Validation of a dietary history questionnaire for American Indian and Alaska Native people.

OBJECTIVE We assessed reliability and relative validity of a self-administered computer-assisted dietary history questionnaire (DHQ) for use in a prospective study of diet, lifestyle, and chronic disease in American Indians in the Dakotas and Southwestern US and Alaska Native people. DESIGN Reliability was assessed by one-month test-retest of the dietary history questionnaire. Validity was assessed by comparison of the weighted average of up to 12 monthly 24-hour recalls collected prospectively and a dietary history questionnaire completed in the 13th month. PARTICIPANTS Participants were recruited at the baseline visit of the Education and Research Toward Health Study in Alaska, the Northern Plains and the Dakotas. RESULTS Reliability (Pearson correlation) of the DHQ ranged from r = 0.43 for vitamin A density to r = 0.90 for energy intake. The association of nutrient and food estimates assessed by 24-hour recalls and the DHQ completed at the end of the year reflected no bias towards recent intake. Macronutrients expressed as density (nutrients per 1000 calories) did appear to be valid (r = 0.50-0.71) as did several micronutrients (range r = .22 to 0.59), fiber (r = 0.51), and servings of red meat (r = 0.67). However, the DHQ overestimated intake and gross amounts of nutrients were not strongly associated with the weighted average of the 24-hour recalls. CONCLUSIONS The DHQ developed for estimation of dietary intake in American Indians and Native people in Alaska is reliable. Estimates of nutrient density appeared to have acceptable relative validity for use in epidemiologic studies.

[1]  K. Flegal,et al.  Comparison of estimated nutrient intakes by food frequency and dietary records in adults. , 1989, Journal of the American Dietetic Association.

[2]  T. Byers,et al.  The diet of Alaska Native adults: 1987-1988. , 1992, The American journal of clinical nutrition.

[3]  R. Lindeman,et al.  A SURVEY OF CHRONIC DISEASE AND DIET IN SEMINOLE INDIANS IN OKLAHOMA. , 1963, The American journal of clinical nutrition.

[4]  C. J. Smith,et al.  Survey of the diet of Pima Indians using quantitative food frequency assessment and 24-hour recall. Diabetic Renal Disease Study. , 1996, Journal of the American Dietetic Association.

[5]  B. Howard,et al.  Dietary intakes vary with age among Eskimo adults of Northwest Alaska in the GOCADAN study, 2000-2003. , 2005, The Journal of nutrition.

[6]  I. Ockene,et al.  Seasonal variation in food intake, physical activity, and body weight in a predominantly overweight population , 2006, European Journal of Clinical Nutrition.

[7]  D. Holtzman,et al.  Surveillance for health behaviors of American Indians and Alaska Natives. Findings from the Behavioral Risk Factor Surveillance System, 1997-2000. , 2003, Morbidity and mortality weekly report. Surveillance summaries.

[8]  G. D. Whedon,et al.  Nutrient intake of Pima Indian women: relationships to diabetes mellitus and gallbladder disease. , 1971, The American journal of clinical nutrition.

[9]  E. Boyko,et al.  Dietary change and obesity associated with glucose intolerance in Alaska Natives. , 1995, Journal of the American Dietetic Association.

[10]  Roger L. Edwards,et al.  Practice of Epidemiology Development and Use of Touch-Screen Audio Computer-assisted Self-Interviewing in a Study of American Indians , 2007 .

[11]  D Feskanich,et al.  Comparison of a computerized and a manual method of food coding for nutrient intake studies. , 1988, Journal of the American Dietetic Association.

[12]  X. Shu,et al.  Impact of season of food frequency questionnaire administration on dietary reporting. , 2004, Annals of epidemiology.

[13]  X. Shu,et al.  Validity and reproducibility of the food-frequency questionnaire used in the Shanghai men's health study. , 2007, The British journal of nutrition.

[14]  E. Mayer-Davis,et al.  An epidemiologic review of dietary intake studies among American Indians and Alaska Natives: implications for heart disease and cancer risk. , 1997, Annals of epidemiology.

[15]  Barbara E. Ainsworth,et al.  Intra-individual variation and estimates of usual physical activity , 1999 .

[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. Andersen,et al.  Comparison of diet measures from a food-frequency questionnaire with measures from repeated 24-hour dietary recalls. The Norwegian Women and Cancer Study , 2007, Public Health Nutrition.

[18]  Roger L. Edwards,et al.  Development, implementation, and evaluation of a computerized self-administered diet history questionnaire for use in studies of American Indian and Alaskan native people. , 2008, Journal of the American Dietetic Association.

[19]  G. Block,et al.  Reproducibility of a self-administered diet history questionnaire administered three times over three different seasons. , 1996, Nutrition and cancer.

[20]  D Feskanich,et al.  Computerized collection and analysis of dietary intake information. , 1989, Computer methods and programs in biomedicine.

[21]  G Cutter,et al.  A study of the reliability and comparative validity of the cardia dietary history. , 1994, Ethnicity & disease.

[22]  Relative validity and reproducibility of a diet history questionnaire in Spain. II. Nutrients. EPIC Group of Spain. European Prospective Investigation into Cancer and Nutrition. , 1997, International journal of epidemiology.

[23]  J. Marrugat,et al.  Use of a three-day estimated food record, a 72-hour recall and a food-frequency questionnaire for dietary assessment in a Mediterranean Spanish population. , 2001, Clinical nutrition.

[24]  A Trichopoulou,et al.  Reproducibility and relative validity of an extensive semi-quantitative food frequency questionnaire using dietary records and biochemical markers among Greek schoolteachers. , 1997, International journal of epidemiology.

[25]  K. Flegal,et al.  Counting calories: partitioning energy intake estimates from a food frequency questionnaire. , 1988, American journal of epidemiology.

[26]  Nobmann Ed,et al.  Dietary intake among Alaska native women resident of Anchorage, Alaska. , 2001 .

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

[28]  B. Howard,et al.  Dietary intakes of nutrients thought to modify cardiovascular risk from three groups of American Indians: The Strong Heart Dietary Study, Phase II. , 2005, Journal of the American Dietetic Association.

[29]  R. Carroll,et al.  Performance of a food-frequency questionnaire in the US NIH–AARP (National Institutes of Health–American Association of Retired Persons) Diet and Health Study , 2008, Public Health Nutrition.

[30]  P. Laake,et al.  Test-retest reproducibility of a food frequency questionnaire (FFQ) and estimated effects on disease risk in the Norwegian Women and Cancer Study (NOWAC) , 2006, Nutrition journal.

[31]  M. Slattery,et al.  A prospective cohort of American Indian and Alaska Native people: study design, methods, and implementation. , 2007, American journal of epidemiology.

[32]  N. Teufel,et al.  Patterns of food use and nutrient intake of obese and non-obese Hualapai Indian women of Arizona. , 1990, Journal of the American Dietetic Association.

[33]  A. Mokdad,et al.  Intake of nutrients and food sources of nutrients among the Navajo: findings from the Navajo Health and Nutrition Survey. , 1997, The Journal of nutrition.

[34]  M. Dignan,et al.  Dietary intake of Lumbee Indian women in Robeson County, North Carolina. , 1995, Journal of the American Dietetic Association.

[35]  S L Zeger,et al.  Regression analysis for correlated data. , 1993, Annual review of public health.