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Validation Information: Quest1

O'Donnell 1991

A computerized diet questionnaire for use in diet health education

A diet questionnaire was developed in association with a computer program to provide rapid nutritional feedback to the general public. The questionnaire was validated against 16 d of weighed diet records and biochemical variables in blood and urine. The highest Pearson correlation coefficients obtained between the questionnaire and the weighed records were for alcohol, fibre, iron, riboflavin (r 0.74, 0.67, 0.66, 0.66 respectively). Striking sex differences were shown in the results; the trend for higher correlations persisted in females. At least 65% of subjects were classified by questionnaire to within one quintile of the classification by weighed record for the majority of nutrients.

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Validation Information

Author
O'Donnell
Year of Publication
1991

Tool Information

Dietary Exposure Measured
Full Nutrient, Food Groups
Tool Type
Food Frequency Questionnaire
Timeframe Tool Measures info
3 Months
Portion Size Measures info
Portion sizes are expressed in household measures (i.e, number of slices, glasses).
Reporting Method info
Usual; Retrospective
Format info
Paper
Supplements Measured
Included
Administration Method info
Self-administered

Study Information

Study Location
London, England
Associated Nutrient Database
McCance and Widdowson’s The Composition of Foods, 4th edition
Comparator Validated Against
Biomarkers, Weighed Food Diary

Participants

Sample Size
52 (Both, Weighed Food Diary), 24 (Male, Weighed Food Diary), 28 (Female, Weighed Food Diary), 52 (Both, Biomarkers), 24 (Male, Biomarkers), 28 (Female, Biomarkers)
Lifestage
Adults
Age of Population

Range: 18-65 years

Sex
Both, Male Only, Female Only
Other Notable Characteristics
Healthy Caucasian who are not suffering from any chronic disorder nor following any special or therapeutic diet

Total number of nutrients validated: 20 info

Not all of the nutrients validated in the validation studies are included in the table below, as statistical data was only selected to be displayed for a number of nutrients, this included:

  • Energy
  • Fat
  • Saturated Fat
  • Mono-unsaturated Fat
  • Poly-unsaturated Fat
  • Carbohydrates
  • Protein
  • Sugar
  • Non‐starch polysaccharides(NSP)
  • Sodium
  • Calcium
  • Iron
  • Zinc
  • Retinol
  • Folate
  • Folic Acid
  • Vitamin B12
  • Vitamin C
  • Fruit & Vegetables
  • Urinary Nitrogen

To find information on the other validated nutrients please read the validation study.

  • Energy
  • Macronutrients: 5
  • Micronutrients: 14
Comparator Lifestage Sex Nutrient Measured info Mean Difference Standard Deviation info Correlation Coefficient info Cohen's Kappa Coefficient Percentage Agreement Percentage Agreement Categories info Lower Limits of Agreement Upper Limits of Agreement
Weighed Food Diary Adults Both Energy (kcal) 0.35 (S) 32.6 5
Protein (g) 0.43(P) 24.9 5
Fat (g) 0.39 (P) 26.9 5
Carbohydrates (g) 0.35 (P) 26.9 5
Total sugars (g) 0.31 (P) 23 5
Sodium (mg) 0.09(P) 25.0 5
Calcium (mg) 0.53 (P) 36.5 5
Iron (mg) 0.66 (P) 36.4 5
Zinc (mg) 0.43(P) 32.6 5
Retinol (µg) 0.31 (P) 28.7 5
Folate (µg) 0.36 (P) 44.2 5
Vitamin B12 (µg) 0.49 (P) 28.7 5
Vitamin C (ascorbic acid) (mg) 0.33 (P) 32.7 5
Weighed Food Diary Adults Male Only Energy (kcal) -1046 505 0.42 (P) -2036 -56
Protein (g) -29 21 0.33(P) -71 13
Fat (g) -46 27 0.44 (P) -99 7.5
Carbohydrates (g) -101 64 0.52 (P) -226 24
Total sugars (g) -51 31 0.60 (P) -111 9.2
Sodium (mg) -2042.9 975.9 0.02 (P) -3956 -130.2
Calcium (mg) -412.7 301 0.38 (P) -1003 177.2
Iron (mg) -5.2 5 0.62 (P) -14 4
Zinc (mg) -3.8 806.1 0.33 (P) -10 2.4
Retinol (µg) -80 514.4 0.13 (P) -1088 928.3
Folate (µg) -70.5 60.7 0.29 (P) -189 48.5
Vitamin B12 (µg) -0.9 3.2 0.44 (P) -7 5.4
Vitamin C (ascorbic acid) (mg) -15.5 24 0.75 (P) -63 31.6
Weighed Food Diary Adults Female Only Energy (kcal) -403 580 0.34 (P) -1540 734
Protein (g) -7 18 0.56 (P) -43 28
Fat (g) -24 28 0.40 (P) -80 31
Carbohydrates (g) -32 78 0.26 (P) -183 124
Total sugars (g) -21 47 0.19 (P) -114 71
Sodium (mg) -609.4 947.1 0.39 (P) -2679.1 1033.7
Calcium (mg) -191.3 229 0.67 (P) -640.3 257.7
Iron (mg) -1.8 3.7 0.72 (P) -9 5.4
Zinc (mg) -0.6 2.3 0.69 (P) -5.1 3.9
Retinol (µg) -401.3 691.8 0.46 (P) -1766.2 945.6
Folate (µg) -0.8 46.5 0.54 (P) -91.9 90.3
Vitamin B12 (µg) -1.0 3.3 0.49( P) -7.5 5.5
Vitamin C (ascorbic acid) (mg) 18.8 50.4 0.23(P) -79.9 117.5
Biomarkers Adults Both Zinc (mg) 0.27 (P)
Urinary Nitrogen 0.34 (P)
Biomarkers Adults Male Only Urinary Nitrogen 0.36 (P)
Biomarkers Adults Female Only Zinc (mg) 0.16(P)
Zinc (mg) 0.32 (P)
Urinary Nitrogen 0.28 (P)

Some results have been calculated using statistical techniques based on the published data.

For further information on statistical terms click on Statistical tests used in validation studies

All correlations coefficients in the table are unadjusted unless stated otherwise. For adjusted correlation coefficients and other statistical methods used in the study e.g. paired t-tests, please read the validation articles.

  • # Adjusted
  • † Energy adjusted.
  • ‡ For loge-transformed, energy-adjusted nutrient intakes.
  • ^ Adjacent included.
  • ᵟ Participants provided identical responses.
  • (w) = Weighted.

O'Donnell MG, Nelson M, Wise PH, Walker DM. A computerized diet questionnaire for use in diet health education. 1. Development and validation. The British journal of nutrition. 1991;66(1):3-15