International Journal of Epidemiology, Vol 26, S91-S99, Copyright © 1997 by International Epidemiological Association
BACKGROUND: A pilot study was carried out to evaluate the relative validity
and reproducibility of a dietary history questionnaire (DH) designed to be
used in Spain as part of a prospective European research project on diet
and cancer. METHODS: A total of 91 volunteers (46 men and 45 women) aged
35-60 years, and of various occupational categories, participated in the
study. The DH was structured according to occasions of intake and was
administered twice by interview, with a year's interval. Twelve 24-hour
diet recalls, administered monthly between the two administrations of the
DH, were used as a reference method. Natural units, geometric figures and a
set of photographs were used to quantity portion size. RESULTS: Of a total
of 17 food groups, the Pearson correlation coefficients between the daily
intake of food groups, based on the mean of 12 24-hour diet recalls, and
the second DH showed values between 0.65 and 0.90 in 14 groups (potatoes,
vegetables, fruits, cheese, other dairy products, bread, other cereals,
meat and poultry, fish and shellfish, butter, margarine and oils, sugar and
sweets, other desserts, alcohol and coffee and tea) in males and in 11
groups (potatoes, other vegetables, fruits, cheese, other dairy products,
bread, meat and poultry, fish and shellfish, sugar and sweets, alcohol and
coffee and tea) in females. In comparison with the mean of 12 24- hour diet
recalls the DH questionnaire over-estimated (in both sexes) the intake of
vegetables, cereals, butter, margarine and oils and underestimated the
intake of sugar and sweets, and other desserts. CONCLUSIONS: The DH method
is more expensive and more difficult to apply than other instruments but it
provides good information on the habitual food intake of the individual.
ARTICLES
Relative validity and reproducibility of a diet history questionnaire in Spain. I. Foods. EPIC Group of Spain. European Prospective Investigation into Cancer and Nutrition
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