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Validity and reproducibility of a food frequency questionnaire for breast cancer survivors in Korea

  • Sang-Eun, Moon (Department of Food and Nutrition, Seoul National University) ;
  • Woo-kyoung, Shin (Research Institute of Human Ecology, Seoul National University) ;
  • Sihan, Song (Department of Food and Nutrition, Seoul National University) ;
  • Dahye, Koh (Department of Food and Nutrition, Seoul National University) ;
  • Jeong Sun, Ahn (Department of Food and Nutrition, Seoul National University) ;
  • Youngbum, Yoo (Department of Surgery, Konkuk University Medical Center) ;
  • Minji, Kang (BK21 FOUR Education and Research Team for Sustainable Food & Nutrition, Department of Food and Nutrition, Seoul National University) ;
  • Jung Eun, Lee (Department of Food and Nutrition, Seoul National University)
  • 투고 : 2021.03.08
  • 심사 : 2022.01.06
  • 발행 : 2022.12.01

초록

BACKGROUND/OBJECTIVES: The aim of this study was to examine the validity and reproducibility of a food frequency questionnaire (FFQ) developed in Korea for breast cancer survivors. SUBJECTS/METHODS: Ninety-nine breast cancer survivors who completed an FFQ twice and three 3-day dietary records (DRs) between 2016-2017 were included. Energy and 14 nutrient intakes were calculated from FFQs and DRs. To determine the validity of the FFQ, energy-adjusted de-attenuated Pearson correlations between two FFQ assessments and the average of the three 3-day DRs were calculated, and to determine reproducibility, energy-adjusted Pearson correlations and degrees of agreement were calculated between the first and second FFQ assessments. RESULTS: Correlation coefficients of validity ranged from 0.29 (protein) to 0.47 (fat) (median value = 0.36) for the FFQ assessment and from 0.20 (riboflavin) to 0.53 (calcium) (median value = 0.37) for the second. Correlation coefficients of reproducibility ranged from 0.22 (sodium) to 0.62 (carbohydrate) (median value = 0.36). Regarding FFQ reproducibilities, percentage classifications of exact agreements for energy-adjusted nutrients ranged from 27.3% (sodium) and 45.5% (fat). A median 76.8% of participants were classified into the same or adjacent quartiles, while a median of 5.6% of participants were classified in extreme quartiles. Bland-Atman plots for the majority of data points of three macronutrients, calcium and vitamins A and C fell within limits of agreement. CONCLUSIONS: These results indicated that the newly developed FFQ for Korean breast cancer survivors has acceptable validity and reproducibility as compared with three 3-day DRs collected over a one-year period.

키워드

과제정보

The authors are grateful to the study participants and research staff at Konkuk University Medical Center.

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