Validity of a Short Food Frequency Questionnaire Assessing Macronutrient and Fiber Intakes in Patients of Han Chinese Descent with Type 2 Diabetes

Meng-Chuan Huang, Kun- Der Lin, Hung-Jiun Chen, Yu-Ju Wu, Chiao-I Chang, Shyi-Jang Shin, Hsin-Chia Hung, Chien-Hung Lee, Ya-Fang Huang and Chih-Cheng Hsu
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Meng-Chuan Huang: Department of Nutrition and Dietetics, Kaohsiung Medical University Hospital, Kaohsiung 80705, Taiwan
Kun- Der Lin: Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung 80145, Taiwan
Hung-Jiun Chen: Department of Nutrition and Dietetics, Kaohsiung Medical University Hospital, Kaohsiung 80705, Taiwan
Yu-Ju Wu: Department of Nutrition and Dietetics, Kaohsiung Medical University Hospital, Kaohsiung 80705, Taiwan
Chiao-I Chang: Graduate Institute of Medicine and Department of Public Health and Environmental Medicine, College of Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung 80705, Taiwan
Shyi-Jang Shin: Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital and College of Medicine, Kaohsiung 80705, Taiwan
Hsin-Chia Hung: Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80705, Taiwan
Chien-Hung Lee: Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 80705, Taiwan
Ya-Fang Huang: Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan 35053, Miaoli County, Taiwan
Chih-Cheng Hsu: Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan 35053, Miaoli County, Taiwan

IJERPH, 2018, vol. 15, issue 6, 1-14

Abstract: Few food frequency questionnaires (FFQs) have been developed to assess diet in diabetes patients. This cross-sectional study examined the validity of a 45-item FFQ assessing the intake of macronutrients against three 24-h dietary recalls (24-HDRs) in Taiwan, and compared vegetable and fruit intakes with carotenoid biomarkers. We recruited 126 adults with type 2 diabetes who completed the FFQ and three 24-HDRs administered by a registered dietitian. We measured plasma carotenoids (α-carotene, β-carotene and lutein) in 71 subjects. Partial Pearson correlation coefficients derived from the FFQs and three 24-HDRs and adjusted for energy were of 0.651, 0.587, 0.639 and 0.664 for protein, fat, carbohydrate and fiber, respectively. Cross-classification analysis revealed that 71.5–81% of the macronutrients and fiber were categorized into the same or adjacent quartiles by the FFQ and 24-HDRs. Bland–Altman plots revealed good agreement for energy/macronutrients/fiber across the range of intakes. Multiple linear regression of backward elimination revealed that tertile levels of dark- or light-colored vegetables obtained by the FFQ were significantly associated with plasma α-carotene and β-carotene, but not lutein. Fruit consumption did not correlate with carotenoid biomarkers. In conclusion, this short FFQ provided a valid assessment of macronutrients and fiber intake in type 2 diabetes patients. Vegetable consumption estimated by the FFQ corresponded to plasma α-carotene and β-carotene concentrations.

Keywords: carotenoids; 24-h dietary recall; food frequency questionnaires; type 2 diabetes; validity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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