Validation Information: FFQ (Netherlands)
Visser 2020
Relative Validity of the HELIUS Food Frequency Questionnaire for Measuring Dietary Intake in Older Adult Participants of the Longitudinal Aging Study Amsterdam
The aim of this study was to determine the relative validity of the HEalthy LIfe in an Urban Setting (HELIUS) food frequency questionnaire (FFQ) in assessing the dietary intake of energy, nutrients, and food groups of Dutch older men and women. In 2014–2015, 88 participants of the Longitudinal Aging Study Amsterdam aged 71.9 (SD 8.6) years completed the 238-item HELIUS FFQ and three 24-hour dietary recalls. The mean group-level bias in the intakes of energy, nutrients, and food groups between the two methods was assessed, as well as Pearson’s correlation coefficients and level of agreement using quintile distribution. For the intakes of energy and macronutrients, the group-level bias was ≤5%, Pearson’s correlation coefficients were moderate to good (ranging from 0.26 for total fat to 0.72 for alcohol), and agreement was moderate to high (classification in same or adjacent quintile ranging from 63% for energy, protein, and carbohydrate to 91% for alcohol). For most micronutrients and food groups, the relative validity was moderate (Pearson’s correlation coefficients between 0.3 and 0.5), with the lowest correlations for β-carotene (0.08), vitamin B1 (0.19), fish (0.14), and grains (0.24). In conclusion, for energy and macronutrients, most micronutrients, and most food groups, the relative validity of the HELIUS FFQ to assess dietary intake in Dutch older adults was acceptable to good.
Total number of nutrients validated: 28
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: 14
- Micronutrients: 14
Comparator | Lifestage | Sex | Nutrient Measured | Mean Difference | Standard Deviation | Correlation Coefficient | Cohen's Kappa Coefficient | Percentage Agreement | Percentage Agreement Categories | Lower Limits of Agreement | Upper Limits of Agreement |
---|---|---|---|---|---|---|---|---|---|---|---|
24hr Recall | Adults and Elderly | Both | Energy (kcal) | 76 | 556 | 0.32 (P) | -1036 | 1188 | |||
Protein (g) | 3.6 | 23 | 0.39 (P) | -42.4 | 49.6 | ||||||
Fat (g) | 4.9 | 28 | 0.26 (P) | -51.1 | 60.9 | ||||||
Saturated Fat (g) | -0.1 | 13 | 0.43 (P) | -26.1 | 25.9 | ||||||
MUFA (g) | -10.6 | 19 | 0.20 (P) | -48.6 | 27.4 | ||||||
PUFA (g) | 15.7 | 9 | 0.26 (P) | -2.3 | 33.7 | ||||||
Carbohydrate (g) | 4.7 | 66 | 0.41 (P) | -127.3 | 136.7 | ||||||
Calcium (mg) | 103.2 | 377 | 0.45 (P) | -650.8 | 857.2 | ||||||
Iron (mg) | 0.2 | 3.2 | 0.43 (P) | -6.2 | 6.6 | ||||||
Zinc (mg) | 0.6 | 3.3 | 0.36 (P) | -6 | 7.2 | ||||||
Retinol (µg) | 142.6 | 718 | 0.42 (P) | -1293.4 | 1578.6 | ||||||
Folate (µg) | 30.5 | 81 | 0.34 (P) | -131.5 | 192.5 | ||||||
Vitamin B12 (µg) | 1.1 | 3.7 | 0.50 (P) | -6.3 | 8.5 | ||||||
Vitamin C (mg) | 37.6 | 65 | 0.44 (P) | -92.4 | 167.6 |
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.
Visser M, Elstgeest LEM, Winkens LHH, Brouwer IA, Nicolaou M. Relative Validity of the HELIUS Food Frequency Questionnaire for Measuring Dietary Intake in Older Adult Participants of the Longitudinal Aging Study Amsterdam. Nutrients. 2020;12(7):05.