Development and Validation of the Brief Folate-Specific Food Frequency Questionnaire for Young Women's Diet Assessment

Int J Environ Res Public Health. 2017 Dec 14;14(12):1574. doi: 10.3390/ijerph14121574.

Abstract

The tools enabling brief assessment of folate intake may be of great value for public health purposes. The aim of the presented study was to design a brief folate-specific food frequency questionnaire for Central and Eastern European population of women, as well as to assess the validity and reproducibility of the designed Folate-Intake Calculation-Food Frequency Questionnaire (Fol-IC-FFQ) on a group of Polish women aged 20-30 years. Participants collected 3-day dietary records and completed the Fol-IC-FFQ twice (FFQ1: directly after the dietary record; and FFQ2: six weeks later). The analysis included an assessment of validity (comparison of the results of FFQ1 and 3-day dietary record) and of reproducibility (comparison of the results of FFQ1 and FFQ2). In assessment of validity, a Bland-Altman index of 5.3% was observed. In assessment of reproducibility, a Bland-Altman index of 2.7% was observed, the share of individuals classified into the same intake adequacy category was over 85%, the share of individuals classified into the same tertile was almost 75%, the weighted κ statistic indicated substantial agreement (0.67) and correlation was significant (p = 0.0000; R = 0.7995). Assessment of the Fol-IC-FFQ revealed a satisfactory level of validity and very good level of reproducibility in the population of young Polish women. The Fol-IC-FFQ may be considered a valid tool for the assessment of folate intake in young Polish women and a promising tool for the assessment of folate intake in young women in Central and Eastern Europe.

Keywords: folate; food frequency questionnaire; reproducibility; validation study; validity; young women.

MeSH terms

  • Adult
  • Diet Records*
  • Diet Surveys*
  • Female
  • Folic Acid*
  • Humans
  • Nutritional Status
  • Poland
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Young Adult

Substances

  • Folic Acid