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Validation of a semi-quantitative FFQ for 18-month-old toddlers: the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study

Validation of a semi-quantitative FFQ for 18-month-old toddlers: the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study
Validation of a semi-quantitative FFQ for 18-month-old toddlers: the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study
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.
1368-9800
Lim, Hui Xian
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Toh, Jia Ying
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Tan, Kok Hian
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Chong, Yap-Seng
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Yap, Fabian
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Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Lee, Yung Seng
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Chong, Mary Foong-Fong
1e188259-b1ab-4448-9e65-5b6a0fd99502
Lim, Hui Xian
2ec0de11-e025-43ca-b534-9c32a793c66a
Toh, Jia Ying
bae40ae7-536e-451c-a758-b2b8674681ac
Tan, Kok Hian
672ae6c4-d4c8-4b1b-8512-efec36431503
Chong, Yap-Seng
7043124b-e892-4d4b-8bb7-6d35ed94e136
Yap, Fabian
22f6b954-31fc-4696-a52b-e985a424b95b
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Lee, Yung Seng
0e28a8d6-3085-4086-9fa1-ac0684783bcf
Chong, Mary Foong-Fong
1e188259-b1ab-4448-9e65-5b6a0fd99502

Lim, Hui Xian, Toh, Jia Ying, Tan, Kok Hian, Chong, Yap-Seng, Yap, Fabian, Godfrey, Keith, Lee, Yung Seng and Chong, Mary Foong-Fong (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. (doi:10.1017/S1368980019000557).

Record type: Article

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.

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validation_of_a_semiquantitative_ffq_for_18monthold_toddlers_the_growing_up_in_singapore_towards_healthy_outcomes_gusto_study - Accepted Manuscript
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More information

Accepted/In Press date: 30 January 2019
e-pub ahead of print date: 3 April 2019

Identifiers

Local EPrints ID: 430648
URI: http://eprints.soton.ac.uk/id/eprint/430648
ISSN: 1368-9800
PURE UUID: 30d48294-23df-40f5-9ac0-033851b47210
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

Catalogue record

Date deposited: 07 May 2019 16:30
Last modified: 22 Nov 2021 02:36

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Contributors

Author: Hui Xian Lim
Author: Jia Ying Toh
Author: Kok Hian Tan
Author: Yap-Seng Chong
Author: Fabian Yap
Author: Keith Godfrey ORCID iD
Author: Yung Seng Lee
Author: Mary Foong-Fong Chong

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