Validity and reproducibility of a web-based, self-administered food frequency questionnaire

Background/Objectives:To assess the validity and the reproducibility of a newly developed web-based, self-administered food frequency questionnaire (web-FFQ).Subjects/Methods:A total of 74 healthy subjects (34 men and 40 women) from the Québec City metropolitan area were asked to complete, in random order, the web-FFQ, a validated interviewer-administered FFQ (IA-FFQ) and a 3-day food record (3-day FR).Results:Mean intakes of 17/22 nutrients assessed between the web-FFQ and the 3-day FR were not significantly different (differences <10%, P⩾0.11). Sex and energy-adjusted de-attenuated Pearson correlation coefficients for each nutrient varied from 0.12–0.98 (mean R=0.55, 95% confidence interval 0.46; 0.63) between the web-FFQ and the 3-day FR. All correlations were significant (P⩽0.01) and above 0.34 (mean R=0.59, 95% confidence interval 0.54; 0.65) between the web-FFQ and the IA-FFQ, except for sodium (R=0.17, P=0.14). Cross-classification analysis revealed that on average, 77% of subjects were classified in the same or adjacent quartile of nutrient intake between the web-FFQ and the 3-day FR. Correlation coefficients for reproducibility of the web-FFQ tested 4–6 weeks apart in the same individuals were all equal or above 0.48 (P⩽0.0001; mean R=0.72, 95% confidence interval 0.68; 0.76). More than 90% of the subjects were classified in the same or adjacent quartile between the two administrations of the web-FFQ, while only 0.8% was misclassified.Conclusions:These data demonstrate that the newly developed web-based FFQ appears to have reasonable validity and good reproducibility for assessing nutrient intakes at the group and individual levels in a population of healthy adults.

[1]  A. Subar Developing dietary assessment tools1 , 2004 .

[2]  P. Valeix,et al.  Validation du manuel-photos utilisé pour l'enquête alimentaire de l'étude SU.VI.MAX , 1996 .

[3]  Siew Sun Wong,et al.  Evaluation of a computerized food frequency questionnaire to estimate calcium intake of Asian, Hispanic, and non-Hispanic white youth. , 2007, Journal of the American Dietetic Association.

[4]  J. Billy,et al.  Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. , 2003, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[5]  Y. Nishino,et al.  Temporal change in the reproducibility of a self-administered food frequency questionnaire. , 1995, American journal of epidemiology.

[6]  I M Buzzard,et al.  Sources of data for developing and maintaining a nutrient database. , 1988, Journal of the American Dietetic Association.

[7]  G. Mcneill,et al.  Statistical approaches for assessing the relative validity of a food-frequency questionnaire: use of correlation coefficients and the kappa statistic , 2003, Public Health Nutrition.

[8]  W. Willett,et al.  Reproducibility and validity of a semiquantitative food frequency questionnaire. , 1985, American journal of epidemiology.

[9]  A. Beckett,et al.  AKUFO AND IBARAPA. , 1965, Lancet.

[10]  B. Shatenstein,et al.  Development and validation of a food frequency questionnaire. , 2007, Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en dietetique : une publication des Dietetistes du Canada.

[11]  S. Lemieux,et al.  Nutrition Journal BioMed Central , 2004 .

[12]  M. Singer,et al.  Nutritional Epidemiology , 2020, Definitions.

[13]  W C Willett,et al.  Adjustment for total energy intake in epidemiologic studies. , 1997, The American journal of clinical nutrition.

[14]  M. Porrini,et al.  A self-administered semiquantitative food-frequency questionnaire with optical reading and its concurrent validation , 1995, European Journal of Epidemiology.

[15]  J M Bland,et al.  Statistical methods for assessing agreement between two methods of clinical measurement , 1986 .

[16]  T. Jørgensen,et al.  Relative validity of a food frequency questionnaire used in the Inter99 study , 2008, European Journal of Clinical Nutrition.

[17]  L. Blizzard,et al.  Comparative Validity of a Food Frequency Questionnaire for Adults with IDDM , 1995, Diabetes Care.

[18]  Christophe Matthys,et al.  Validity and reproducibility of an adolescent web-based food frequency questionnaire. , 2007, Journal of the American Dietetic Association.

[19]  Katherine L Tucker,et al.  Validation of a web-based dietary questionnaire designed for the DASH (Dietary Approaches to Stop Hypertension) diet: the DASH Online Questionnaire , 2009, Public Health Nutrition.

[20]  M. Nelson,et al.  Food Photography I: the perception of food portion size from photographs , 1994, British Journal of Nutrition.

[21]  W C Willett,et al.  Future directions in the development of food-frequency questionnaires. , 1994, The American journal of clinical nutrition.

[22]  D. Altman,et al.  STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT , 1986, The Lancet.

[23]  A. Subar Developing dietary assessment tools. , 2004, Journal of the American Dietetic Association.

[24]  G. Block,et al.  Validity and reliability of the Block98 food-frequency questionnaire in a sample of Canadian women , 2006, Public Health Nutrition.

[25]  William T Riley,et al.  Evaluation of a web-based, pictorial diet history questionnaire , 2009, Public Health Nutrition.

[26]  Linda C Tapsell,et al.  Overview of computerized dietary assessment programs for research and practice in nutrition education. , 2005, Journal of nutrition education and behavior.

[27]  K. Koury,et al.  Reproducibility and comparability of a computerized, self-administered food frequency questionnaire. , 1990, Nutrition and cancer.

[28]  V. Burley,et al.  Development, validation and utilisation of food-frequency questionnaires – a review , 2002, Public Health Nutrition.

[29]  I. Bourdeaudhuij,et al.  The HELENA online food frequency questionnaire: reproducibility and comparison with four 24-h recalls in Belgian–Flemish adolescents , 2010, European Journal of Clinical Nutrition.

[30]  T. Lohman,et al.  Anthropometric Standardization Reference Manual , 1988 .

[31]  V. Burley,et al.  Food-frequency questionnaires: a review of their design, validation and utilisation , 2004, Nutrition Research Reviews.

[32]  H. Cena,et al.  Reliability and relative validity of a quantitative food-frequency questionnaire for use among adults in Italian population , 2010, International journal of food sciences and nutrition.