{"title":"Development and validation of a semi-quantitative food frequency questionnaire as a tool for assessing dietary vitamin D intake among Korean women.","authors":"Hye Ran Shin, SuJin Song, Sun Yung Ly","doi":"10.4162/nrp.2024.18.6.872","DOIUrl":null,"url":null,"abstract":"<p><strong>Background/objectives: </strong>Appropriate vitamin D status improves bone health and chronic diseases; it has shown benefits during the coronavirus disease 2019 pandemic. Therefore, assessing vitamin D status is crucial. However, limited research on vitamin D intake among Koreans complicates understanding of its consumption. This study aimed to develop and validate a semi-quantitative food frequency questionnaire (FFQ) to assess vitamin D intake among Koreans.</p><p><strong>Subjects/methods: </strong>A vitamin D FFQ was developed to include 31 vitamin D source foods from 8 food groups frequently consumed by Korean adults. The study included 152 women residing in a major city in South Korea. From September 2020 to August 2022, intake was surveyed using a 12-day dietary record (12-day DR) across 4 seasons, and 2 vitamin D FFQs were conducted approximately 9-11 months apart (FFQ1 and FFQ2). Reproducibility (FFQ1 vs. FFQ2) and validity (FFQ2 vs. 12-day DR) were verified using Spearman's rank correlation, weighted kappa coefficient, intraclass correlation, and Bland-Altman plots.</p><p><strong>Results: </strong>The vitamin D intake of Korean women using the newly developed vitamin D FFQ was higher at FFQ1 (4.90 µg/day) and FFQ2 (4.58 µg/day) compared with the 12-day DR (4.07 µg/day). Additionally, the results for reproducibility and validity were demonstrated through the Spearman's rank correlation coefficient (reproducibility, 0.592; validity, 0.460), weighted kappa coefficient (reproducibility, 0.379; validity, 0.284), intraclass correlation coefficient (reproducibility, 0.599; validity, 0.543), and Bland-Altman plots (reproducibility index, 3.95%; validity index, 3.95%).</p><p><strong>Conclusion: </strong>This study confirmed the newly developed vitamin D FFQ is reliable and valid for assessing vitamin D intake among Korean women. These results suggest the FFQ is an effective tool for dietary assessment, particularly in large-scale studies where year-round monitoring may not be feasible. Further validation in Korean men is crucial to enhance its applicability, enabling significant contributions to assessing vitamin D intake among Korean adults.</p>","PeriodicalId":19232,"journal":{"name":"Nutrition Research and Practice","volume":"18 6","pages":"872-884"},"PeriodicalIF":2.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621432/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition Research and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4162/nrp.2024.18.6.872","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
摘要
背景/目标:适当的维生素 D 状态可改善骨骼健康和慢性疾病;在 2019 年冠状病毒疾病大流行期间,维生素 D 状态已显示出其益处。因此,评估维生素 D 状态至关重要。然而,对韩国人维生素 D 摄入量的研究有限,使人们对维生素 D 摄入量的了解变得复杂。本研究旨在开发和验证半定量食物频率问卷(FFQ),以评估韩国人的维生素D摄入量:研究开发了维生素 D FFQ,其中包括韩国成年人经常食用的 8 类食物中的 31 种维生素 D 来源食物。研究对象包括居住在韩国某大城市的 152 名女性。从 2020 年 9 月到 2022 年 8 月,在 4 个季节中使用 12 天膳食记录(12 天 DR)对摄入量进行了调查,并进行了两次维生素 D FFQ 调查(FFQ1 和 FFQ2),两次调查相隔约 9-11 个月。利用斯皮尔曼等级相关性、加权卡帕系数、类内相关性和布兰德-阿尔特曼图对再现性(FFQ1 与 FFQ2)和有效性(FFQ2 与 12 天 DR)进行了验证:结果:与 12 天 DR(4.07 微克/天)相比,韩国妇女使用新开发的维生素 D FFQ 进行的 FFQ1(4.90 微克/天)和 FFQ2(4.58 微克/天)维生素 D 摄入量更高。此外,斯皮尔曼等级相关系数(再现性,0.592;有效性,0.460)、加权卡帕系数(再现性,0.379;有效性,0.284)、类内相关系数(再现性,0.599;有效性,0.543)和布兰-阿尔特曼图(再现性指数,3.95%;有效性指数,3.95%)也证明了再现性和有效性的结果:本研究证实,新开发的维生素 D FFQ 在评估韩国妇女的维生素 D 摄入量方面是可靠和有效的。这些结果表明,FFQ 是一种有效的膳食评估工具,特别是在无法进行全年监测的大规模研究中。在韩国男性中进行进一步验证对提高其适用性至关重要,从而为评估韩国成年人的维生素 D 摄入量做出重大贡献。
Development and validation of a semi-quantitative food frequency questionnaire as a tool for assessing dietary vitamin D intake among Korean women.
Background/objectives: Appropriate vitamin D status improves bone health and chronic diseases; it has shown benefits during the coronavirus disease 2019 pandemic. Therefore, assessing vitamin D status is crucial. However, limited research on vitamin D intake among Koreans complicates understanding of its consumption. This study aimed to develop and validate a semi-quantitative food frequency questionnaire (FFQ) to assess vitamin D intake among Koreans.
Subjects/methods: A vitamin D FFQ was developed to include 31 vitamin D source foods from 8 food groups frequently consumed by Korean adults. The study included 152 women residing in a major city in South Korea. From September 2020 to August 2022, intake was surveyed using a 12-day dietary record (12-day DR) across 4 seasons, and 2 vitamin D FFQs were conducted approximately 9-11 months apart (FFQ1 and FFQ2). Reproducibility (FFQ1 vs. FFQ2) and validity (FFQ2 vs. 12-day DR) were verified using Spearman's rank correlation, weighted kappa coefficient, intraclass correlation, and Bland-Altman plots.
Results: The vitamin D intake of Korean women using the newly developed vitamin D FFQ was higher at FFQ1 (4.90 µg/day) and FFQ2 (4.58 µg/day) compared with the 12-day DR (4.07 µg/day). Additionally, the results for reproducibility and validity were demonstrated through the Spearman's rank correlation coefficient (reproducibility, 0.592; validity, 0.460), weighted kappa coefficient (reproducibility, 0.379; validity, 0.284), intraclass correlation coefficient (reproducibility, 0.599; validity, 0.543), and Bland-Altman plots (reproducibility index, 3.95%; validity index, 3.95%).
Conclusion: This study confirmed the newly developed vitamin D FFQ is reliable and valid for assessing vitamin D intake among Korean women. These results suggest the FFQ is an effective tool for dietary assessment, particularly in large-scale studies where year-round monitoring may not be feasible. Further validation in Korean men is crucial to enhance its applicability, enabling significant contributions to assessing vitamin D intake among Korean adults.
期刊介绍:
Nutrition Research and Practice (NRP) is an official journal, jointly published by the Korean Nutrition Society and the Korean Society of Community Nutrition since 2007. The journal had been published quarterly at the initial stage and has been published bimonthly since 2010.
NRP aims to stimulate research and practice across diverse areas of human nutrition. The Journal publishes peer-reviewed original manuscripts on nutrition biochemistry and metabolism, community nutrition, nutrition and disease management, nutritional epidemiology, nutrition education, foodservice management in the following categories: Original Research Articles, Notes, Communications, and Reviews. Reviews will be received by the invitation of the editors only. Statements made and opinions expressed in the manuscripts published in this Journal represent the views of authors and do not necessarily reflect the opinion of the Societies.