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Title: Validation of a semi-quantitative FFQ for 18-month-old toddlers : the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study
Authors: Lim, Hui Xian
Toh, Jia Ying
Tan, Kok Hian
Chong, Yap-Seng
Yap, Fabian
Godfrey, Keith M.
Lee, Yung Seng
Chong, Mary Foong-Fong
Keywords: Science::Medicine
Issue Date: 2019
Source: Lim, H. X., Toh, J. Y., Tan, K. H., Chong, Y., Yap, F., Godfrey, K. M., Lee, Y. S. & Chong, M. F. (2019). Validation of a semi-quantitative FFQ for 18-month-old toddlers : the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study. Public Health Nutrition, 22(11), 1990-2000.
Project: NMRC/TCR/004-NUS/2008
Journal: Public Health Nutrition
Abstract: Objective: Dietary intake of toddlers has been of growing interest due to its long-term consequences on health. However, previous works have focused largely on Caucasian populations and less is known about Asian toddlers. We aimed to validate a semi-quantitative FFQ designed to assess dietary intakes of 18-month-old toddlers in a multi-ethnic Asian cohort. Design: An FFQ of ninety-four food items, identified based on food records of 12-month-old GUSTO children, the Southampton Women’s Survey 12 Month Infancy Questionnaire and inputs from paediatric dietitians, was filled out two weeks before the 18th-month clinic visit. As the reference method, two non-consecutive 24 h recalls (24HR) were administered during and two weeks after the clinic visit. FFQ nutrient intakes were validated against averaged 24HR nutrient intakes, using the Wilcoxon signed-rank test, Spearman’s rank-order correlation, cross-classification and the Bland–Altman method. Setting: Data from the Singapore Growing Up in Singapore Towards Healthy Outcomes (GUSTO) mother–offspring birth cohort. Participants: Toddlers (n 188) aged 18 months. Results: Absolute nutrient intakes from the FFQ were significantly higher than from the 24HR, except for vitamin A. After energy adjustments, r range was 0·56–0·78 (macronutrients) and 0·40–0·54 (micronutrients). De-attenuation increased r to 0·58–0·96 and 0·45–0·65 for macro- and micronutrients, respectively. Of participants, ≥82·4 % (macronutrients) and ≥77·7 % (micronutrients) were classified in the same and adjacent quartiles. No clear systematic increase in intake differences with increasing mean intake was observed in Bland–Altman plots. Conclusions: This FFQ can provide a satisfactory assessment of toddlers’ energy-adjusted nutrient intakes, as well as accurately rank them in a group.
ISSN: 1368-9800
DOI: 10.1017/S1368980019000557
Rights: © 2019 The Author(s) (published by Cambridge University Press). This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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