Reliability and validity of a short FFQ for assessing the dietary habits of 2-5-year-old children, Sydney, Australia

Public Health Nutr. 2014 Mar;17(3):498-509. doi: 10.1017/S1368980013000414. Epub 2013 May 1.

Abstract

Objective: A simple FFQ which ranks young children's dietary habits is necessary for population-based monitoring and intervention programmes. The aim of the present study was to determine the reliability and validity of a short FFQ to assess the dietary habits of young children aged 2-5 years.

Design: Parents completed a seventeen-item FFQ for their children by telephone on two occasions, two weeks apart. Sixty-four parents also completed 3 d food records for their children. The FFQ included daily servings of fruit and vegetables, frequency of eating lean meat, processed meats, take-away food, snack foods (biscuits, cakes, doughnuts, muesli bars), potato crisps and confectionery, and cups of soft drinks/cordials, juice, milk and water. Weighted kappa and intra-class correlation coefficients were used to assess FFQ reliability and the Bland-Altman method was used to assess validity of the FFQ compared with the 3 d food record.

Setting: Seven pre-school centres in metropolitan Sydney, Australia.

Subjects: Seventy-seven children aged 2-5 years.

Results: The majority of questions had moderate to good reliability: κ w ranged from 0·37 (lean meat) to 0·85 (take-away food consumption). Validity analysis showed a significant increase in mean values from the food record with increasing ordered categories from the FFQ for servings of vegetables and fruit and cups of drinks (all trend P ≤ 0·01). Spearman rank correlation coefficient was >0·5 for vegetables, fruit, diet soft drinks and fruit juice.

Conclusions: The FFQ provides reliable and moderately valid information about the dietary intakes and habits of children aged 2-5 years, in particular for fruit, vegetables and beverages.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Australia
  • Child, Preschool
  • Cross-Sectional Studies
  • Diet Records
  • Energy Intake*
  • Feeding Behavior / psychology*
  • Female
  • Health Promotion / standards
  • Humans
  • Life Style
  • Male
  • Nutrition Assessment*
  • Nutrition Surveys / instrumentation*
  • Nutrition Surveys / methods
  • Nutrition Surveys / standards
  • Obesity / prevention & control
  • Parents / psychology
  • Program Evaluation
  • Reproducibility of Results
  • Socioeconomic Factors
  • Surveys and Questionnaires / standards*
  • Urban Population