Validade relativa de um questionário de freqüência alimentar para utilização em adultos

Autores/as

  • Sandra Patrícia CRISPIM Universidade Federal de Viçosa
  • Rita de Cássia Lanes RIBEIRO Universidade Federal de Viçosa
  • Emanuelle PANATO Prefeitura Municipal de Viçosa
  • Margarida Maria Santana da SILVA Universidade Federal de Viçosa
  • Lina Enriqueta Frandsen Paez ROSADO Universidade Federal de Viçosa
  • Gilberto Paixão ROSADO Universidade Federal de Viçosa

Palabras clave:

Epidemiologia nutricional, Inquéritos sobre dietas., Métodos, Questionário

Resumen

Objective
To validate a semi quantitative food frequency questionnaire to assess the food intake of adults in the city of Viçosa, Minas Gerais.

Methods
Ninety-four adults of both genders and representing different educational levels. As a reference method for the validation study four 24 hour dietary recalls were used with intervals of one month in between. A semi quantitative food frequency questionnaire containing 58 food items was applied at the end of the study. The dietetic data was calculated using Diet Pro software and analyzed according to difference of means or medians and Pearson’s correlation. The correlation coefficients were adjusted for energy and corrected for intrapersonal variance. Cross classification was used for comparing both methods.

Results
Differences of means or medians revealed underestimation of the semi quantitative food frequency questionnaire on determining the consumption of micronutrients (vitamin C, retinol, and calcium). However, when evaluated by the correlation coefficients and corrected for the variance, these micronutrients presented adequate values; lipid was the only nutrient that indicated low consistency in the dietary assessment among the methods (r=0.33); the other nutrients showed a correlation varying from r=0.40 to r=0.76, with a mean of r=0.52. The correct classification of the methods presented a non-perfect agreement, but acceptable among
the evaluated methods.

Conclusion
The performance of the semi quantitative food frequency questionnaire in the assessment of the habitual food intake was acceptable for most of the nutrients in the studied population. The studied questionnaire can be adapted and used in other populations, but a new validation study is needed if the characteristics of the population differ. 

Citas

Willett W. Nutritional epidemiology. 2nd ed. New York: Oxford University Press; 1998.

Margetts BM, Nelson M. Design concepts in nutritional epidemiology. 2nd ed. Oxford; University Press; 1997.

Crispim SP, Franceschini SCC, Priore SE, Fisberg RM. Validação de inquéritos dietéticos: uma revisão. Nutrire Rev Soc Bras Aliment Nutr. 2003; 26(10) 27-41.

Molag ML, Vries JH, Ocke MC, Dagnelie PC, van den Brandt PA, Jansen MC, et al. Design characteristics of food frequency questionnaires in relation to their validity. Am J Epidemiol. 2007; 166(12):1468-78.

Beaton GH. Approaches to analysis of dietary data: relationship between planned analyses and choice of methodology. Am J Clin Nutr. 1994; 59(1 Suppl): 253S-61S.

Block G, Hartman AM. Issues in reproducibility and validity of dietary studies. Am J Clin Nutr. 1989; 50(5 Suppl):1133-8; discussion 231-5.

Lopez J. Validez de la evaluación de la ingesta dietética. In: Majem L, Bartrina J, Verdu J, editores. Nutrición y salud pública Métodos, bases científicas y aplicaciones. Barcelona: Masson; 1995. p.132-6.

Dwyer J. Avaliação dietética. In: Shills ME, Olson JA, Shike M, editores. Tratado de nutrição moderna na saúde e na doença. São Paulo: Manole; 2003. p.937-59.

Sales RL, Silva MMS, Costa NMB, Euclydes MP, Eckhardt VF, Rodrigues CMA, et al. Desenvolvimento de um inquérito para avaliação da ingestão alimentar de grupos populacionais. Rev Nutr. 2006; 19(5)39-52.

Cade J, Thompson R, Burley V, Warm D. Development, validation and utilisation of food-frequency questionnaires: a review. Public Health Nutr. 2002; 5(4):567-87.

Carter RL, Sharbaugh CO, Stapell CA. Reliability and validity of the 24-hour recall. J Am Diet Assoc. 1981; 79(5):542-7.

Karvetti RL, Knuts LR. Validity of the 24-hour dietary recall. J Am Diet Assoc. 1985; 85(11):1437-42.

Thompson FE, Byers T. Dietary assessment resource manual. J Nutr. 1994; 124(11Suppl):2245S-317S.

Zabotto C, Viana R, Gil M. Registro fotográfico para inquéritos dietéticos: utensílios e porções. Goiânia: UFG; 1996.

Pinheiro A, Lacerda E, Benzecry E, Gomes M, Costa V. Tabela para avaliação de consumo alimentar em medidas caseiras. Rio de Janeiro: UFRJ; 1994.

Instituto Brasileiro de Geografia e Estatística. Estudo nacional da despesa familiar: tabela de composição química. 4a. ed. Rio de Janeiro: IBGE;1996.

United States Department of Agriculture. Nutrient database for standard reference. Beltsville (MD); 1998.

Willett W, Stampfer MJ. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol. 1986; 124(1):17-27.

Liu K, Stamler J, Dyer A, McKeever J, McKeever P. Statistical methods to assess and minimize the role of intra-individual variability in obscuring the relationship between dietary lipids and serum cholesterol. J Chronic Dis. 1978; 31(6/7):399-418.

Beaton GH, Milner J, Corey P, McGuire V, Cousins M, Stewart E, et al. Sources of variance in 24-hour dietary recall data: implications for nutrition study design and interpretation. Am J Clin Nutr. 1979; 32(12):2546-59.

Beaton GH, Milner J, McGuire V, Feather TE, Little JA. 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. 1983; 37(6):986-95.

Bohlscheid-Thomas S, Hoting I, Boeing H, Wahrendorf J. Reproducibility and relative validity of energy and macronutrient intake of a food frequency questionnaire developed for the German part of the EPIC project: European prospective investigation into cancer and nutrition. Int J Epidemiol. 1997; 26(Suppl 1):S71-81.

Rodriguez MM, Mendez H, Torun B, Schroeder D, Stein AD. Validation of a semi-quantitative foodfrequency questionnaire for use among adults in Guatemala. Public Health Nutr. 2002; 5(5):691-9.

Fraser GE, Shavlik DJ. Correlations between estimated and true dietary intakes. Ann Epidemiol. 2004; 14(4):287-95.

Sempos CT, Johnson NE, Smith EL, Gilligan C. Effects of intraindividual and interindividual variation in repeated dietary records. Am J Epidemiol. 1985; 121(1):120-30.

Basiotis PP, Thomas RG, Kelsay JL, Mertz W. Sources of variation in energy intake by men and women as determined from one year’s daily dietary records. Am J Clin Nutr. 1989; 50(3):448-53.

Sichieri R, Everhart J. Validity of a brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Nutr Res. 1998; 18(10): 1649-59.

Fornes NS, Stringhini ML, Elias BM. Reproducibility and validity of a food-frequency questionnaire for use among low-income Brazilian workers. Public Health Nutr. 2003; 6(8):821-7.

Hernandez-Avila M, Romieu I, Parra S, HernandezAvila J, Madrigal H, Willett W. Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Pública de México. 1998; 40(2):133-40.

Pisani P, Faggiano F, Krogh V, Palli D, Vineis P, Berrino F. Relative validity and reproducibility of a food frequency dietary questionnaire for use in the Italian EPIC centres. Int J Epidemiol. 1997; 26(Suppl 1):S152-60.

Kroke A, Klipstein-Grobusch K, Voss S, Moseneder J, Thielecke F, Noack R, et al. Validation of a selfadministered food-frequency questionnaire administered in the European Prospective Investigation into Cancer and Nutrition (EPIC) Study: comparison of energy, protein, and macronutrient intakes estimated with the doubly labeled water, urinary nitrogen, and repeated 24-h dietary recall methods. Am J Clin Nutr. 1999; 70(4):439-47.

Parr CL, Barikmo I, Torheim LE, Ouattara F, Kaloga A, Oshaug A. Validation of the second version of a quantitative food-frequency questionnaire for use in Western Mali. Public Health Nutr. 2002; 5(6): 769-81.

Publicado

2023-08-30

Cómo citar

CRISPIM, S. P. ., Lanes RIBEIRO, R. de C., PANATO, E. ., Santana da SILVA, M. M. ., Frandsen Paez ROSADO, L. E. ., & Paixão ROSADO, G. (2023). Validade relativa de um questionário de freqüência alimentar para utilização em adultos. Revista De Nutrição, 22(1). Recuperado a partir de https://periodicos.puc-campinas.edu.br/nutricao/article/view/9458

Número

Sección

ARTIGOS ORIGINAIS