RT Journal Article
T1 Reproducibility and relative validity of a semi‑quantitative food and beverage frequency questionnaire for Spanish children aged 3 to 11 years: the COME‑Kids F&B‑FQ
A1 Babío, Nancy
A1 Heras Delgado, Sara de las
A1 Miguel Etayo, Pilar de
A1 Pastor Villaescusa, Belén
A1 Leis Trabazo, María Rosaura
A1 Garcidueñas Fimbre, Tany E.
A1 Larruy García, Alicia
A1 Navas Carretero, Santiago
A1 Portolés, Olga
A1 Flores Rojas, Katherine
A1 Vázquez Cobela, Rocío
A1 Shyam, Sangeetha
A1 Miguel Berges, María L.
A1 Martínez, J. Alfredo
A1 Codoñer Franch, Pilar
A1 Gil Campos, Mercedes
A1 Moreno, Luis A.
A1 Salas Salvado, Jordi
K1 Children
K1 Dietary assessment
K1 Food frequency questionnaire
K1 Reproducibly
K1 Validity
AB A reliable food and beverage frequency questionnaire (F&B-FQ) to measure dietary intakes for children across Spain is currently unavailable. Thus, we designed and assessed the reproducibility and relative validity of a new F&B-FQ in 210 Spanish children aged 3–11 years. COME-Kids F&B-FQ contained 125 items to assess the usual diet intake in the past year among children. To explore the reproducibility, caregivers answered COME-Kids F&B-FQ twice over a 15-day period (± 1 week). To evaluate the relative validity, estimates from a third COME-Kids F&B-FQ administered at 1 year of follow-up were compared with the mean estimates from 3-day dietary records (3d-DR) collected at baseline, 6 months, and after 1 year of follow-up. Reproducibility and relative validity of the COME-Kids F&B-FQ in estimating food groups and nutrients were assessed using Pearson (r) and intra-class (ICC) correlation coefficients. We used the kappa index to evaluate the agreement in repeat administrations or with the 3d-DR. We used Bland–Altman plots to identify bias across levels of intake. A total of 195 children (105 boys, 90 girls) completed the study. The reproducibility of data estimated from COME-Kids F&B-FQ was substantial with mean r and ICC being 0.65 and 0.64 for food groups and 0.63 and 0.62 for nutrients, respectively. Validation assessments comparing the FFQ and 3d-DRs showed r = 0.36 and ICC = 0.30 for food groups and r = 0.29 and ICC = 0.24 for nutrients. The mean agreement for food group reproducibility and relative validity was 86% and 65%, respectively. These estimates were 85% for reproducibility and 64% for relative validity in the case of nutrients. For reproducibility and relative validity, the overall mean kappa index was 63% and 37% for all food groups and 52% and 27% for nutrients, respectively. Bland–Altman plots showed no specific bias relating to the level of intake of nutrients and several food groups.Conclusion: COME-Kids F&B-FQ showed substantial reproducibility and acceptable relative validity to assess food and beverage intake in Spanish children aged 3 to 11 years. Most children were correctly classified in relation to the intake of food groups and nutrients, and misclassification was unlikely with reference to 3d-DR
PB Springer
SN 1432-1076
YR 2023
FD 2023-10-06
LK https://hdl.handle.net/10347/45423
UL https://hdl.handle.net/10347/45423
LA eng
NO Babio, N., de Las Heras-Delgado, S., De Miguel-Etayo, P., Pastor-Villaescusa, B., Leis, R., Garcidueñas-Fimbres, T. E., Larruy-García, A., Navas-Carretero, S., Portoles, O., Flores-Rojas, K., Vázquez-Cobela, R., Shyam, S., Miguel-Berges, M. L., Martínez, J. A., Codoñer-Franch, P., Gil-Campos, M., Moreno, L. A., & Salas-Salvadó, J. (2023). Reproducibility and relative validity of a semi-quantitative food and beverage frequency questionnaire for Spanish children aged 3 to 11 years: the COME-Kids F&B-FQ. European journal of pediatrics, 182(12), 5577–5589. https://doi.org/10.1007/s00431-023-05220-9
NO Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. JS-S, senior author of this study, is partially supported by ICREA under the ICREA Academia program. Funds for the establishment of the CORALS cohort in the first year of the study (2019) were provided by an agreement between the Danone Institute from Spain and CIBEROBN (OBN18PE05). The study was partially supported by the Generalitat Valenciana (PROMETEO 21/2021) and the Department of Education, Gobierno de Navarra (0000-RES1-2020-000338)
DS Minerva
RD 26 abr 2026