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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2006 Jul 1;97(4):286–290. doi: 10.1007/BF03405605

Vegetable and Fruit Food Frequency Questionnaire Serves as a Proxy for Quantified Intake

Marie M Traynor 15, Philippa H Holowaty 25, Debra J Reid 35, Katherine Gray-Donald 45,
PMCID: PMC6976199  PMID: 16967747

Abstract

Background: Public health practitioners need valid tools to survey trends in dietary intake. The Rapid Risk Factor Surveillance System (RRFSS) includes an optional six-item vegetable and fruit intake food frequency questionnaire (FFQ) module. Our objectives were 1) to compare reported vegetable and fruit consumption from the FFQ to quantified servings (portions) defined by Canada’s Food Guide to Healthy Eating and ascertained by a reference method, and 2) to compare the FFQ with the reference method for their classification of the proportion of respondents consuming five or more servings of vegetables and fruit per day.

Methods: Dietitians administered 24-hour recalls to each of 174 adult respondents who had completed the FFQ as part of the RRFSS. Recalls were conducted over the telephone on three separate occasions using an adaptation of the multiple pass method.

Results: The mean total intake of vegetables and fruit for the group was 4.6 times/day from the FFQ versus 4.8 servings/day from the recalls (paired t-test; p=0.92). Thirty-seven percent of respondents were classified as consuming five or more times/day by the FFQ versus 35% by the 24-hour recall servings.

Conclusion: The FFQ tool can be used as a proxy for quantified intake of vegetable and fruit consumption.

MeSH terms: Validation studies, fruit, vegetables, diet surveys

Footnotes

Source of Funding: Funding for this work was provided by the Ontario Ministry of Health and Long-Term Care through the administration of The Rapid Risk Factor Surveillance System Working Group, Fonds de la recherche en santé du Québec and the Canadian Institutes of Health Research.

References

  • 1.Liu S, Manson J, Lee I-M, Cole SR, Hennekens CH, Willett WC, Buring JE. Fruit and vegetable intake and risk of cardiovascular disease: The Women’s Health Study. Am J Clin Nutr. 2000;72:922–28. doi: 10.1093/ajcn/72.4.922. [DOI] [PubMed] [Google Scholar]
  • 2.Joshipura KJ, Hu FB, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, et al. The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med. 2001;134:1106–14. doi: 10.7326/0003-4819-134-12-200106190-00010. [DOI] [PubMed] [Google Scholar]
  • 3.Bazzano LA, He J, Ogden LG, Loria CM, Vapputuri S, Myers L, Whelton PK. Fruit and vegetable intake and risk of cardiovascular disease in US adults: The first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr. 2002;76:93–99. doi: 10.1093/ajcn/76.1.93. [DOI] [PubMed] [Google Scholar]
  • 4.Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, et al. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med. 1997;336:1117–24. doi: 10.1056/NEJM199704173361601. [DOI] [PubMed] [Google Scholar]
  • 5.Tucker KL, Hannan MT, Chen H, Cupples LA, Wilson P, Kiel DP. Potassium, magnesium, and fruit and vegetable intakes are associated with greater bone mineral density in elderly men and women. Am J Clin Nutr. 1999;69:727–36. doi: 10.1093/ajcn/69.4.727. [DOI] [PubMed] [Google Scholar]
  • 6.World Cancer Research Fund/American Institute for Cancer Research. Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: AICR; 1997. pp. 72–90. [Google Scholar]
  • 7.Brooks SPJ, Mongeau R. Health Canada scientific summary of the US health claim regarding fruits, vegetables and cancer. Food Directorate: Health Canada; 2000. [Google Scholar]
  • 8.Holick CN, Michaud DS, Stolzenberg-Solomon R, Mayne ST, Pietinen P, Taylor PR, et al. Dietary carotenoids, serum β-carotene, and retinal and risk of lung cancer in the alphatocopherol, beta-carotene cohort study. Am J Epidemiol. 2002;156:536–47. doi: 10.1093/aje/kwf072. [DOI] [PubMed] [Google Scholar]
  • 9.Kreuzer M, Heinrich J, Kreienbrock L, Rosario AS, Gerken M, Wichman HE. Risk factors for lung cancer among non-smoking women. Int J Cancer. 2002;100:706–13. doi: 10.1002/ijc.10549. [DOI] [PubMed] [Google Scholar]
  • 10.PopulationPublic Health Branch. Health Canada. Economic Burden of Illness in Canada. 2003. [Google Scholar]
  • 11.Rapid Risk Factor Surveillance System. Resources. Questionnaires and Questionnaire Maps. User Friendly Questionnaire September 2002. 2003. [Google Scholar]
  • 12.Moran K. Accurate, timely and flexible: Key components of the Rapid Risk Factor Surveillance System (RRFSS) 2003. [Google Scholar]
  • 13.Centers for Disease Control. Behavioral Risk Factor Surveillance System. 2002. [Google Scholar]
  • 14.Statistics Canada. Canadian Community Health Survey. Appendix A: Cycle1.1 Nutrition issues addressed. Fruit and vegetable consumption. 2002. [Google Scholar]
  • 15.Serdula M, Coates R, Byers T, Mokdad A, Jewell S, Chavez N, et al. Evaluation of a brief telephone questionnaire to estimate fruit and vegetable consumption in diverse study populations. Epidemiology. 1993;4:455–63. doi: 10.1097/00001648-199309000-00012. [DOI] [PubMed] [Google Scholar]
  • 16.Smith-Warner SA, Elmer PJ, Fosdick L, Tharp TM, Randall B. Reliability and comparability of three dietary assessment methods for estimating fruit and vegetable intakes. Epidemiology. 1997;8:196–201. doi: 10.1097/00001648-199703000-00013. [DOI] [PubMed] [Google Scholar]
  • 17.Field AE, Colditz GA, Fox MK, Byers T, Serdula M, Bosch RJ, Peterson KE. Comparison of 4 questionnaires for assessment of fruit and vegetable intake. Am J Public Health. 1998;88:1216–18. doi: 10.2105/AJPH.88.8.1216. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Resnicow K, Odom E, Wang T, Dudley WN, Mitchell D, Vaughan R, et al. Validation of three food frequency questionnaires and 24-hour recalls with serum carotenoids levels in a sample of African-American adults. Am J Epidemiol. 2000;152:1072–80. doi: 10.1093/aje/152.11.1072. [DOI] [PubMed] [Google Scholar]
  • 19.Warneke CL, Davis M, De Moor C, Baranowski T. A 7-item versus 31-item food frequency questionnaire for measuring fruit, juice, and vegetable intake among predominantly African-American population. J Am Diet Assoc. 2001;101:774–79. doi: 10.1016/S0002-8223(01)00193-6. [DOI] [PubMed] [Google Scholar]
  • 20.Moshfegh A, Borrud L, Perloff B, LaComb R. Improved method for the 24-hour dietary recall for use in national surveys. FASEB Journal. 1999;13:A603. doi: 10.1096/fasebj.13.6.603. [DOI] [Google Scholar]
  • 21.Conway JM, Ingwersen LA, Vinyard BT, Moshfegh AJ. Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women. Am J Clin Nutr. 2003;77:1171–78. doi: 10.1093/ajcn/77.5.1171. [DOI] [PubMed] [Google Scholar]
  • 22.Health Canada. Using the Food Guide. Ottawa, ON: Minister of Public Works and Government Services Canada; 1992. [Google Scholar]
  • 23.Health Canada. Food guide facts. Background for educators and communicators. Ottawa: Minister of Supply and Services Canada; 1992. [Google Scholar]
  • 24.Health Canada. Health Protection Branch. Nutrient Value of Some Common Foods. Ottawa: Minister of Public Works and Government Services Canada; 1999. [Google Scholar]
  • 25.Canadian Diabetes Association. Good Health Eating Guide. 1994. [Google Scholar]
  • 26.Riboli E, Toniolo P, Kaaks R, Shore RE, Casagrande C, Pasternack BS. Reproducibility of a food frequency questionnaire used in the New York University Women’s Health Study: Effect of self-selection by study subjects. Eur J Clin Nutr. 1997;51:437–42. doi: 10.1038/sj.ejcn.1600422. [DOI] [PubMed] [Google Scholar]
  • 27.Plesko M, Cotugna N, Alijar L. Usefulness of a brief fruit and vegetable FFQ in a college population. Am J Health Behav. 2000;24:201–8. doi: 10.5993/AJHB.24.3.5. [DOI] [Google Scholar]
  • 28.Byers T. 2001. Food frequency dietary assessment: How bad is good enough? Am J Epidemiol. 2001;154:1087–88. doi: 10.1093/aje/154.12.1087. [DOI] [PubMed] [Google Scholar]
  • 29.Johnson RK, Driscoll P, Goran MI. Comparison of multiple-pass 24-hour recall estimates of energy intake with total energy expenditure determined by the doubly labelled water method in young children. J Am Diet Assoc. 1996;96:1140–44. doi: 10.1016/S0002-8223(96)00293-3. [DOI] [PubMed] [Google Scholar]
  • 30.Institute of Medicine. Nutrition Board. A report of the subcommittee on interpretation and uses of Dietary Reference Intakes and the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. Washington: National Academy Press; 2000. Minimizing errors in measuring dietary intakes; pp. 150–58. [Google Scholar]
  • 31.Buzzard M. 24-hour dietary recall and food record methods. In: Willett W, editor. Nutritional Epidemiology. 2nd. New York, NY: Oxford Press; 1998. pp. 53–54. [Google Scholar]
  • 32.Thompson F, Byers T. Dietary Assessment Resource Manual. J Nutr. 1994;124:2247–8S. doi: 10.1093/jn/124.suppl_11.2245s. [DOI] [PubMed] [Google Scholar]
  • 33.Gibson RS. Principles of Nutritional Assessment. Toronto, ON: Oxford University Press; 1990. pp. 37–39. [Google Scholar]
  • 34.Cade J, Thompson R, Burley V, Warm D. Development, validation and utilisation of food frequency questionnaires - A review. Public Health Nutr. 2002;5:567–87. doi: 10.1079/PHN2001318. [DOI] [PubMed] [Google Scholar]
  • 35.Nelson M. The validation of dietary assessment. In: Margetts BM, Nelson M, editors. Design Concepts in Nutritional Epidemiology. 2nd. New York: Oxford University Press; 1997. pp. 241–68. [Google Scholar]

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