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Identification and reproducibility of dietary patterns assessed with a FFQ among women planning pregnancy

Identification and reproducibility of dietary patterns assessed with a FFQ among women planning pregnancy
Identification and reproducibility of dietary patterns assessed with a FFQ among women planning pregnancy

Objective: To identify a posteriori dietary patterns among women planning pregnancy and assess the reproducibility of these patterns in a subsample using two dietary assessment methods. Design: A semi-quantitative FFQ was administered to women enrolled in the Singapore PREconception Study of long-Term maternal and child Outcomes study. Dietary patterns from the FFQ were identified using exploratory factor analysis (EFA). In a subsample of women (n 289), 3-d food diaries (3DFD) were also completed and analysed. Reproducibility of the identified patterns was assessed using confirmatory factor analysis (CFA) in the subsample, and goodness of fit of the CFA models was examined using several fit indices. Subsequently, EFA was conducted in the subsample and dietary patterns of the FFQ and the 3DFD were compared. Setting: Singapore. Participants: 1007 women planning pregnancy (18-45 years). Results: Three dietary patterns were identified from the FFQ: the 'Fish, Poultry/Meat and Noodles' pattern was characterised by higher intakes of fish, poultry/meat and noodles in soup; 'Fast Food and Sweetened Beverages' pattern was characterised by higher intakes of fast food, sweetened beverages and fried snacks; 'Bread, Legumes and Dairy' pattern was characterised by higher intakes of buns/ethnic breads, nuts/legumes and dairy products. The comparative fit indices from the CFA models were 0·79 and 0·34 for the FFQ and 3DFD of the subsample, respectively. In the subsample, three similar patterns were identified in the FFQ while only two for the 3DFD. Conclusions: Dietary patterns from the FFQ are reproducible within this cohort, providing a basis for future investigations on diet and health outcomes.

a posteriori, confirmatory factor analyses, dietary patterns, food frequency questionnaire
1368-9800
2437-2446
Lim, Shan-Xuan
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Colega, Marjorelee T.
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Ayob, M. Na'im M.
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Robinson, Sian
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Bernard, Jonathan Y.
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Lee, Yung Seng
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Tan, Kok Hian
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Yap, Fabian
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Shek, Lynette P.
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Chong, Yap-Seng
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Chan, Jerry Kok Yen
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Eriksson, Johan G.
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Chan, Shiao-Yng
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Godfrey, Keith
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Chong, Mary F.F.
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Lim, Shan-Xuan
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Colega, Marjorelee T.
75c5e6c9-9b67-46b9-90e6-e63632163ed8
Ayob, M. Na'im M.
d63241fa-79da-4139-88cd-c46618fa22af
Robinson, Sian
6ada395c-a5e4-484b-b3a8-6760db7a48e4
Bernard, Jonathan Y.
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Lee, Yung Seng
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Tan, Kok Hian
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Yap, Fabian
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Shek, Lynette P.
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Chong, Yap-Seng
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Chan, Jerry Kok Yen
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Eriksson, Johan G.
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Chan, Shiao-Yng
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Godfrey, Keith
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Chong, Mary F.F.
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Lim, Shan-Xuan, Colega, Marjorelee T., Ayob, M. Na'im M., Robinson, Sian, Bernard, Jonathan Y., Lee, Yung Seng, Tan, Kok Hian, Yap, Fabian, Shek, Lynette P., Chong, Yap-Seng, Chan, Jerry Kok Yen, Eriksson, Johan G., Chan, Shiao-Yng, Godfrey, Keith and Chong, Mary F.F. (2021) Identification and reproducibility of dietary patterns assessed with a FFQ among women planning pregnancy. Public Health Nutrition, 24 (9), 2437-2446. (doi:10.1017/S1368980021001178).

Record type: Article

Abstract

Objective: To identify a posteriori dietary patterns among women planning pregnancy and assess the reproducibility of these patterns in a subsample using two dietary assessment methods. Design: A semi-quantitative FFQ was administered to women enrolled in the Singapore PREconception Study of long-Term maternal and child Outcomes study. Dietary patterns from the FFQ were identified using exploratory factor analysis (EFA). In a subsample of women (n 289), 3-d food diaries (3DFD) were also completed and analysed. Reproducibility of the identified patterns was assessed using confirmatory factor analysis (CFA) in the subsample, and goodness of fit of the CFA models was examined using several fit indices. Subsequently, EFA was conducted in the subsample and dietary patterns of the FFQ and the 3DFD were compared. Setting: Singapore. Participants: 1007 women planning pregnancy (18-45 years). Results: Three dietary patterns were identified from the FFQ: the 'Fish, Poultry/Meat and Noodles' pattern was characterised by higher intakes of fish, poultry/meat and noodles in soup; 'Fast Food and Sweetened Beverages' pattern was characterised by higher intakes of fast food, sweetened beverages and fried snacks; 'Bread, Legumes and Dairy' pattern was characterised by higher intakes of buns/ethnic breads, nuts/legumes and dairy products. The comparative fit indices from the CFA models were 0·79 and 0·34 for the FFQ and 3DFD of the subsample, respectively. In the subsample, three similar patterns were identified in the FFQ while only two for the 3DFD. Conclusions: Dietary patterns from the FFQ are reproducible within this cohort, providing a basis for future investigations on diet and health outcomes.

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identification-and-reproducibility-of-dietary-patterns-assessed-with-a-food-frequency-questionnaire-among-women-planning-pregnancy - Accepted Manuscript
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Accepted/In Press date: 1 March 2021
e-pub ahead of print date: 22 March 2021
Published date: 22 March 2021
Additional Information: Funding Information: Acknowledgements: We would like to extend our gratitude to the S-PRESTO participants and the S-PRESTO study group, which includes Anne Eng Neo Goh, Anne Rifkin-Graboi, Anqi Qiu, Bee Wah Lee, Bernard Chern, Bobby Cheon, Christiani Jeyakumar Henry, Ciaran Gerard Forde, Claudia Chi, Doris Fok, Elaine Quah, Elizabeth Tham, Evelyn Chung Ning Law, Evelyn Xiu Ling Loo, Fabian Yap, Faidon Magkos, Falk Mueller-Riemenschneider, George Seow Heong Yeo, Helen Yu Chen, Heng Hao Tan, Hugo PS van Bever, Izzuddin Bin Mohd Aris, Jerry Kok Yen Chan, Joanne Yoong, Joao N Ferreira., Jonathan Tze Liang Choo, Jonathan Y Bernard, Keith M Godfrey, Kenneth Kwek, Kok Hian Tan, Kuan Jin Lee, Lieng Hsi Ling, Ling Wei Chen, Lourdes Mary Daniel, Lynette Pei-Chi Shek, Marielle V. Fortier, Mary Foong-Fong Chong, Mei Chien Chua, Melvin Leow, Michael Meaney, Mya Thway Tint, Neerja Karnani, Ngee Lek, Oon Hoe Teoh, Peter D Gluckman, Queenie Ling Jun Li, See Ling Loy, Sendhil Velan, Seng Bin Ang, Sharon Ng, Shephali Tagore, Shiao-Yng Chan, Shirong Cai, Shu E Soh, Sok Bee Lim, Stella Tsotsi, Stephen Chin-Ying Hsu, Sue Anne Toh, Teng Hong Tan, Tong Wei Yew, Victor Samuel Rajadurai, Wee Meng Han, Wei Wei Pang, Yap Seng Chong, Yin Bun Cheung, Yiong Huak Chan, Yung Seng Lee. Financial support: This research is supported by the Singapore National Research Foundation (NRF) under its Translational and Clinical Research (TCR) Flagship Programme and administered by the Singapore Ministry of Health’s National Medical Research Council (NMRC), Singapore-NMRC/TCR/004-NUS/2008; NMRC/TCR/012-NUHS/2014. Additional funding is provided by the Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A * STAR), Singapore. K.M.G. is supported by the National Institute for Health Research through the NIHR Southampton Biomedical Research Centre and the European Union’s Seventh Framework Programme (FP7/2007–2013), project EarlyNutrition (n°289346). J.K.Y.C. is supported by the NMRC Clinician Scientist Award (NMRC/CSA(SI)/008/2016). Conflict of interest: Y.S.C., K.M.G. and S.Y.C. are part of an academic consortium that has received research funding from Abbott, Nutrition, Nestle and Danone. No conflict of interest was declared by the other authors. Authorship: Y.S.C., K.M.G., L.P.C.S., S.Y.C. and J.K.Y.C. designed and led the S-PRESTO cohort study. M.T.C. and M.N.M.A. contributed to the FFQ and 3DFD dietary data collection, cleaning and analysis. Hiromi Koh provided statistical advice for this manuscript. S.X.L. contributed to the FFQ data cleaning, analysed the data and wrote the paper with intellectual inputs from M.F.F.C. All authors read and approved the manuscript. Ethics of human subject participation: The S-PRESTO study is conducted according to the guidelines as stated in the Declaration of Helsinki and all procedures involving research study participants were approved by the local SingHealth Centralized Institutional Review Board (reference 2019/2143). The study is registered on the ClinicalTrials.gov database provided by the US National Library of Medicine under the identifier NCT03531658. Written consent was obtained from all participants. Publisher Copyright: ©
Keywords: a posteriori, confirmatory factor analyses, dietary patterns, food frequency questionnaire

Identifiers

Local EPrints ID: 448310
URI: http://eprints.soton.ac.uk/id/eprint/448310
ISSN: 1368-9800
PURE UUID: 37f69509-d220-4e83-9edb-fc1dfabe170c
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 20 Apr 2021 16:30
Last modified: 17 Mar 2024 02:38

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Contributors

Author: Shan-Xuan Lim
Author: Marjorelee T. Colega
Author: M. Na'im M. Ayob
Author: Sian Robinson
Author: Jonathan Y. Bernard
Author: Yung Seng Lee
Author: Kok Hian Tan
Author: Fabian Yap
Author: Lynette P. Shek
Author: Yap-Seng Chong
Author: Jerry Kok Yen Chan
Author: Johan G. Eriksson
Author: Shiao-Yng Chan
Author: Keith Godfrey ORCID iD
Author: Mary F.F. Chong

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