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Validation of a self-administered FFQ in adults in Argentina, Chile and Uruguay
Natalia Elorriaga1, Vilma E Irazola1, María D Defagó1
11South American Center for Cardiovascular Health (CESCAS/SACECH),Institute for Clinical Effectiveness and Health Policy (IECS),Dr Emilio Ravignani 2024,C1414CPV,Buenos Aires,Argentina.
Objective:
To assess the reproducibility and validity among adults in the Southern Cone of Latin America (Argentina, Chile and Uruguay) of a self-administered FFQ to be used in the CESCAS I Study, an ongoing observational prospective cohort study to detect and follow up CVD and their risk factors, as well as in other epidemiological studies.
Design:
Relative validity of the FFQ was evaluated by comparing nutrient and selected food group intakes with those from three 24 h recalls (24HR) administered over 6 months. The FFQ was administered at baseline (FFQ1) and again after 3 months (FFQ2).
Setting:
Primary-care centres in Argentina, Chile and Uruguay.
Subjects:
Adults (n 147) aged 21-74 years.
Results:
Reproducibility (FFQ1 v. FFQ2): the intra-class correlation coefficients for nutrients ranged from 0·52 (potassium) to 0·74 (fat). Validity (FFQ1 v. the average of three 24HR): the Pearson correlations for energy-adjusted nutrients ranged from 0·39 (thiamin and cholesterol) to 0·59 (carbohydrate). Joint classification: overall, 66 % of participants in the lowest 24HR quintile were in the lowest one or two FFQ1 quintiles, and 62 % of those in the highest 24HR quintile were in the highest one or two FFQ1 quintiles. On average, only 4 % were misclassified into extreme quintiles.
Conclusions:
The FFQ version for the Southern Cone seems to present moderate to acceptable relative validity and reliability for its use in the CESCAS I Study to measure dietary exposure.
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