Reproducibility and construct validity of a food frequency questionnaire for assessing dietary intake in rural and urban Asian Indian adults.


Journal

Asia Pacific journal of clinical nutrition
ISSN: 1440-6047
Titre abrégé: Asia Pac J Clin Nutr
Pays: China
ID NLM: 9440304

Informations de publication

Date de publication:
2020
Historique:
entrez: 2 4 2020
pubmed: 2 4 2020
medline: 13 1 2021
Statut: ppublish

Résumé

To evaluate the reproducibility and construct validity of the Madras Diabetes Research Foundation FFQ (MDRF-FFQ) with biomarkers for its use in epidemiological settings in India. The MDRF-FFQ was administered to 500 participants representing rural and urban areas of 10 Indian states, twice at an interval of 12 months. Reproducibility was assessed using intra cluster correlation coefficients (ICC). Construct validity of carbohydrate and fat intake was assessed using baseline serum lipids by regression analysis. Reproducibility as measured by ICC was 0.50-0.77 for saturated fatty acids (SFA) and energy in urban and 0.61-0.72 for protein and SFA in rural areas. The ICC for food groups was 0.53-0.77 for whole grains, fruits and vegetables in urban and 0.50-0.89 for animal foods and whole grains in rural areas. After adjusting for potential confounders, carbohydrate intake was positively associated with serum triglycerides (TG) (β [SE]: +2.3 [0.72] mg/dL; p=0.002) and inversely with high density lipoprotein cholesterol (HDL) (β [SE]:-0.48 [0.12], p<0.001), while dietary fat and SFA (% Energy) were positively associated with HDL, low density lipoprotein (LDL) and total cholesterol and inversely with TG. The MDRF-FFQ can be considered as a reliable and valid tool to measure the long-term dietary exposure in respect of macronutrient intakes in Indian populations despite diverse dietary practices.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
To evaluate the reproducibility and construct validity of the Madras Diabetes Research Foundation FFQ (MDRF-FFQ) with biomarkers for its use in epidemiological settings in India.
METHODS AND STUDY DESIGN METHODS
The MDRF-FFQ was administered to 500 participants representing rural and urban areas of 10 Indian states, twice at an interval of 12 months. Reproducibility was assessed using intra cluster correlation coefficients (ICC). Construct validity of carbohydrate and fat intake was assessed using baseline serum lipids by regression analysis.
RESULTS RESULTS
Reproducibility as measured by ICC was 0.50-0.77 for saturated fatty acids (SFA) and energy in urban and 0.61-0.72 for protein and SFA in rural areas. The ICC for food groups was 0.53-0.77 for whole grains, fruits and vegetables in urban and 0.50-0.89 for animal foods and whole grains in rural areas. After adjusting for potential confounders, carbohydrate intake was positively associated with serum triglycerides (TG) (β [SE]: +2.3 [0.72] mg/dL; p=0.002) and inversely with high density lipoprotein cholesterol (HDL) (β [SE]:-0.48 [0.12], p<0.001), while dietary fat and SFA (% Energy) were positively associated with HDL, low density lipoprotein (LDL) and total cholesterol and inversely with TG.
CONCLUSIONS CONCLUSIONS
The MDRF-FFQ can be considered as a reliable and valid tool to measure the long-term dietary exposure in respect of macronutrient intakes in Indian populations despite diverse dietary practices.

Identifiants

pubmed: 32229459
doi: 10.6133/apjcn.202003_29(1).0025
doi:

Substances chimiques

Biomarkers 0
Lipids 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

192-204

Auteurs

Vasudevan Sudha (V)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Ranjit Mohan Anjana (RM)

Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Email: dranjana@drmohans.com.

Parthasarathy Vijayalakshmi (P)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Nagarajan Lakshmipriya (N)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Natarajan Kalpana (N)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Rajagopal Gayathri (R)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Rahavan Durga Priyadarshini (RD)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Hutgikar Madhav Malini (HM)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Chandrasekaran Anitha (C)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Mohan Deepa (M)

Department of Epidemiology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Sekar Sathish Raj (SS)

Department of Epidemiology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Kumar Parthiban (K)

Department of Epidemiology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Rajappan Ramakrishnan (R)

Department of Epidemiology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Gunasekaran Geetha (G)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Kamala Krishnaswamy (K)

Department of Foods, Nutrition & Dietetics Research, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Ranjit Unnikrishnan (R)

Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

Viswanathan Mohan (V)

Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India.

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