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http://dx.doi.org/10.4162/nrp.2022.16.6.789

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)
Publication Information
Nutrition Research and Practice / v.16, no.6, 2022 , pp. 789-800 More about this Journal
Abstract
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.
Keywords
Validation study; reproducibility of results; nutrition assessment; breast neoplasms; cancer survivors;
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