Jayawardena, R and Swaminathan, S and Byrne, NM and Soares, MJ and Katulanda, P and Hills, AP, Development of a food frequency questionnaire for Sri Lankan adults, Nutrition Journal, 11 Article 63. ISSN 1475-2891 (2012) [Refereed Article]
Background: Food Frequency Questionnaires (FFQs) are commonly used in epidemiologic studies to assess long-term nutritional exposure. Because of wide variations in dietary habits in different countries, a FFQ must be developed to suit the specific population. Sri Lanka is undergoing nutritional transition and diet-related chronic diseases are emerging as an important health problem. Currently, no FFQ has been developed for Sri Lankan adults. In this study, we developed a FFQ to assess the regular dietary intake of Sri Lankan adults.
Methods: A nationally representative sample of 600 adults was selected by a multi-stage random cluster sampling technique and dietary intake was assessed by random 24-h dietary recall. Nutrient analysis of the FFQ required the selection of foods, development of recipes and application of these to cooked foods to develop a nutrient database. We constructed a comprehensive food list with the units of measurement. A stepwise regression method was used to identify foods contributing to a cumulative 90% of variance to total energy and macronutrients. In addition, a series of photographs were included.
Results: We obtained dietary data from 482 participants and 312 different food items were recorded. Nutritionists grouped similar food items which resulted in a total of 178 items. After performing step-wise multiple regression, 93 foods explained 90% of the variance for total energy intake, carbohydrates, protein, total fat and dietary fibre. Finally, 90 food items and 12 photographs were selected.
Conclusion: We developed a FFQ and the related nutrient composition database for Sri Lankan adults. Culturally specific dietary tools are central to capturing the role of diet in risk for chronic disease in Sri Lanka. The next step will involve the verification of FFQ reproducibility and validity.
|Item Type:||Refereed Article|
|Keywords:||food frequency questionnaire, development, FFQ, Sri Lanka, adults|
|Research Division:||Medical and Health Sciences|
|Research Group:||Nutrition and Dietetics|
|Research Field:||Public Nutrition Intervention|
|Objective Group:||Public Health (excl. Specific Population Health)|
|UTAS Author:||Byrne, NM (Professor Nuala Byrne)|
|UTAS Author:||Hills, AP (Professor Andrew Hills)|
|Web of Science® Times Cited:||20|
|Deposited By:||Health Sciences|
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