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Validity of a Short Food Frequency Questionnaire Assessing Macronutrient and Fiber Intakes in Patients of Han Chinese Descent with Type 2 Diabetes

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  • Meng-Chuan Huang

    (Department of Nutrition and Dietetics, Kaohsiung Medical University Hospital, Kaohsiung 80705, Taiwan
    Graduate Institute of Medicine and Department of Public Health and Environmental Medicine, College of Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung 80705, Taiwan)

  • Kun-Der Lin

    (Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung 80145, Taiwan
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital and College of Medicine, Kaohsiung 80705, Taiwan)

  • Hung-Jiun Chen

    (Department of Nutrition and Dietetics, Kaohsiung Medical University Hospital, Kaohsiung 80705, Taiwan
    Graduate Institute of Medicine and Department of Public Health and Environmental Medicine, College of Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung 80705, Taiwan)

  • Yu-Ju Wu

    (Department of Nutrition and Dietetics, Kaohsiung Medical University Hospital, Kaohsiung 80705, Taiwan
    Graduate Institute of Medicine and Department of Public Health and Environmental Medicine, College of Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung 80705, Taiwan)

  • Chiao-I Chang

    (Graduate Institute of Medicine and Department of Public Health and Environmental Medicine, College of Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung 80705, Taiwan)

  • Shyi-Jang Shin

    (Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital and College of Medicine, Kaohsiung 80705, Taiwan)

  • Hsin-Chia Hung

    (Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80705, Taiwan)

  • Chien-Hung Lee

    (Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 80705, Taiwan)

  • Ya-Fang Huang

    (Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan 35053, Miaoli County, Taiwan)

  • Chih-Cheng Hsu

    (Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan 35053, Miaoli County, Taiwan
    Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan
    Department of Family Medicine, Min-Sheng General Hospital, Taoyuan 33044, Taiwan)

Abstract

Few food frequency questionnaires (FFQs) have been developed to assess diet in diabetes patients. This cross-sectional study examined the validity of a 45-item FFQ assessing the intake of macronutrients against three 24-h dietary recalls (24-HDRs) in Taiwan, and compared vegetable and fruit intakes with carotenoid biomarkers. We recruited 126 adults with type 2 diabetes who completed the FFQ and three 24-HDRs administered by a registered dietitian. We measured plasma carotenoids (α-carotene, β-carotene and lutein) in 71 subjects. Partial Pearson correlation coefficients derived from the FFQs and three 24-HDRs and adjusted for energy were of 0.651, 0.587, 0.639 and 0.664 for protein, fat, carbohydrate and fiber, respectively. Cross-classification analysis revealed that 71.5–81% of the macronutrients and fiber were categorized into the same or adjacent quartiles by the FFQ and 24-HDRs. Bland–Altman plots revealed good agreement for energy/macronutrients/fiber across the range of intakes. Multiple linear regression of backward elimination revealed that tertile levels of dark- or light-colored vegetables obtained by the FFQ were significantly associated with plasma α-carotene and β-carotene, but not lutein. Fruit consumption did not correlate with carotenoid biomarkers. In conclusion, this short FFQ provided a valid assessment of macronutrients and fiber intake in type 2 diabetes patients. Vegetable consumption estimated by the FFQ corresponded to plasma α-carotene and β-carotene concentrations.

Suggested Citation

  • Meng-Chuan Huang & Kun-Der Lin & Hung-Jiun Chen & Yu-Ju Wu & Chiao-I Chang & Shyi-Jang Shin & Hsin-Chia Hung & Chien-Hung Lee & Ya-Fang Huang & Chih-Cheng Hsu, 2018. "Validity of a Short Food Frequency Questionnaire Assessing Macronutrient and Fiber Intakes in Patients of Han Chinese Descent with Type 2 Diabetes," IJERPH, MDPI, vol. 15(6), pages 1-14, June.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1142-:d:150078
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    References listed on IDEAS

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    1. Frida B Zipkin & Grace A Falciglia & Pierce Kuhnell & Erin N Haynes, 2017. "Development and Evaluation of a Manganese and Iron Food Frequency Questionnaire for Pediatrics," IJERPH, MDPI, vol. 14(9), pages 1-9, September.
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    Cited by:

    1. Meng-Chuan Huang & Szu-Chun Hung & Tsen-Hua Tai & Ting-Yun Lin & Chiao-I Chang & Chih-Cheng Hsu, 2022. "Using a Short Food Frequency Questionnaire to Evaluate Macronutrients, Fiber, Phosphorus, Potassium, and Calcium in Adults with Stages 3–5 Chronic Kidney Disease," IJERPH, MDPI, vol. 19(19), pages 1-11, September.
    2. Pedro Montagut-Martínez & David Pérez-Cruzado & José Joaquín García-Arenas, 2020. "Nutritional Status Measurement Instruments for Diabetes: A Systematic Psychometric Review," IJERPH, MDPI, vol. 17(16), pages 1-16, August.

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