Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Communication
  • Published:

Validation of a semi-quantitative adolescent food frequency questionnaire applied at a public school in São Paulo, Brazil

Abstract

Objective: To develop a food frequency questionnaire for adolescents (AFFQ) and demonstrate its relative validity.

Design: The final version of the AFFQ was composed of 76 food items previously identified according to their contribution in nutrients and overall importance within the eating habits of this population group. The validation study, which was undertaken during a 6 month period (June to November 1999), was administered to a sample of 79 who answered at least three 24 h dietary recalls (R24 h) applied at intervals of 45 days and one AFFQ at the end of the study. Applying the paired t-test and calculating Pearson correlation coefficients on nutrient data, differences in the mean of nutrients were obtained. Correlation coefficients between the mean energy-adjusted nutrients computed by the two methods were calculated, and correction was made for within-person variability. Agreement was evaluated by distribution of the adolescents according to quartiles of consumption.

Locus: A public school within the metropolitan region of São Paulo city.

Results: A high variability in the dietary intake of adolescents was observed, with high rates of variability for cholesterol, retinal and vitamin C. The Pearson correlation coefficients, after being adjusted and corrected for variability, ranged from 0.10 to 0.72 among females and from 0.16 and 0.91 among males. The mean correlation coefficient for the entire group was 0.52.

Conclusions: These results indicate that the AFFQ provides a potentially reliable scale for categorizing individuals by level of past intake of most nutrients, excluding retinol and iron.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  • Beaton, GH, Milner, J, McGuire, V, Feather, TE & Little, JA (1983). Source of variance in 24-hour dietary recall data: implications for nutrition study design and interpretation. Carbohydrate sources, vitamins, and minerals. Am. J. Clin. Nutr., 37, 986–995.

    Article  CAS  Google Scholar 

  • Block, G, Dresser, CM, Hartman, AM & Carroll, MD (1985a). Nutrient sources in the American diet: quantitative data from the nhanes II survey. I. Vitamins and minerals. Am. J. Epidemiol., 122, 13–26.

    Article  CAS  Google Scholar 

  • Block, G, Dresser, CM, Hartman, AM & Carroll, MD (1985b). Nutrient sources in the American diet: quantitative data from the nhanes II survey. II. Macronutrients and fats. Am. J. Epidemiol., 122, 27–40.

    Article  CAS  Google Scholar 

  • Cardoso, MA, Kida, AA, Tomita, RD & Stocco, RD (2001a). Reproducibility and validity of a food frequency questionnaire among women of Japanese ancestry living in Brazil. Nutr. Res., 21, 725–733.

    Article  CAS  Google Scholar 

  • Field, AE, Peterson, KE, Gortmaker, SL, Cheung, L, Rockett, H & Fox, MK et al (1999). Reproducibility and validity of a food frequency questionnaire among fourth to seventh grade inner-city school children: implications of age and day-to-day variation in dietary intake. Publ. Health Nutr., [on line]2, (3) Available from: http://saturn.bids.ac.uk (accessed 2 January 2001)

  • Fisberg, M, Bandeira, CRS, Bonilha, EA, Halpern, G & Hirschbruch, MD (2000). Hábitos alimentares na adolescência. Pediatr. Mod., 36, 724–723.

    Google Scholar 

  • Flegal, K (1999). Evaluating epidemiologic evidence of the effects of food and nutrient exposures. Am. J. Clin. Nutr., 69, (Suppl) 139S–144S.

    Google Scholar 

  • Flegal, KM & Laarkin, FA (1990). Partitioning macronutrient intake estimates from a food frequency questionnaire. Am. J. Epidemiol., 131, 1046–1050.

    Article  CAS  Google Scholar 

  • Friis, S, Kruger Kjaer, S, Stripp, C & Overvad, K (1997). Reproducibility and relative validity of a self- administered semiquantitative food questionnaire applied to younger women. J. Clin. Epidemiol., 50, 303–311.

    Article  CAS  Google Scholar 

  • Gnardellis, C, Trichopouluu, A, Katsouyanni, K, Polychronopoulos, E, Rimm, EB & Trichopoulos, D (1994). Reproducibility and validity of an extensive semi-quantitative food frequency questionnaire among teachers. Epidemiology, 6, 74–77.

    Article  Google Scholar 

  • Goran, MJ (1998). Measurement issues related to studies of childhood obesity: assessment of body composition, body fat distribution, physical activity, and food intake. Pediatrics, 101, (Suppl) S505–S518.

    Google Scholar 

  • Harbottle, L & Duggan, MB (1994). Daily variation in food and nutrient intakes of Asian children in Sheffield. Eur. J. Clin. Nutr., 48, 66–70.

    CAS  PubMed  Google Scholar 

  • Jiménez, LG & Martín-Moreno, JM (1995). Cuestionario de frecuencia de consumo alimentario. In:Nutrición y Salud Pública—Métodos, bases científicas y aplicaciones, ed. LlS Majem, BJ Aranceta, MJ Verdú, pp120–125, España: MASSON

    Google Scholar 

  • Ludwig, DS, Peterson, KE & Gortmaker, SL (2001). Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet, 357, 505–508.

    Article  CAS  Google Scholar 

  • Martín-Moreno, JM, Boyle, P, Gorgojo, L, Maisonneuve, P, Fernandez-Rodriguez, JC, Salvini, S & Willett, WC (1993). Development and validation of a food frequency questionnaire in Spain. Int. J. Epidemiol., 22, 512–519.

    Article  Google Scholar 

  • Munger, RG, Folsom, AR, Kushi, LH, Kaye, SA & Sellers, TA (1992). Dietary assessment of older Iowa women with a food frequency questionnaire: nutrient intake, reproducibility and comparison with 24-hour dietary recal intrerviews. Am. J. Epidemiol., 136, 192–200.

    Article  CAS  Google Scholar 

  • Nelson, M (1997). The validation of dietary assessment. In:Design concepts in nutrition epidemiology, 2nd edn. B Margetts & M Nelson, pp241–272, Oxford: Oxford University Press

    Chapter  Google Scholar 

  • Nuzzo, L (1998). Avaliação do estado nutricional de adolescentes de uma instituição particular de ensino, São Paulo: Tese de Mestrado, Faculdade de Saúde Pública da USP

    Google Scholar 

  • Ocké, MC, Bueno-de-Mesquita, HB, Goddijn, HE, Jansen, A, Pols, MA, Staveren, WAV & Kromhout, D (1997). The Dutch EPIC food frequency questionaire. I. Description of the questionnaire, and relative validity and reproducibility for food groups. Int. J. Epidemiol., 26, (Suppl. 1) 37S–48S.

    Article  Google Scholar 

  • Overvad, K, Tjonneland, A, Haraldsdottir, J, Ewerte, M & Jensen, OM (1991). Development of semiquantitave food frequency questionnaire to assess food, energy and nutrient intake in Denmark. Int. J. Epidemiol., 20, 900–905.

    Article  CAS  Google Scholar 

  • Philippi, ST, Szarfarc, SC & Latterza, AR (1996). Virtual Nutri, (software), Version 1.0 for Windows São Paulo: Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo

    Google Scholar 

  • Rimm, EB, Giovannucci, EL, Stampfer, MJ, Colditz, GA, Litin, LB & Willett, WC (1992). Reproducibility and validity of an expanded self-administered semi-quantitative food frequency questionnaire among male health professionals. Am. J. Epidemiol., 135, 1114–1126.

    Article  CAS  Google Scholar 

  • Rockett, RH & Colditz, GA (1997). Assessing diets of children and adolescents. Am. J. Clin. Nutr., 65, (Suppl) 1116S–1122S.

    Article  CAS  Google Scholar 

  • Rockett, HRH, Breitenbach, M, Frazier, AL, Witschi, J, Wolf, AM & Field, AE et al (1997). Validation of a youth/adolescent food frequency questionnaire. Prev. Med., 26, 808–816.

    Article  CAS  Google Scholar 

  • Sempos, CT, Johnson, NE, Smith, EL & Gilligan, C (1985). Effects of intraindividual and interindividual variation in repeated dietary records. Am. J. Epidemiol., 121, 120–130.

    Article  CAS  Google Scholar 

  • Thompson, FE & Byers, T (1994). Dietary assessment resource manual. J. Nutr., 124, (Suppl 11)

  • Tsubono, Y, Fahey, MT, Takahashi, T, Iwase, Y, Iitoi, Y, Akabane, M & Tsugane, S (1998). Interpopulation and intrapopulation variability of nutrient intake in five regions of Japan. Eur. J. Clin. Nutr., 52, 176–179.

    Article  CAS  Google Scholar 

  • Willett, WC (1998). Nutritional Epidemiology, 2nd edn Oxford: Oxford University Press

    Book  Google Scholar 

  • Willett, WC & Stampfer, MJ (1986). Total energy intake: implications for epidemiological analyses. Am. J. Epidemiol., 124, 17–20.

    Article  CAS  Google Scholar 

  • Willett, WC, Sampson, L, Stampfer, MJ, Rosner, B, Bain, C & Witschi, J et al (1985). Reproducibility and validity of a semiquantitative food frequency questionnaire. Am. J. Epidemiol., 122, 51–65.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

Guarantor: B. Slater

Contributors: BS responsible for research design, conduction of the study and for the writing the document. STP was the advisor of the study. RMF collaborated in the interpretation and discussion of the study's results. MRDOLT collaborated in the statistical analyses and interpretation of the results.

Corresponding author

Correspondence to B Slater.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Slater, B., Philippi, S., Fisberg, R. et al. Validation of a semi-quantitative adolescent food frequency questionnaire applied at a public school in São Paulo, Brazil. Eur J Clin Nutr 57, 629–635 (2003). https://doi.org/10.1038/sj.ejcn.1601588

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1601588

Keywords

This article is cited by

Search

Quick links