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Bel-Serrat, S., Mouratidou, T., Pala, V., Huybrechts, I., Boernhorst, C., Fernandez-Alvira, J. M., . . . Moreno, L. A. (2014). Relative validity of the Children's Eating Habits Questionnaire- food frequency section among young European children: the IDEFICS Study. Public Health Nutrition, 17(2), 266-276
Open this publication in new window or tab >>Relative validity of the Children's Eating Habits Questionnaire- food frequency section among young European children: the IDEFICS Study
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2014 (English)In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 17, no 2, p. 266-276Article in journal (Refereed) Published
Abstract [en]

Objective: To compare, specifically by age group, proxy-reported food group estimates obtained from the food frequency section of the Children's Eating Habits questionnaire (CEHQ-FFQ) against the estimates of two non-consecutive 24h dietary recalls (24-HDR). Design: Estimates of food group intakes assessed via the forty-three-food-group CEHQ-FFQ were compared with those obtained by a computerized 24-HDR. Agreement on frequencies of intakes (equal to the number of portions per recall period) between the two instruments was examined using crude and de-attenuated Pearson's correlation coefficients, cross-classification analyses, weighted kappa statistics (kappa(w)) and Bland-Altman analysis. Setting: Kindergartens/schools from eight European countries participating in the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) Study cross-sectional survey (2007-2008). Subjects: Children aged 2-9 years (n 2508, 50.4% boys). Results: The CEHQ-FFQ provided higher intake estimates for most of the food groups than the 24-HDR. De-attenuated Pearson correlation coefficients ranged from 0.01 (sweetened fruit) to 0.48 (sweetened milk) in children aged 2-<6 years (mean = 0.25) and from 0.01 (milled cereal) to 0.44 (water) in children aged 6-9 years (mean = 0.23). An average of 32 % and 31 % of food group intakes were assigned to the same quartile in younger and older children, respectively, and classification into extreme opposite quartiles was <= 12 % for all food groups in both age groups. Mean kappa(w) was 0.20 for 2-<6-year-olds and 0.17 for 6-9-year-olds. Conclusions: The strength of association estimates assessed by the CEHQ-FFQ and the 24-HDR varied by food group and by age group. Observed level of agreement and CEHQ-FFQ ability to rank children according to intakes of food groups were considered to be low.

Place, publisher, year, edition, pages
Cambridge University Press, 2014
Relative validation, FFQ, 24 h Dietary recall, Children, Proxy reports
National Category
Public Health, Global Health, Social Medicine and Epidemiology
urn:nbn:se:his:diva-14446 (URN)10.1017/S1368980012005368 (DOI)000332957800004 ()23286734 (PubMedID)2-s2.0-84896479982 (Scopus ID)
Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-27Bibliographically approved
ORCID iD: ORCID iD iconorcid.org/0000-0001-5438-970x

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