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Cited by 300Nutritional Studies and DietNutrition and Health StudiesStatistical Methods in Epidemiology

Validity and Reproducibility of a Food Frequency Interview in a Multi-Cultural Epidemiologic Study

Mayer-Davis, Elizabeth J, Vitolins, Mara Z, Carmichael, Suzan L, Hemphill, Sandra, Tsaroucha, Georgia, Rushing, Julia, Levin, Sarah·1999·Annals of Epidemiology
DOI 10.1016/s1047-2797(98)00070-2
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Abstract

Purpose There is limited support for the validity and reproducibility of dietary assessment in culturally diverse populations. The goal of this study was to evaluate the comparative validity and reproducibility of a Food Frequency Questionnaire (FFQ) used in the observational, multi-cultural Insulin Resistance Atherosclerosis Study (IRAS).Methods Women (n = 186) were approximately equally distributed by ethnicity from one urban center (African Americans and non-Hispanic whites) and one rural center (Hispanics and non-Hispanic whites). The IRAS FFQ was modified from the National Cancer Institute Health Habits and History Questionnaire to include ethnic and regional foods. Validity was assessed by comparing dietary values, including supplements, obtained from the FFQ to the average intake estimated from a series of 8 24-hour dietary recalls collected by telephone over the same 1-year period. Reproducibility was assessed among women who reported no change in their usual diet (n = 133) by comparing data from the original IRAS FFQ (in-person) with the FFQ administered for the validity study (two to four years later, by telephone).Results Correlation coefficients for validity were statistically significant for most nutrients (mean r = 0.62 urban non-Hispanic white, 0.61 rural non-Hispanic whites, 0.50 African American, 0.41 Hispanic) and did not differ among subgroups of obesity or diabetes status. The median correlation coefficient for the total sample was 0.49. Correlations were lower for women with less than 12 years of education (mean r = 0.30; median r = 0.25). The lower correlations among Hispanics was largely explained by the lower educational attainment in that sample. For reproducibility, the mean correlation for nutrients evaluated was r = 0.62 (median r = 0.63) and did not differ for subgroups.Conclusions Although educational attainment must be considered, the IRAS FFQ appears to be reasonably valid and reliable in a diverse cohort.

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Authors
Mayer-Davis, E. J., Vitolins, M. Z., Carmichael, S. L., Hemphill, S., Tsaroucha, G., Rushing, J., & Levin, S.
Affiliations
  • Wake Forest University Health Sciences (US)
  • University of South Carolina (US)
ORCID
Venue
Annals of Epidemiology
Publisher
Elsevier BV
Published
1999-07
Volume
9
Issue
5
Pages
314-324
ISSN
1047-2797 (ISSN-L)
DOI
10.1016/s1047-2797(98)00070-2
OpenAlex
W2131404482
Cited by
300
References
25
Citations by year
2026: 5 · 2025: 9 · 2024: 6 · 2023: 6 · 2022: 10 · 2021: 11 · 2020: 14 · 2019: 7 · 2018: 14 · 2017: 12 · 2016: 14 · 2015: 7 · 2014: 13 · 2013: 15 · 2012: 16
FWCI
5.56
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Annals of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5u01hl047890-09, 5u01hl047887-09, 5u01hl047889-09)
  • National Heart, Lung, and Blood Institute (UO1-HL47889, UO1-HL47887, UO1-HL47890)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
Keywords
food frequency questionnaire, dietary assessment validity, reproducibility, 24-hour dietary recall, Insulin Resistance Atherosclerosis Study, multi-ethnic population, African American women, Hispanic women, educational attainment, ethnic food, dietary supplements, insulin resistance
MeSH terms
Adult, Aged, Black or African American, Energy Intake, Diet, Educational Status, Female, Hispanic or Latino, Humans, Male, Middle Aged, Surveys and Questionnaires, Mental Recall, Regression Analysis, United States, Reproducibility of Results, Cohort Studies, White People

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