Cited by 116Nutritional Studies and DietNutrition and Health StudiesStatistical Methods in Epidemiology

Combining a Food Frequency Questionnaire With 24-Hour Recalls to Increase the Precision of Estimation of Usual Dietary Intakes—Evidence From the Validation Studies Pooling Project

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Freedman, Laurence S, Midthune, Douglas, Arab, Lenore, Prentice, Ross L, Subar, Amy F, Willett, Walter, Neuhouser, Marian L, Tinker, Lesley F +1 more·2018·American Journal of Epidemiology

Abstract

Improving estimates of individuals' dietary intakes is key to obtaining more reliable evidence for diet-health relationships from nutritional cohort studies. One approach to improvement is combining information from different self-report instruments. Previous work evaluated the gains obtained from combining information from a food frequency questionnaire (FFQ) and multiple 24-hour recalls (24HRs), based on assuming that 24HRs provide unbiased measures of individual intakes. Here we evaluate the same approach of combining instruments but base it on the better assumption that recovery biomarkers provide unbiased measures of individual intakes. Our analysis uses data from the 5 large validation studies included in the Validation Studies Pooling Project: the Observing Protein and Energy Nutrition Study (1999-2000), the Automated Multiple-Pass Method validation study (2002-2004), the Energetics Study (2006-2009), the Nutrition Biomarker Study (2004-2005), and the Nutrition and Physical Activity Assessment Study (2007-2009). The data included intakes of energy, protein, potassium, and sodium. Under a time-varying usual-intake model analysis, the combination of an FFQ with 4 24HRs improved correlations with true intake for predicted protein density, potassium density, and sodium density (range, 0.39-0.61) in comparison with use of a single FFQ (range, 0.34-0.50). Absolute increases in correlation ranged from 0.02 to 0.26, depending on nutrient and sex, with an average increase of 0.14. Based on unbiased recovery biomarker evaluation for these nutrients, we confirm that combining an FFQ with multiple 24HRs modestly improves the accuracy of estimates of individual intakes.

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Crossref · 10.1093/aje/kwy126

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Authors
Freedman, L. S., Midthune, D., Arab, L., Prentice, R. L., Subar, A. F., Willett, W., Neuhouser, M. L., Tinker, L. F., & Kipnis, V.
Affiliations
  • Sheba Medical Center (IL)
  • National Institutes of Health (US)
  • University of California, Los Angeles (US)
  • Fred Hutch Cancer Center (US)
  • National Cancer Institute (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Freedman, Laurence S
Venue
American Journal of Epidemiology
Published
2018-06-18
Volume
187
Issue
10
Pages
2227-2232
ISSN
  • 0002-9262 (ISSN-L)
  • 1476-6256
OpenAlex
W2809346922
Cited by
116
References
28
Citations by year
2026: 13 · 2025: 22 · 2024: 24 · 2023: 8 · 2022: 10 · 2021: 11 · 2020: 14 · 2019: 13
FWCI
9.06
Type
journal article
Language
en
Open access
Locations
  • American Journal of Epidemiology (publishedVersion, public-domain)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Heart, Lung, and Blood Institute (HHSN268201100046C, HHSN268201100001C, HHSN268201100002C, HHSN268201100003C, HHSN268201100004C, HHSN271201100004C)
  • National Cancer Institute (R01 CA119171)
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, 24-hour dietary recall, validation studies, protein intake, potassium intake, sodium intake, energy intake, dietary assessment accuracy
MeSH terms
Adult, Aged, Energy Intake, Diet Surveys, Dietary Proteins, Female, Humans, Male, Middle Aged, Mental Recall, Sex Factors, Sodium, Dietary, Reproducibility of Results, Potassium, Dietary, Self Report

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