentration of several vitamins in the blood (carotenoids, vitamin D and α-tocopherol). Pearson and de-attenuated correlation coefficients were calculated. The average correlation coefficients for nutrient intake’s reproducibility was 0.41, ranging from 0.25 (calcium) to 0.65 (β-carotene), and for food group intake was 0.45, ranging from 0.18 (cereals) to 0.68 (sweetened beverages). Correlation coefficients slightly improved when we compared energy-adjusted intakes. The average correlation coefficients for validity against 24hDRs was 0.34 for energy-adjusted intakes, and 0.39 when de-attenuation coefficients were used. The validity coefficients against the blood concentrations of vitamins were 0.38 for β-cryptoxanthin, 0.26 for lycopene, 0,23 for α-carotene and 0.15 for β-carotene, all of them statistically significant (p < 0.05). This study suggests that our brief FFQ is a suitable tool for the dietary assessment of a wide range of nutrients and food groups in children 7–9 years, despite the low to moderate reproducibility and validity observed for some nutrients.

Diet and colorectal cancer in UK Biobank: a prospective study.

BackgroundMost of the previous studies on diet and colorectal cancer were based on diets consumed during the 1990s.MethodsWe used Cox-regression models to estimate adjusted hazard ratios for colorectal cancer by dietary factors in the UK Biobank study. Men and women aged 40–69 years at recruitment (2006–10) reported their diet on a short food-frequency questionnaire (n = 475 581). Dietary intakes were re-measured in a large sub-sample (n = 175 402) who completed an online 24-hour dietary assessment during follow-up. Trends in risk across the baseline categories were calculated by assigning re-measured intakes to allow for measurement error and changes in intake over time.ResultsDuring an average of 5.7 years of follow-up, 2609 cases of colorectal cancer occurred. Participants who reported consuming an average of 76 g/day of red and processed meat compared with 21 g/day had a 20% [95% confidence interval (CI): 4–37] higher risk of colorectal cancer. Participants in the highest fifth of intake of fibre from bread and breakfast cereals had a 14% (95% CI: 2–24) lower risk of colorectal cancer. Alcohol was associated with an 8% (95% CI: 4–12) higher risk per 10 g/day higher intake. Fish, poultry, cheese, fruit, vegetables, tea and coffee were not associated with colorectal-cancer risk.ConclusionsConsumption of red and processed meat at an average level of 76 g/d that meets the current UK government recommendation (≤90 g/day) was associated with an increased risk of colorectal cancer. Alcohol was also associated with an increased risk of colorectal cancer, whereas fibre from bread and breakfast cereals was associated with a reduced risk.

Socioeconomic Disparities in Diet Vary According to Migration Status among Adolescents in Belgium.

Little information concerning social disparities in adolescent dietary habits is currently available, especially regarding migration status. The aim of the present study was to estimate socioeconomic disparities in dietary habits of school adolescents from different migration backgrounds. In the 2014 cross-sectional “Health Behavior in School-Aged Children” survey in Belgium, food consumption was estimated using a self-administrated short food frequency questionnaire. In total, 19,172 school adolescents aged 10–19 years were included in analyses. Multilevel multiple binary and multinomial logistic regressions were performed, stratified by migration status (natives, 2nd- and 1st-generation immigrants). Overall, immigrants more frequently consumed both healthy and unhealthy foods. Indeed, 32.4% of 1st-generation immigrants, 26.5% of 2nd-generation immigrants, and 16.7% of natives consumed fish ≥two days a week. Compared to those having a high family affluence scale (FAS), adolescents with a low FAS were more likely to consume chips and fries ≥once a day (vs. <once a day: Natives aRRR = 1.39 (95%CI: 1.12–1.73); NS in immigrants). Immigrants at schools in Flanders were less likely than those in Brussels to consume sugar-sweetened beverages 2–6 days a week (vs. ≤once a week: Natives aRRR = 1.86 (95%CI: 1.32–2.62); 2nd-generation immigrants aRRR = 1.52 (1.11–2.09); NS in 1st-generation immigrants). The migration gradient observed here underlines a process of acculturation. Narrower socioeconomic disparities in immigrant dietary habits compared with natives suggest that such habits are primarily defined by culture of origin. Nutrition interventions should thus include cultural components of dietary habits.