A culture-sensitive semi-quantitative FFQ for use among the adult population in Nairobi, Kenya: development, validity and reproducibility
Autor: | Jack-Susan Magu, Ndegwa Henry Maina, Catherine N. Kunyanga, Elisabete Pinto, Ana M. P. Gomes, Samuel K. Mbugua, Catarina Vila-Real, Ana Pimenta-Martins, Kati Katina |
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Přispěvatelé: | Instituto de Saúde Pública da Universidade do Porto, Department of Food and Nutrition, Carbohydrate Chemistry and Enzymology, Grain Technology, Veritati - Repositório Institucional da Universidade Católica Portuguesa |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
030309 nutrition & dietetics Adult population Medicine (miscellaneous) FFQ Diet Surveys Validity 03 medical and health sciences 0302 clinical medicine Animal science Nutrient Surveys and Questionnaires Humans 030212 general & internal medicine Total fat Micronutrients 24-h recalls Mathematics 0303 health sciences Reproducibility Nutrition and Dietetics Dietary intake Public Health Environmental and Occupational Health Reproducibility of Results Micronutrient Kenya 3142 Public health care science environmental and occupational health Diet Records Diet Cross-Sectional Studies 416 Food Science Quartile 3143 Nutrition Energy Intake Semi quantitative Research Paper |
Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Public Health Nutr |
ISSN: | 1368-9800 |
Popis: | Objective:To develop a semi-quantitative FFQ and to evaluate its validity and reproducibility for the assessment of total dietary intake of Kenyan urban adult population, given its non-existence in Kenya.Design:The current study adopted a cross-sectional design. A culture-sensitive semi-quantitative FFQ was developed and its validity was tested relative to three non-consecutive 24-h recalls (24hR). Reproducibility was tested by the test–retest method, with a 3-week interval. Spearman’s correlation coefficients and intra-class correlation coefficients were calculated for several macro- and micronutrients. Cross-classification into quartiles and Bland and Altman plots were analysed.Setting:Nairobi county (Dagoreti South and Starehe constituencies).Participants:A convenient sample was recruited in three different clusters in Nairobi.Results:A culture-sensitive 123-food-item semi-quantitative FFQ showed higher nutrient intakes compared with the 24hR (total energy median 12543·632 v. 8501·888 kJ, P < 0·001). Energy-adjusted and deattenuated Spearman’s correlations for macronutrients ranged between 0·21 (total fat) and 0·47 (protein). The agreement in the same quartile varied from 28 % (protein) to 41 % (carbohydrates). Including adjacent quartiles, the range increased: 76 % (protein and fat) to 81 % (carbohydrates). The extreme disagreement was low. The first FFQ application resulted in higher mean values for all nutrients compared with the second FFQ (total energy median 12459·952 v. 10485·104 kJ, P < 0·001). Energy-adjusted correlations for macronutrients ranged from 0·28 (carbohydrates) to 0·61 (protein). Intra-class correlation coefficients for macronutrients were moderate, between 0·6 and 0·7.Conclusions:The developed semi-quantitative FFQ was shown to be a valid and reproducible tool for ranking urban adult Kenyans according to their dietary intake. |
Databáze: | OpenAIRE |
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