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Systematic Review
Food frequency questionnaires developed and validated in Iran: a systematic review
Arezoo Rezazadeh, Nasrrin Omidvar, Katherine L. Tucker
Epidemiol Health. 2020;42:e2020015.   Published online March 30, 2020
DOI: https://doi.org/10.4178/epih.e2020015
  • 12,865 View
  • 287 Download
  • 11 Web of Science
  • 10 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
To systematically review and identify food frequency questionnaires (FFQs) developed for the Iranian population and their validation and reproducibility in order to determine possible research gaps and needs.
METHODS
Studies were selected by searching for relevant keywords in the PubMed, Scopus, Science Direct, Google Scholar, SID, and Iranmedex databases, unpublished data, and theses in November 2016 (updated in September 2019). All English-language and Persian-language papers were included. Duplicates, articles with unrelated content, and articles only containing a protocol were excluded. The FFQs were categorized based on: (1) number of food items in to short (≤80 items) and long (>80 items) and; (2) the aim of the FFQ to explore total consumption pattern/nutrients (general) or to detect specific nutrient(s)/food group(s) (specialized).
RESULTS
Sixteen reasonably validated questionnaires were identified. However, only 13 presented a reproducibility assessment. Ten FFQs were categorized as general (7 long, 3 short) and 6 as specialized (3 long, 3 short). The correlation coefficients for nutrient intake between dietary records or recalls and FFQs were 0.07-0.82 for long (general: 0.07-0.82 and specialized: 0.26-0.67) and 0.20-0.67 for short (general: 0.24-0.54 and specialized: 0.20-0.42) FFQs. Long FFQs showed higher validity and reproducibility than short FFQs. Reproducibility of FFQs was acceptable (0.32-0.89). The strongest correlations were reported by studies with shorter intervals between FFQs.
CONCLUSIONS
FFQs designed for the Iranian population appear to be appropriate tools for dietary assessment. Despite their acceptable reproducibility, their validity for assessing specific nutrients and their applicability for populations other than those they were developed for may be questionable.
Summary

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Review
Dietary assessment methods in epidemiologic studies
Jee-Seon Shim, Kyungwon Oh, Hyeon Chang Kim
Epidemiol Health. 2014;36:e2014009.   Published online July 22, 2014
DOI: https://doi.org/10.4178/epih/e2014009
  • 59,053 View
  • 1,590 Download
  • 935 Web of Science
  • 882 Crossref
AbstractAbstract PDF
Abstract
Diet is a major lifestyle-related risk factor of various chronic diseases. Dietary intake can be assessed by subjective report and objective observation. Subjective assessment is possible using open-ended surveys such as dietary recalls or records, or using closed-ended surveys including food frequency questionnaires. Each method has inherent strengths and limitations. Continued efforts to improve the accuracy of dietary intake assessment and enhance its feasibility in epidemiological studies have been made. This article reviews common dietary assessment methods and their feasibility in epidemiological studies.
Summary

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Original Article
Dietary Factors Related to the Chronic Diseases Assessed by Semiquantitaive Food Frequency Questionnaire in Korean Adults Living in Rural Area.
J E Shim, J Y Ryu, H Y Paik, C S Shin, H K Lee, Y S Park
Korean J Epidemiol. 1997;19(1):42-57.
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AbstractAbstract PDF
Abstract
This study was conducted to assess dietary intake of adults in rural ares and to determine the dietary factors associated with the development of chronic diseases. A cross sectional dietary survey using semiquantitative food frequency questionnaire was conducted together with a health survey including health questionnaire, physical examination and glucose tolerance test. Mean dairy energy intake of subjects was 1872.5kcal and mean percent of RDA for energy intake was 88.4%. Nutrients of average intake below 75% of RDA were vitamine A, vitamin B2, calcium. Older subjects tend to have lower nutrient intake. Intakes of most nutrients and proportion of energy from alcohol were signifi-cantly higher in men than in woman. Newly diagnosed diabetic patients and hypertensives had higher age, BMI, blood pressure, fasting serum glucose levels and serum lipid levels compared with subjects without the diseases, respectively. After adjusted for age and sex, newly-diagnosed hypertencives had more intakes of charbohydrate and niacin, and higher proportion of energy from fat. The odds ratio(OR) for hypertension in higher quartile of subjects compared with subjects in the lowest quartile of intake increased significantly for energy, fat,protein, carbohydrate, vitamin B1, vitamin B2 and niacin after adjusted for age and sex. Also, compared with subjects consumed nutrients in 75-125% of RDA, the OR for hypertension in subjects with intake levels above 125% of RDA were 0.75 for energy, 1.69 for calcium and 0.68 for niacin, and those in below 75% of RDA were 1.33 for energy 1.42 for calcium, 1.23 for vitamin B1, 1.41 for vitamin B2. These inverse associations suggest that the development of hypertension in rural area of Korea is partialey attributed to the intake of several nutrients, generally of undernu-trition. Therefore these results suggests that dietary factors related to chronic diseases in Korea are different from those in the Western society.
Summary
Epidemiol Health : Epidemiology and Health
© Korean Society of Epidemiology.