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Validation Information: Medical Research Council-Caerphilly Questionnaire

Thompson 1993

Comparison of a Food Frequency Questionnaire with a 10-Day Weighed Record in Cigarette Smokers

The aim of the study was to compare nutrient intakes estimated by a self-administered food frequency questionnaire and a 10-day weighed record in 122 men and 179 women cigarette smokers aged 40-59 years. Comparison of nutrient intake by means, per cent mean differences and ability to rank individuals correctly between the methods showed good agreement for most nutrients. Spearman rank correlations were statistically significant for all nutrients except vitamin A intake in men; adjusting for energy intake increased the strength of the associations found. Bland-Altman plots showed differences in agreement over the range of intakes for energy in men and ascorbic acid in women. Food frequency questionnaires may be used to assess the dietary habits of smokers, but some caution is required and the method should be assessed in the study sample before being applied to the whole sample.

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Validation Information

Author
Thompson
Year of Publication
1993

Tool Information

Dietary Exposure Measured
Full Nutrient, Food Groups
Tool Type
Food Frequency Questionnaire
Timeframe Tool Measures info
Week
Portion Size Measures info
Estimates of quantities consumed were obtained for some items: e.g. number and size of slices of bread per day or amount of milk per day, etc. For other foods a mean portion size, calculated from mean values of intakes from an existing 7-day weighed record from South Wales, was used to derive amounts of foods eaten.
Reporting Method info
Usual; Retrospective
Format info
Paper
Supplements Measured
Not Reported
Administration Method info
Self-administered

Study Information

Study Location
Southampton, England
Associated Nutrient Database
McCance & Widdowson's The Composition of Foods, 4th & 5th edition and supplements. The inclusion of linoleic acid to the nutrient database was the only change compared to the original FFQ.
Comparator Validated Against
Weighed Food Diary

Participants

Sample Size
122 (Male), 179 (Female)
Lifestage
Adults
Age of Population

Range: 40-59 years

Sex
Male Only, Female Only
Other Notable Characteristics
Cigarette smokers from general practices in Southampton

Total number of nutrients validated: 16 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: 9
  • Micronutrients: 6
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 Male Only Energy (kcal) -96 537 0.38 (S) -1170 979
Energy (kJ) -400 2250 0.38 (S) -4900 4100
Protein (g) -0.2 22 0.35 (S) -44 44
Fat (g) -11 31 0.34 (S) -73 51
Saturated Fat (g) -2 27 0.45 (S) -56 52
PUFA (g) -2 7 0.56 (S) -15 12
Carbohydrates (g) -1 77 0.54 (S) -156 153
Total Sugars (g) 7 45 0.66 (S) -90 104
Calcium (mg) 65 276.1 0.45 (S) -487.2 617.2
Iron (mg) -0.8 5.6 0.48 (S) -12.1 10.5
Folate (µg) 37 79 0.59 (S) -121 195
Vitamin C (mg) 4.2 32.1 0.51 (S) -60.1 68.4
Weighed Food Diary Adults Female Only Energy (kcal) 48 652 0.36 (S) -1256 1352
Energy (kJ) 200 2730 0.36 (S) -5260 5660
Protein (g) 11 20 0.35 (S) -29 50
Fat (g) -5 25 0.44 (S) -55 46
Saturated Fat (g) -1 11 0.59 (S) -22 21
PUFA (g) -0.2 6 0.44 (S) -11 11
Carbohydrates (g) 12 60 0.52 (S) -109 132
Total Sugars (g) 11 39 0.61 (S) -67 89
Calcium (mg) 123 266.2 0.53 (S) -409.4 655.4
Iron (mg) 1.8 5.5 0.47 (S) -9.1 12.7
Folate (µg) 49 68 0.49 (S) -88 186
Vitamin C (mg) 13.5 32.1 0.52 (S) -50.7 77.7

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.

Thompson RL, Margetts BM. Comparison of a food frequency questionnaire with a 10-day weighed record in cigarette smokers. International Journal of Epidemiology. 1993 Oct 1;22(5):824-33.