Validity of FFQ Estimates of Total Sugars, Added Sugars, Sucrose and Fructose Compared to Repeated 24-h Recalls in Adventist Health Study-2 Participants.

Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE

Original Publication: Basel, Switzerland : MDPI Publishing

Diet/*statistics & numerical data ; Diet Surveys/*standards ; Dietary Sucrose/*analysis ; Dietary Sugars/*analysis ; Fructose/*analysis ; Surveys and Questionnaires/*standards; Female ; Health Surveys ; Humans ; Male ; Mental Recall ; Middle Aged ; Reproducibility of Results ; Statistics, Nonparametric

Sugar intake is a potentially important aspect of diet which has not previously been validated in the Adventist Health Study-2 (AHS-2). We sought to validate the food frequency questionnaire (FFQ) measurement of total sugars, added sugars, sucrose, and fructose against multiple 24-h dietary recalls (recalls) in AHS-2 participants. Food consumption data from a self-administered FFQ and six recalls from 904 participants were combined with nutrient profile data to estimate daily sugar intake. Validity was evaluated among all participants and by race. FFQ and recall means were compared and correlation coefficients (Spearman's, energy-adjusted log-transformed Pearson's, deattenuated Pearson's) were calculated. Mean total energy, total sugars, and fructose intake were higher in the FFQ, whereas added sugars and sucrose were higher in recalls. The energy-adjusted (log-transformed) deattenuated correlations among all participants were: total sugars (r = 0.42, 95% CI 0.32-0.52), added sugars (r = 0.50, 95% CI 0.36-0.59), sucrose (r = 0.32, 95% CI 0.23-0.42), and fructose (r = 0.50, 95% CI 0.40-0.59). We observed moderate validity for added sugars and fructose and low-moderate validity for total sugars and sucrose measured by the AHS-2 FFQ in this population. Dietary sugar estimates from this FFQ may be useful in assessing possible associations of sugars intake with health outcomes.

Nutrients. 2019 Sep 03;11(9):. (PMID: 31484293)
Public Health Nutr. 2010 Jun;13(6):812-9. (PMID: 19968897)
Nutrients. 2019 Mar 22;11(3):. (PMID: 30909514)
Int J Epidemiol. 1997;26 Suppl 1:S161-73. (PMID: 9126544)
Nutrients. 2019 Mar 05;11(3):. (PMID: 30841627)
Am J Prev Med. 2018 Jun;54(6):727-735. (PMID: 29674185)
J Nutr. 2017 Dec;147(12):2364-2373. (PMID: 28931586)
Public Health Nutr. 2007 Oct;10(10):1094-103. (PMID: 17381903)
Am J Clin Nutr. 1997 Apr;65(4 Suppl):1220S-1228S; discussion 1229S-1231S. (PMID: 9094926)
Malays J Nutr. 2012 Dec;18(3):283-93. (PMID: 24568069)
Am J Epidemiol. 1992 Dec 1;136(11):1400-13. (PMID: 1488967)
Am J Clin Nutr. 2002 Nov;76(5):911-22. (PMID: 12399260)
BMC Med Res Methodol. 2017 Sep 19;17(1):146. (PMID: 28927376)
Public Health Nutr. 2011 Nov;14(11):1988-97. (PMID: 21557864)
JAMA Intern Med. 2014 Apr;174(4):516-24. (PMID: 24493081)
Am J Epidemiol. 2001 Dec 15;154(12):1119-25. (PMID: 11744517)
Eur J Clin Nutr. 2008 Aug;62(8):1038-46. (PMID: 17538538)
Am J Epidemiol. 1992 Jul 15;136(2):192-200. (PMID: 1415141)
Nutr J. 2013 Aug 08;12:116. (PMID: 23927718)
CMAJ. 2017 May 23;189(20):E711-E720. (PMID: 28536126)
Am J Public Health. 2007 Apr;97(4):667-75. (PMID: 17329656)
Public Health Nutr. 2016 Sep;19(13):2424-34. (PMID: 26932353)
Fed Regist. 2016 May 27;81(103):33741-999. (PMID: 27236870)
JAMA Intern Med. 2013 Jul 8;173(13):1230-8. (PMID: 23836264)
Circulation. 2007 Jul 31;116(5):480-8. (PMID: 17646581)
Am J Clin Nutr. 2006 Nov;84(5):1171-6. (PMID: 17093171)
Am J Public Health. 2013 Mar;103(3):501-7. (PMID: 22698050)
Ethn Dis. 2007 Spring;17(2):244-9. (PMID: 17682353)
Ann Nutr Metab. 2010;57(3-4):211-8. (PMID: 21088388)
Int J Epidemiol. 2008 Apr;37(2):260-5. (PMID: 17726038)
Br J Nutr. 2004 Nov;92(5):851-9. (PMID: 15533275)
Eur J Clin Nutr. 1994 Apr;48(4):253-65. (PMID: 8039485)
J Hum Nutr Diet. 2016 Apr;29(2):225-40. (PMID: 26453428)
Am J Clin Nutr. 2001 Aug;74(2):188-96. (PMID: 11470719)

Keywords: quantitative food frequency questionnaire; sugar intake; validation studies

0 (Dietary Sucrose)
0 (Dietary Sugars)
30237-26-4 (Fructose)

Date Created: 20211127 Date Completed: 20211207 Latest Revision: 20211214

20240829

PMC8622229

10.3390/nu13114152

34836407