Development of a food frequency questionnaire for Sri Lankan adults

Nutrition Journal

Andrew P Hills³  Prasad Katulanda⁴  Mario J Soares¹  Nuala M Byrne⁵  Sumathi Swaminathan²  Ranil Jayawardena⁴ 

[1]Curtin Health Innovation Research Institute, School of Public Health, Curtin University, Perth, Western Australia

[2]St John's Research Institute, St John’s National Academy of Health Sciences, Bangalore, India

[3]Mater Mother’s Hospital, Mater Medical Research Institute and Griffith Health Institute, Griffith University, Brisbane, Queensland, Australia

[4]Diabetes Research Unit, Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka

[5]Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia

关键词: Adults;    Sri Lanka;    FFQ;    Development;    Food frequency questionnaire;   

Others  :  824052
DOI  :  10.1186/1475-2891-11-63

 received in 2012-06-05, accepted in 2012-08-27,  发布年份 2012

【 摘 要 】

Background

Food Frequency Questionnaires (FFQs) are commonly used in epidemiologic studies to assess long-term nutritional exposure. Because of wide variations in dietary habits in different countries, a FFQ must be developed to suit the specific population. Sri Lanka is undergoing nutritional transition and diet-related chronic diseases are emerging as an important health problem. Currently, no FFQ has been developed for Sri Lankan adults. In this study, we developed a FFQ to assess the regular dietary intake of Sri Lankan adults.

Methods

A nationally representative sample of 600 adults was selected by a multi-stage random cluster sampling technique and dietary intake was assessed by random 24-h dietary recall. Nutrient analysis of the FFQ required the selection of foods, development of recipes and application of these to cooked foods to develop a nutrient database. We constructed a comprehensive food list with the units of measurement. A stepwise regression method was used to identify foods contributing to a cumulative 90% of variance to total energy and macronutrients. In addition, a series of photographs were included.

Results

We obtained dietary data from 482 participants and 312 different food items were recorded. Nutritionists grouped similar food items which resulted in a total of 178 items. After performing step-wise multiple regression, 93 foods explained 90% of the variance for total energy intake, carbohydrates, protein, total fat and dietary fibre. Finally, 90 food items and 12 photographs were selected.

Conclusion

We developed a FFQ and the related nutrient composition database for Sri Lankan adults. Culturally specific dietary tools are central to capturing the role of diet in risk for chronic disease in Sri Lanka. The next step will involve the verification of FFQ reproducibility and validity.

【 授权许可】

   
2012 Jayawardena et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Somatunga LC: NCD Risk factor survey in Sri Lanka (STEP Survey). World Health Organisation, Geneva; 2004. www.who.int/chp/steps/SriLankaSTEPSReport2003.pdf webcite [Accessed April 2012]
• [2]Stamler J: Assessing diets to improve world health: nutritional research on disease causation in populations. Am J Clin Nutr 1994, 59(1):146S.
• [3]Lee RD, Nieman DC: Nutritional Assessments. 3rd edition. Science Engineering, McGraw-Hill; 2002.
• [4]Willett W: Nutrition Epidermiology. 2nd edition. Oxford University Press, New York; 1998.
• [5]Perera WDA, Jayasekara PM, Thaha SZ: Tables of food composition for use in Sri Lanka. Colombo; 1979.
• [6]FAO: FAO-Nutrition Country Profiles. Food and Agriculture organization of the United Nations, Rome; 1999.
• [7]Popkin BM HS, Kim S: The Nutritional Transition and Diet-Related Chronic Diseases in Asia: Implications for Prevention. International Food Policy Research Institute FCND Discussion Paper, Washington, DC; 2001:105.
• [8]Shekar M, Somanathan A, Du L: Malnutrition in Sri Lanka: Scale, Scope, Causes, and Potential Response. In Human Development Unit, South Asia Region Edited by Bank W. 2007.
• [9]Katulanda P, et al.: Prevalence and projections of diabetes and pre-diabetes in adults in Sri Lanka—Sri Lanka diabetes, cardiovascular study (SLDCS). Diabet Med 2008, 25(9):1062-1069.
• [10]Wijewardene K, et al.: Prevalence of hypertension, diabetes and obesity: baseline findings of a population based survey in four provinces in Sri Lanka. Ceylon Med J 2005, 50(2):62-70.
• [11]Katulanda P, et al.: Prevalence of overweight and obesity in Sri Lankan adults. Obes Rev 2010.
• [12]Katulanda P, Ranasinghe P, Jayawardena R, et al.: Metabolic syndrome among Sri Lankan adults: prevalence, patterns and correlates. Diabetology & Metabolic Syndrome 2012, 4:24. BioMed Central Full Text
• [13]Samaranayake UMM, et al.: Food Base Dietary Guidelines for Sri Lanka. 2011, Colombo. Nutrition Devision, Ministry of Healthcare and Nutrition, Sri Lanka; 2011.
• [14]Jayawardena R, Byrne NM, Soares MJ, Katulanda P, Hills AP: Consumption of Sri Lankan adults: an appraisal of serving characteristics. Public Health Nutr 2012, First View:1-6.
• [15]Nelson M, Atkinson M, Meyer J: A Photographic Atlas of Food Portion Sizes. MAFF publications, UK; 1997.
• [16]Shahar S, Yusoff NAM, Safii NS, Ghazau R, Ahmad R: Atlas of Food Exchanges & Portion Sizes. MDC Publishers, Kuala Lampur; 2009.
• [17]USDA: Foods List. In National Nutrient Database for Standard Reference, 24. 2012. National Agricultural Library, editor
• [18]Gopalan C, Ramshastri BV, Balasubramanian SC: Nutritive value of Indian foods. National Institute of Nutrition, Hyderabad; 1989.
• [19]Welch AA, Unwin ID, Buss DH, Paul AA, Southgate DAT: McCance and Widdowson’s The Composition of Foods. 5th edition. Royal Society of Chemistry, Cambridge; 1995.
• [20]Dissanayake C: Ceylon Cookery. 9th edition. Stamford Lake, Sri Lanka; 2010. (pvt) Ltd
• [21]Hodge A, Patterson AJ, Brown WJ, Ireland P, Giles G: The Anti Cancer Council of Victoria FFQ: relative validity of nutrient intakes compared with weighed food records in young to middle-aged women in a study of iron supplementation. Aust N Z J Public Health 2000, 24(6):576-586.
• [22]Kobayashi T, et al.: Development of a food frequency questionnaire to estimate habitual dietary intake in Japanese children. Nutrition Journal 2010, 9(1):17. BioMed Central Full Text
• [23]Ireland P, Jolley D, Giles G, O'Dea K, Powles J, Rutishauser I, Wahlqvist ML, Williams J: Development of the Melbourne FFQ: a food frequency questionnaire for use in an Australian prospective study involving an ethnically diverse cohort. Asia Pacific J Clin Nutr 1994, 3:19-31.
• [24]Bharathi A, et al.: Development of food frequency questionnaires and a nutrient database for the prospective Urban and Rural Epidemiological (PURE) pilot study in South India: methodological issues. Asia Pacific Journal of Clinical Nutrition 2008, 17(1):178-185.
• [25]Dehghan M, et al.: Development of a semi-quantitative food frequency questionnaire for use in United Arab Emirates and Kuwait based on local foods. Nutr J 2005, 4(1):18. BioMed Central Full Text
• [26]Rahav G, et al.: Suppl. 2006, 41(1):i47-155.
• [27]Frobisher C, Maxwell SM: The estimation of food portion sizes: a comparison between using descriptions of portion sizes and a photographic food atlas by children and adults. J Hum Nutr Diet 2003, 16(3):181-188.
• [28]Huybregts L, et al.: Validity of photographs for food portion estimation in a rural West African setting. Public Health Nutr 2008, 11(06):581-587.
• [29]Caster WO: Systematic estimation of food intakes from food frequency data. Nutr Res 1986, 6(4):469-472.
• [30]Cancer Council Victoria. Dietary questionnaires 2010. Available from: http://www.cancervic.org.au/about-our-research/epidemiology/nutritional_assessment_services webcite. [Accessed May 2012]
• [31]Ocké MC, et al.: The Dutch EPIC food frequency questionnaire. I. Description of the questionnaire, and relative validity and reproducibility for food groups. Int J Epidemiol 1997, 26(suppl 1):S37.
• [32]Amarasiri WA, Dissanayake AS: Coconut fats. Ceylon Med J 2006, 51(2):47-51.
• [33]Khokhar SRM, Swan G: Carotenoid and retinol composition of South Asian foods commonly consumed in the UK. J Food Compos Anal 2012, 25(2):166-172.