Original Article

Validation of Diet History Questionnaire in Assessing Energy and Nutrient Intakes of Iranian Population

Abstract

Background: This study described validity of Diet History Questionnaire (DHQ) for assessing energy and nutrient intake among Iranian population.

Methods: A group of experienced nutritionists translated the DHQ to Farsi language and modified it based on Iranian food habits and cooking methods. We recruited 244 healthy adults with a mean age of 42.83 ± 0.75 yrs. from healthy individuals who were friends or relatives of patients in the Cancer Institute of Iran from April 2011 to February 2012. We used the DHQ to assess dietary intakes through interviews as well as at least four 24-h recalls one in every season. Reliability was estimated by comparing data of DHQ with mean intake from 24-hour recalls using deattenuated and energy-adjusted Spearman correlation coefficients. We classified dietary intakes of two methods into three groups to probe if DHQ correctly allocates subjects into different intake groups compared to reference method. The results are reported as percent of disagreement, adjacent agreement, and complete agreement.

Results: Deattenuated spearman correlation ranged from 0.18 for vitamin B12 and fat to 0.60 for sugar. It ranged from 0.13 for pantothenic acid to 0.60 for sugar in men and from 0.07 for fat to 0.58 for sugar in females. The complete agreement of methods ranged from 51% for selenium to 36% for carotene in the entire sample, from 50% for energy to 31% for niacin in males and from 49% for sugar to 27% for vitamin B12 in females.

Conclusion: The DHQ is a valid tool for assessing most nutrients intake among Iranian population. In addition, it is a proper instrument in categorizing individuals based on their dietary intakes.

 

1. Mousavi SM, Gouya MM, Ramazani R et al (2008). Cancer incidence and mortality in Iran. Ann Oncol, 20:556-563.
2. e Silva GA, De Moura L, Curado MP et al (2016). The fraction of cancer attributable to ways of life, infections, occupation, and environmental agents in Brazil in 2020. Plos one, 11:e0148761.
3. Kushi LH, Doyle C, McCullough M et al (2012). American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin, 62:30-67.
4. Tholin S, Rasmussen F, Tynelius P, Karlsson J (2005). Genetic and environmental influences on eating behavior: the Swedish Young Male Twins Study. Am J Clin Nutr, 81:564-569.
5. Cade J, Thompson R, Burley V, Warm D (2002). Development, validation and utilisation of food-frequency questionnaires–a review. Public Health Nutr, 5:567-587.
6. Willett W (2012). Nutritional epidemiology. Oxford University Press.
7. Thompson FE, Moler JE, Freedman LS et al (1997). Register of dietary assessment calibration-validation studies: a status report. Am J Clin Nutr, 65:1142S-1147S.
8. Malekshah A, Kimiagar M, Saadatian-Elahi M et al (2006). Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements: pilot phase of Golestan cohort study of esophageal cancer. Eur J Clin Nutr, 60:971-7.
9. Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F (2010). Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr, 13:654-662.
10. Mohammadifard N, Omidvar N, Houshiarrad A et al (2011). Validity and reproducibility of a food frequency questionnaire for assessment of fruit and vegetable intake in Iranian adults. J Res Med Sci, 16:1286-97.
11. Subar AF, Thompson FE, Smith AF et al (1995). Improving food frequency questionnaires: a qualitative approach using cognitive interviewing. J Am Diet Assoc, 95:781-788.
12. Subar AF, Thompson FE, Kipnis V et al (2001). Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: the Eating at America's Table Study. Am J Epidemiol, 154:1089-1099.
13. Csizmadi I, Kahle L, Ullman R et al (2007). Adaptation and evaluation of the National Cancer Institute's Diet History Questionnaire and nutrient database for Canadian populations. Public Health Nutr, 10:88-96.
14. Flood A, Subar AF, Hull SG et al (2006). Methodology for adding glycemic load values to the National Cancer Institute Diet History Questionnaire database. J Am Diet Assoc, 106:393-402.
15. Millen AE, Midthune D, Thompson FE, Kipnis V, Subar AF (2006). The National Cancer Institute diet history questionnaire: validation of pyramid food servings. Am J Epidemiol, 163:279-288.
16. Sadeghi F, Ardestani A, Hadji M et al (2017). Travel Burden for Cancer Patients in Iran: Analysis of 1700 Patients from the Cancer Institute of Iran. Arch Iran Med, 20:147-152.
17. Movahedi A, Roosta R (2000). Food composition table. Shaheed Beheshti University of Medical Sciences. Tehran, Iran
18. Dorosti A, Tabatabaei M (2007). Food composition table. The Iranian Nutrition World Journal, 16:15-20.
19. Azar M, Sarkisian E (1980). Food composition table of Iran. Tehran: National Nutrition and Food Research Institute, Shaheed Beheshti University, 65.
20. Boushey CJ, Coulston AM, Rock CL, Monsen E (2001). Nutrition in the Prevention and Treatment of Disease. ed. Elsevier.
21. Rosner B, Willett W (1988). Interval estimates for correlation coefficients corrected for within-person variation: implications for study design and hypothesis testing. Am J Epidemiol, 127:377-386.
22. Block G, Hartman AM (1989). Issues in reproducibility and validity of dietary studies. Am J Clin Nutr, 50:1133-1138.
23. Serra-Majem L, Andersen LF, Henríque-Sánchez P et al (2009). Evaluating the quality of dietary intake validation studies. Br J Nutr, 102:S3-9.
24. Block G, Woods M, Potosky A, Clifford C (1990). Validation of a self-administered diet history questionnaire using multiple diet records. J Clin Epidemiol, 43:1327-1335.
25. Johansson L, Solvoll K, Bjørneboe G-E, Drevon CA (1998). Under-and overreporting of energy intake related to weight status and lifestyle in a nationwide sample. Am J Clin Nutr, 68:266-274.
26. Marks GC, Hughes MC, van der Pols JC (2006). Relative validity of food intake estimates using a food frequency questionnaire is associated with sex, age, and other personal characteristics. J Nutr, 136:459-465.
27. Ngo J, Gurinovic M, Frost-Andersen L, Serra-Majem L (2009). How dietary intake methodology is adapted for use in European immigrant population groups–a review. Br J Nutr, 101:S86-94.
28. Black A, Goldberg G, Jebb S et al (1991). Critical evaluation of energy intake data using fundamental principles of energy physiology: 2. Evaluating the results of published surveys. Eur J Clin Nutr, 45:583-599.
Files
IssueVol 48 No 6 (2019) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v48i6.2906
Keywords
Diet history questionnaire Validation Nutrient intake Cancer

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
TOORANG F, SASANFAR B, RAZEGHI JAHROMI S, EBRAHIMPOUR KOUJAN S, NARMCHESHM S, RAFEI A, ZENDEHDEL K. Validation of Diet History Questionnaire in Assessing Energy and Nutrient Intakes of Iranian Population. Iran J Public Health. 2019;48(6):1074-1081.