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Kito K, Yamamoto J, Kotemori A, Nakadate M, Maruyama K, Miyazaki S, Okada C, Ishihara J, Tsugane S, Sawada N. Validity and reproducibility of the intake of trans-fatty acids estimated using a FFQ and characteristics of trans-fatty acid intake of the Japanese population: the JPHC FFQ Validation Study. Br J Nutr 2023; 130:895-903. [PMID: 36453124 PMCID: PMC10404479 DOI: 10.1017/s0007114522003828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 11/14/2022] [Accepted: 11/21/2022] [Indexed: 12/03/2022]
Abstract
We aimed to validate a method for assessing trans-fatty acid (TFA) intake in the Japanese population using the FFQ developed in the 1990s from a prospective study that was based on the Japan Public Health Center-based Prospective Cohort Study. For FFQ validation, we included 565 participants (Cohort I: n 215, Cohort II: n 350) aged 40-69 years. We used a 28-d dietary record (DR) over 1 year and two FFQ administered before and after DR assessment. We calculated total TFA intake, TFA from industrial oils (i-TFA) and TFA from ruminants (r-TFA) considering a database of measurements obtained mainly from Japan. Spearman's rank correlation coefficients (CC) were computed for validity and reproducibility. Energy adjustments were applied using two methods considering the TFA measurement: density method for TFA % of total energy and residual method for TFA g/d. The total TFA intake (% of the total energy intake) was 0·08-0·76 % (median, 0·27-0·37 %) in DR of both cohorts and was 0·00-1·13 % (median, 0·30-0·40 %) in FFQ. The i-TFA accounted for approximately 50 % of the total TFA intake in DR and approximately 40 % in FFQ. For total TFA (% of the total energy intake), CC were 0·54-0·69, and weighted κ coefficients were 0·88-0·92 for both cohorts. The de-attenuated CC was 0·46-0·62 for i-TFA (g/d) and 0·57-0·68 for r-TFA (g/d). Our study showed that the validity and reproducibility of TFA intake estimation using the FFQ were reasonable, suggesting its suitability among the Japanese population with low-TFA intake.
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Affiliation(s)
- Kumiko Kito
- Division of Cohort Research, National Cancer Center Institute for Cancer Control, 5-1-1 Tsukiji, Chuo-ku, Tokyo104-0045, Japan
- Department of Food and Life Science, School of Life and Environmental Science, Azabu University, Chuo-Ku, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa252-5201, Japan
| | - Junpei Yamamoto
- Department of Food and Life Science, School of Life and Environmental Science, Azabu University, Chuo-Ku, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa252-5201, Japan
| | - Ayaka Kotemori
- Department of Food and Life Science, School of Life and Environmental Science, Azabu University, Chuo-Ku, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa252-5201, Japan
| | - Misako Nakadate
- Department of Food and Life Science, School of Life and Environmental Science, Azabu University, Chuo-Ku, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa252-5201, Japan
| | - Koutatsu Maruyama
- Department of Bioscience, Graduate School of Agriculture, Ehime University, 3-5-7 Tarumi, Matsuyama, Ehime790-8566, Japan
| | - Saori Miyazaki
- Department of Bioscience, Graduate School of Agriculture, Ehime University, 3-5-7 Tarumi, Matsuyama, Ehime790-8566, Japan
| | - Chika Okada
- Department of Social Medicine, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka565-0871, Japan
| | - Junko Ishihara
- Department of Food and Life Science, School of Life and Environmental Science, Azabu University, Chuo-Ku, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa252-5201, Japan
| | - Shoichiro Tsugane
- Division of Cohort Research, National Cancer Center Institute for Cancer Control, 5-1-1 Tsukiji, Chuo-ku, Tokyo104-0045, Japan
- National Institute of Health and Nutrition, National Institute of Biomedical Innovation, 1-23-1 Toyama, Sinjuku, Health and Nutrition, Tokyo162-8636, Japan
| | - Norie Sawada
- Division of Cohort Research, National Cancer Center Institute for Cancer Control, 5-1-1 Tsukiji, Chuo-ku, Tokyo104-0045, Japan
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Malekahmadi M, Naeini AA, Shab-Bidar S, Feizi A, Djazayery A. Development, validity, and reliability of a food frequency questionnaire for antioxidants in elderly Iranian people. JOURNAL OF RESEARCH IN MEDICAL SCIENCES : THE OFFICIAL JOURNAL OF ISFAHAN UNIVERSITY OF MEDICAL SCIENCES 2016; 21:14. [PMID: 27904560 PMCID: PMC5122246 DOI: 10.4103/1735-1995.178753] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Revised: 11/02/2015] [Accepted: 01/20/2016] [Indexed: 11/04/2022]
Abstract
BACKGROUND The food frequency questionnaire (FFQ), as a way to assess the dietary intake in comparison with other methods, is easier to analyze and takes less time and is less costly. Our aim in this study was to develop and validate an FFQ for estimating the intakes of selected antioxidants in elderly Iranian people. MATERIALS AND METHODS A total of 185 elderly people were randomly selected. Three-day food records were completed by the subjects and collected every 2 months and dietary intake levels of zinc, selenium, carotenes and vitamins C and E were estimated. Based on the food records data, geographic location, and age, an FFQ was designed to estimate antioxidant intakes during 1 year. In addition, for controlling energy intake, 2-day food records were also collected with the food frequency questionnaire. To assess the reliability, 40 individuals were asked to complete the FFQ twice with an interval of 3 months in between. RESULTS Intraclass correlation coefficient (ICC) between the two FFQs for antioxidant C, antioxidant E, carotene, selenium, and zinc were 0.62, 0.47, 0.51, 0.54, and 0.58, respectively (P < 0.05). In addition, Pearson correlation coefficients between the FFQ and the food records, after controlling energy for vitamin C, vitamin E, carotene, selenium, and zinc, were 0.46, 0.48, 0.38, 0.55, and 0.47 respectively (P < 0.001). CONCLUSION According to the results of this study, considering the fact that the FFQ was designed for the elderly and the special conditions (patience, memory, etc.) and vulnerability of this age group, the questionnaire is relatively valid and reliable to use.
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Affiliation(s)
- Mahsa Malekahmadi
- Department of Community Nutrition, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Sakineh Shab-Bidar
- Department of Community Nutrition, Tehran University of Medical Sciences, Tehran, Iran
| | - Awat Feizi
- Department of Health Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Abolghasem Djazayery
- Department of Community Nutrition, Tehran University of Medical Sciences, Tehran, Iran
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