Validação de um questionário de frequência alimentar para avaliação do consumo de grupos de alimentos e nutrientes em adultos

Autores

Palavras-chave:

Adulto, Ingestão de alimentos, Estudo de validação

Resumo

Objetivo
Validar um questionário de frequência alimentar para avaliar o consumo alimentar de adultos em uma coorte brasileira.
Métodos
Estudo transversal realizado com 100 adultos. A ingestão alimentar foi avaliada pelo questionário de frequência alimentar e por dois recordatórios de 24 horas. A validação foi realizada para nutrientes (n=19) e grupos de alimentos (n=21).
Resultados
Coeficientes de correlação de Pearson deatenuados moderados (>0,4) foram observados para o consumo de laticínios, pães e biscoitos, arroz, macarrão e tubérculos, vegetais folhosos, outros vegetais, gorduras, bebidas adoçadas, sanduíches e salgadinhos, e nozes, e para os seguintes nutrientes (deatenuados e ajustados para ingestão de energia): fibra, cálcio e vitaminas A, B2 e C. Com base em quase todos os grupos de alimentos e nutrientes avaliados, ≥70% dos indivíduos foram classificados no mesmo quartil ou quartil adjacente para ambos os métodos, exceto para carnes vermelhas e suínas, salgadinhos, nozes, fósforo, potássio e vitamina B3. Os grupos de alimentos e nutrientes com concordância kappa justa (>0,2) foram: laticínios, outras verduras, bebidas açucaradas, cereais matinais, energia, carboidratos, ferro e vitamina A.
Conclusão
O questionário de frequência alimentar mostrou-se útil para estimar a ingestão de alguns nutrientes e grupos de alimentos dos sujeitos avaliados. Apenas o consumo de carnes vermelhas e suínas, salgadinhos, nozes, vitamina B3, fósforo e potássio foi estimado com menor precisão.

Referências

Lonnie M, Wadolowska L, Bandurska-Stankiewicz E. Dietary-lifestyle patterns associated with adiposity and metabolic abnormalities in adult men under 40 years old: a cross-sectional study (MeDiSH Project). Nutrients. 2020;12. https://doi.org/10.3390/nu12030751

Egg S, Erler J, Perktold B, Hasenegger V, Rust P, Ramoner R, et al. Traditional v. modern dietary patterns among a population in western Austria: associations with body composition and nutrient profile. Public Health Nutr. 2019;22:455-65. https://doi.org/10.1017/S1368980018003270

Harrison S, Couture P, Lamarche B. Diet quality, saturated fat and metabolic syndrome. Nutrients. 2020;12:3232. https://doi.org/10.3390/nu12113232

Santos FS, Dias MS, Mintem GC, Oliveira IO, Gigante DP. Food processing and cardiometabolic risk factors: a systematic review. Rev Saude Publica. 2020;54:70. https://doi.org/10.11606/s1518-8787.2020054001704

Baltar VT, Cunha DB, Santos RDO, Marchioni DM, Sichieri R. Breakfast patterns and their association with body mass index in Brazilian adults. Cad Saude Publica. 2018;34:1-10. https://doi.org/10.1590/0102- 311X00111917

Fröhlich C, Garcez A, Canuto R, Paniz VMV, Pattussi MP, Olinto MTA. Abdominal obesity and dietary patterns in female shift workers. Cien Saude Colet. 2019;24:3283-92. https://doi.org/10.1590/1413- 81232018249.27882017

Doustmohammadian A, Amini M, Esmaillzadeh A, Omidvar N, Abtahi M, Dadkhah-Piraghaj M, et al. Validity and reliability of a dish-based semi-quantitative food frequency questionnaire for assessment of energy and nutrient intake among Iranian adults. BMC Res Notes. 2020;13:1-7. https://doi.org/10.1186/ s13104-020-04944-3

Zanini B, Simonetto A, Bertolotti P, Marullo M, Marconi S, Becchetti C, et al. A new self-administered semi-quantitative food frequency questionnaire to estimate nutrient intake among Italian adults: development design and validation process. Nutr Res. 2020;80:18-27. https://doi.org/10.1016/j.nutres.2020.05.008

Li KJ, Brouwer-Brolsma EM, Burton KJ, Vergères G, Feskens EJM. Prevalence of fermented foods in the Dutch adult diet and validation of a food frequency questionnaire for estimating their intake in the NQplus cohort. BMC Nutr. 2020;6. https://doi.org/10.1186/s40795-020-00394-z

Bawadi H, Akasheh RT, Kerkadi A, Haydar S, Tayyem R, Shi Z. Validity and reproducibility of a food frequency questionnaire to assess macro and micro-nutrient intake among a convenience cohort of healthy adult qataris. Nutrients. 2021;13. https://doi.org/10.3390/nu13062002

Telleria-Aramburu N, Alegria-Lertxundi I, Arroyo-Izaga M. Adaptation, validation and reproducibility of a short FFQ to assess food group intake in the population resident in the Basque country (Spain). Public Health Nutr. 2021;24:436-48. https://doi.org/10.1017/S1368980020001822

Sierra-Ruelas É, Bernal-Orozco MF, Macedo-Ojeda G, Márquez-Sandoval YF, Altamirano-Martínez MB, Vizmanos B. Validation of semiquantitative FFQ administered to adults: a systematic review. Public Health Nutr. 2020:1-20. https://doi.org/10.1017/S1368980020001834

Cardoso MA, Stocco PR. Desenvolvimento de um questionário quantitativo de freqüência alimentar em imigrantes japoneses e seus descendentes residentes em São Paulo, Brasil. Cad Saude Publica. 2000;16:107- 14. https://doi.org/10.1590/S0102-311X2000000100011

Cardoso MA, Kida AA, Tomita LY, Stocco PR. Reproducibility and validity of a food frequency questionnaire among women of Japanese ancestry living in Brazil. Nutr Res. 2001;21:725-33. https://doi.org/10.1016/S0271-5317(01)00283-4

Confortin SC, Ribeiro MRC, Barros AJD, Menezes AMB, Horta BL, Victora CG, et al. RPS Brazilian Birth Cohort Consortium (Ribeirão Preto, Pelotas and São Luís): History, objectives and methods. Cad Saude Publica. 2021;37. https://doi.org/10.1590/0102-311X00093320

Visser M, Elstgeest LEM, Winkens LHH, Brouwer IA, Nicolaou M. Relative validity of the helius food frequency questionnaire for measuring dietary intake in older adult participants of the longitudinal aging study Amsterdam. Nutrients. 2020;12:1-13. https://doi.org/10.3390/nu12071998

Khamis AG, Mwanri AW, Ntwenya JE, Senkoro M, Kreppel K, Bonfoh B, et al. Design and validation of a food frequency questionnaire to assess the dietary intake for adults in pastoral settings in Northern Tanzania. BMC Res Notes. 2021;14. https://doi.org/10.1186/s13104-021-05692-8

Rossato SL, Mosele F, Moreira LB, Rodrigues MP, Lima RF, Fuchs FD, et al. Development, validation, and reproducibility of food group-based frequency questionnaires for clinical use in Brazil: a pre-hypertension and hypertension diet assessment. Nutrients. 2021;13. https://doi.org/10.3390/nu13113881

Gosadi IM, Alatar AA, Otayf MM, Aljahani DM, Ghabbani HM, Alrajban WA, et al. Development of a Saudi food frequency questionnaire and testing its reliability and validity. Saudi Med J. 2017;38:636-41. https://doi.org/10.15537/smj.2017.6.20055

Regassa IF, Endris BS, Habtemariam E, Hassen HY, Ghebreyesus SH. Development and validation of food frequency questionnaire for food and nutrient intakes of adults in Butajira, Southern Ethiopia. J Nutr Sci. 2021;10. https://doi.org/10.1017/jns.2021.94

Pannucci TRE, Thompson FE, Bailey RL, Dodd KW, Potischman N, Kirkpatrick SI, et al. Comparing reported dietary supplement intakes between two 24-Hour Recall methods: the automated self-administered 24- Hour dietary assessment tool and the interview-administered automated multiple pass method. J Acad Nutr Diet. 2018;118:1080-6. https://doi.org/10.1016/j.jand.2018.02.013

Harmouche-Karaki M, Mahfouz M, Obeyd J, Salameh P, Mahfouz Y, Helou K. Development and validation of a quantitative food frequency questionnaire to assess dietary intake among Lebanese adults. Nutr J. 2020;19. https://doi.org/10.1186/s12937-020-00581-5

Núcleo de Estudos e Pesquisas em Alimentação. Tabela brasileira de composição dos alimentos (TACO). 4th. Campinas: NEPA; 2011.

Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares 2008-2009: análise do consumo alimentar pessoal no Brasil. Rio de Janeiro: Instituto; 2011.

Callegari-Jacques SM. Bioestatística: princípios e aplicações. Porto Alegre: Artmed; 2009.

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159- 74.

Villena-Esponera MP, Moreno-Rojas R, Romero-Saldaña M, Molina-Recio G. Validation of a Food Frequency Questionnaire for the indigenous Épera-Siapidara people in Ecuador. Nutr Hosp. 2017;34:1368-75. https://doi.org/10.20960/nh.1063

El Kinany K, Garcia-Larsen V, Khalis M, Deoula MMS, Benslimane A, Ibrahim A, et al. Adaptation and validation of a food frequency questionnaire (FFQ) to assess dietary intake in Moroccan adults. Nutr J. 2018;17:1-12. https://doi.org/10.1186/s12937-018-0368-4

Ahmad RES, Baroudi M, Shatila H, Nasreddine L, Chokor FAZ, Chehab RF, et al. Validity and reproducibility of a culture-specific food frequency questionnaire in Lebanon. Nutrients. 2020;12:1-18. https://doi.org/10.3390/nu12113316

Barbieri P, Crivellenti LC, Nishimura RY, Sartorelli DS. Validation of a food frequency questionnaire to assess food group intake by pregnant women. J Hum Nutr Diet. 2015;28:38-44. https://doi.org/10.1111/jhn.12224

van Dongen MC, Wijckmans-Duysens NEG, den Biggelaar LJ, Ocké MC, Meijboom S, Brants HA, et al. The Maastricht FFQ: development and validation of a comprehensive food frequency questionnaire for the Maastricht study. Nutrition. 2019;62:39-46. https://doi.org/10.1016/j.nut.2018.10.015

Bogea EG, França AKTC, Bragança MLBM, Vaz JS, Assunção MC, Barbieri MA, et al. Relative validity of a food frequency questionnaire for adolescents from a capital in the Northeastern region of Brazil. Brazilian Biol Res. 2021;54:1-9. https://doi.org/10.1590/1414-431X20209991

Zaragoza-Martí A, Ferrer-Cascales R, Hurtado-Sánchez JA, Laguna-Pérez A, Cabañero-Martínez MJ. Cross-cultural adaptation, validity, and reproducibility of the mediterranean islands study food frequency questionnaire in the elderly population living in the spanish mediterranean. Nutrients. 2018;10:1-15. https://doi.org/10.3390/nu10091206

Haubrock J, No U, Harttig U, Volatier J, Dekkers A, Ocke M, et al. Estimating usual food intake distributions by using the multiple source method in the EPIC-Potsdam Calibration Study 1–3. J Nutr. 2011;141:914-20. https://doi.org/https://doi.org/10.3945/jn.109.120394

Ministério da Saúde (Brasil). Guia Alimentar Para a População Brasileira. 2nd. Brasília; Ministério; 2014.

Publicado

22-11-2023

Como Citar

MUNIZ, S. C. R. S., BARBIERI, M. A., SILVA, A. A. M. da, FRANÇA, A. K. T. da C., & SARTORELLI, D. S. (2023). Validação de um questionário de frequência alimentar para avaliação do consumo de grupos de alimentos e nutrientes em adultos. Revista De Nutrição, 36. Recuperado de https://seer.sis.puc-campinas.edu.br/nutricao/article/view/10471

Edição

Seção

ARTIGOS ORIGINAIS