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Relative validity of the Children's Eating Habits Questionnaire- food frequency section among young European children: the IDEFICS Study
Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
Fondaz IRCSS Ist Nazl Tumori, Nutrit Epidemiol Unit, Dept Prevent & Predict Med, Milan, Italy.ORCID iD: 0000-0001-5438-970X
Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
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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. Vol. 17, no 2, p. 266-276
Keywords [en]
Relative validation, FFQ, 24 h Dietary recall, Children, Proxy reports
National Category
Public Health, Global Health, Social Medicine and Epidemiology
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URN: urn:nbn:se:his:diva-14446DOI: 10.1017/S1368980012005368ISI: 000332957800004PubMedID: 23286734Scopus ID: 2-s2.0-84896479982OAI: oai:DiVA.org:his-14446DiVA, id: diva2:1157714
Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-27Bibliographically approved

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Pala, ValeriaFernandez-Alvira, Juan MiguelEiben, GabrieleKrogh, Vittorio

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