A comparison of a food frequency questionnaire with a 24-hour recall for use in an epidemiological cohort study: results from the biomarker-based Observing Protein and Energy Nutrition (OPEN) study
Open Access
- 1 December 2003
- journal article
- research article
- Published by Oxford University Press (OUP) in International Journal of Epidemiology
- Vol. 32 (6), 1054-1062
- https://doi.org/10.1093/ije/dyg264
Abstract
Background Most large cohort studies have used a food frequency questionnaire (FFQ) for assessing dietary intake. Several biomarker studies, however, have cast doubt on whether the FFQ has sufficient precision to allow detection of moderate but important diet–disease associations. We use data from the Observing Protein and Energy Nutrition (OPEN) study to compare the performance of a FFQ with that of a 24-hour recall (24HR). Methods The OPEN study included 484 healthy volunteer participants (261 men, 223 women) from Montgomery County, Maryland, aged 40–69. Each participant was asked to complete a FFQ and 24HR on two occasions 3 months apart, and a doubly labelled water (DLW) assessment and two 24-hour urine collections during the 2 weeks after the first FFQ and 24HR assessment. For both the FFQ and 24HR and for both men and women, we calculated attenuation factors for absolute energy, absolute protein, and protein density. Results For absolute energy and protein, a single FFQ’s attenuation factor is 0.04–0.16. Repeat administrations lead to little improvement (0.08–0.19). Attenuation factors for a single 24HR are 0.10–0.20, but four repeats would yield attenuations of 0.20–0.37. For protein density a single FFQ has an attenuation of 0.3–0.4; for a single 24HR the attenuation factor is 0.15–0.25 but would increase to 0.35–0.50 with four repeats. Conclusions Because of severe attenuation, the FFQ cannot be recommended as an instrument for evaluating relations between absolute intake of energy or protein and disease. Although this attenuation is lessened in analyses of energy-adjusted protein, it remains substantial for both FFQ and multiple 24HR. The utility of either of these instruments for detecting important but moderate relative risks (between 1.5 and 2.0), even for energy-adjusted dietary factors, is questionable.Keywords
This publication has 26 references indexed in Scilit:
- Invited Commentary: OPEN QuestionsAmerican Journal of Epidemiology, 2003
- Bias in dietary-report instruments and its implications for nutritional epidemiologyPublic Health Nutrition, 2002
- Comparative Validation of the Block, Willett, and National Cancer Institute Food Frequency QuestionnairesAmerican Journal of Epidemiology, 2001
- Use of an automated chromium reduction system for hydrogen isotope ratio analysis of physiological fluids applied to doubly labeled water analysisJournal of Mass Spectrometry, 2000
- Nutritional EpidemiologyPublished by Oxford University Press (OUP) ,1998
- Rapid18O analysis of CO2 samples by continuous-flow isotope ratio mass spectrometryJournal of Mass Spectrometry, 1997
- Validation of dietary assessment methods in the UK arm of EPIC using weighed records, and 24-hour urinary nitrogen and potassium and serum vitamin C and carotenoids as biomarkersInternational Journal of Epidemiology, 1997
- Improving Food Frequency QuestionnairesJournal of the American Dietetic Association, 1995
- Measurement error in dietary assessment: An investigation using covariance structure models. Part IStatistics in Medicine, 1993
- Practical Assessment of the NBT-PABA Pancreatic Function Test Using High Performance Liquid Chromatography Determination of P-Aminobenzoic Acid in UrineAnnals of Clinical Biochemistry: International Journal of Laboratory Medicine, 1985