Dietary Assessment of Older Iowa Women with a Food Frequency Questionnaire: Nutrient Intake, Reproducibility, and Comparison with 24-Hour Dietary Recall Interviews
Abstract
The authors report the results of a dietary survey of 38,121 Iowa women, 55-69 years of age in 1986, based on a semiquantitative food frequency questionnaire previously tested among Boston-area women aged 34-59 years. The Iowa women, compared with the younger Boston-area women, consumed a similar amount of calories (1,767 vs. 1,844 kcal) and a similar amount of total calories from fat (35 vs. 37%) but had markedly greater intake of the following micronutrients after including supplement use: iron (+18%), calcium (+33%), vitamin A (+43%), riboflavin (+46%), thiamine (+50%), and pyridoxine (+122%). The reproducibility of the questionnaire was examined in two more administrations to 44 of the Iowa women in January and June of 1988. Reproducibility was highest for alcohol (Pearson's r = 0.99), caffeine (r = 0.95), and vitamin E (r = 0.90) and lowest for sucrose (r = 0.53), polyunsaturated fat (r = 0.56), and iron (r = 0.59). Micronutrient intakes were generally more reproducible than macronutrient intakes. The agreement between the June 1988 questionnaire and the average of five 24-hour dietary recalls was also assessed in the 44 subjects. The median correlations of energy-adjusted intake were as follows: for macronutrients, r = 0.45; for micronutrients without supplements, r = 0.33; and for micronutrients with supplements, r = 0.64. This food frequency questionnaire appears to be reasonably reproducible and accurate, so that its use may be extended to epidemiologic studies of older women with a broad range of socioeconomic backgrounds.
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This validation study had an adequate sample size similar to those used in previous studies.
“In addition, this validation study had an adequate sample size [15] similar to those used in previous studies [30,45-46].”
From Online dietary intake estimation: reproducibility and validity of the Food4Me Food frequency questionnaire against a 4-day weighed food record (2014) · cites this paper as [45]
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“In addition, this validation study had an adequate sample size [15] similar to those used in previous studies [30,45-46].”
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“The measurement-error corrected risk estimates were similar to the uncorrected results, which was expected because the assessments of alcohol intake from the study-specific questionnaires and multiple 24-hours recalls or food records generally have been shown to be highly correlated (74-82).”
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“The reliability and validity of the food frequency questionnaire have been reported elsewhere (22).”
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“The reliability and validity of the questionnaire were evaluated in 2 studies (26, 27).”
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“Participants also completed a 127-item food frequency questionnaire (FFQ) developed and validated by Willett and coworkers,27,28 with reliability and validity demonstrated in the IWHS.29 The FFQ asked participants to report average consumption over the past year, including the following flavonoid-containing foods: fru…”
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“The validity of the food frequency questionnaire was evaluated in this cohort by comparing nutrient values determined from the questionnaire to values estimated from the average of five 24-hour dietary recall surveys in 44 participants [16].”
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Coffee Consumption and Risk of Type 2 Diabetes Mellitus
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Self-citationArts, I. C. W., Jacobs, D. R., Gross, M. D., Harnack, L., & Folsom, A. R. (2002) · Cancer Causes & Control · doi:10.1023/a:1015290131096 · Cited by 171 · see citing works
“In our Iowa cohort the reproducibility of the foodfrequency questionnaire and estimates of nutrient intakes compared to five 24-h dietary recalls were satisfactory [15].”
BackgroundSelf-citationIntake of antioxidant vitamins and risk of death from stroke in postmenopausal women
Yochum, L., Folsom, A. R., & Kushi, L. H. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/72.2.476 · Cited by 168 · see citing works
Self-citationHeme Iron, Zinc, Alcohol Consumption, and Colon Cancer: Iowa Women's Health Study
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“has been validated in the IWHS population (30).”
BackgroundA comparison of two dietary instruments for evaluating the fat–breast cancer relationship
Freedman, L. S., Potischman, N. A., Kipnis, V., Midthune, D., Schatzkin, A. G., Thompson, F. E., Troiano, R. P., Prentice, R. L., Patterson, R. E., Carroll, R. J., et al. (2006) · International Journal of Epidemiology · doi:10.1093/ije/dyl085 · Cited by 162 · see citing works
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“In studies conducted in Greece, by Gnardellis et al (1994) and in the USA by Munger et al (1992), the two effects (increasing and decreasing the correlation) happen simultaneously for the different nutrients analyzed.”
BackgroundAssociation of diet and mammographic breast density in the Minnesota breast cancer family cohort.
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“Although the FFQ used in the IWHS has been shown to provide reasonably valid intake estimates for folate, vitamin B-6, vitamin B-12, and alcohol (36), measurement error is inherent in retrospective dietary assessment of cancer (44).”
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Nitrate from Drinking Water and Diet and Bladder Cancer Among Postmenopausal Women in Iowa
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“…enrollment in a small sample of the cohort indicated good reproducibility in measuring key macro- and micronutrients, including total energy intake (r = 0.51–0.67) Environmental Health Perspectives • volume 124 | number 11 | November 2016 1753 and vitamin C (r = 0.81–0.84) (Munger et al. 1992).”
BackgroundInfluentialDiet and Risk of Non-Hodgkin Lymphoma in Older Women
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“Hypertension, n (%) 14 388 (19) 2759 (20) 3292 (17) 3634 (18) 2246 (20) 1902 (24) 421 (27) 134 (26)”
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An evaluation of the Dietary Guidelines for Americans in relation to cancer occurrence
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Self-citationReduced risk of colon cancer with high intake of vitamin E: the Iowa Women's Health Study.
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Self-citationDietary risk factors for upper aerodigestive tract cancers
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Self-citationVitamin D intake and breast cancer risk in postmenopausal women: the Iowa Women’s Health Study
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“Use of this FFQ has been shown to be reasonably reliable for assessing dietary intake in the IWHS cohort [23].”
MethodAlcohol Intake and Renal Cell Cancer in a Pooled Analysis of 12 Prospective Studies
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Self-citationLee, D., Folsom, A. R., & Jacobs, D. R. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.4.787 · Cited by 123 · see citing works
“First, although the reproducibility and validity of the FFQ used in the Iowa Women’s Health Study was evaluated in 44 study participants (29), the accuracies of heme iron, nonheme iron, or zinc were not separately examined.”
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Self-citation
- Authors
- Munger, R. G., Folsom, A. R., Kushi, L. H., Kaye, S. A., & Sellers, T. A.
- Affiliations
- University of Iowa (US)
- University of Minnesota (US)
- Corresponding author
- Munger, Ronald G.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1992-07-15
- Volume
- 136
- Issue
- 2
- Pages
- 192-200
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W1894977589
- Cited by
- 353
- References
- 0
- Citations by year
- 2026: 7 · 2025: 1 · 2023: 4 · 2022: 4 · 2021: 33 · 2020: 6 · 2019: 6 · 2018: 8 · 2017: 8 · 2016: 3 · 2015: 5 · 2014: 7 · 2013: 12 · 2012: 12
- FWCI
- 9.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R01 CA39742, R01CA039742)
- 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
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- food frequency questionnaire, dietary assessment, reproducibility, 24-hour dietary recall, micronutrient intake, macronutrient intake, older women, dietary supplements, iron intake, calcium intake, vitamin intake, questionnaire validation, Iowa women
- MeSH terms
- Energy Intake, Evaluation Studies as Topic, Female, Humans, Interviews as Topic, Iowa, Middle Aged, Nutrition Surveys, Surveys and Questionnaires, Reproducibility of Results
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