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Reproducibility of food consumption frequencies derived from the Children's Eating Habits Questionnaire used in the IDEFICS study

International Journal of Obesity volume 35, pages S61–S68 (2011)Cite this article

Subjects

Abstract

Objective:

To investigate the reproducibility of food consumption frequencies derived from the food frequency section of the Children's Eating Habits Questionnaire (CEHQ-FFQ) that was developed and used in the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) project to assess food habits in 2- to 9-year-old European children.

Design and methods:

From a subsample of 258 children who participated in the IDEFICS baseline examination, parental questionnaires of the CEHQ were collected twice to assess reproducibility of questionnaire results from 0 to 354 days after the first examination. Weighted Cohen's kappa coefficients (κ) and Spearman's correlation coefficients (r) were calculated to assess agreement between the first and second questionnaires for each food item of the CEHQ-FFQ. Stratification was performed for sex, age group, geographical region and length of period between the first and second administrations. Fisher's Z transformation was applied to test correlation coefficients for significant differences between strata.

Results:

For all food items analysed, weighted Cohen's kappa coefficients (κ) and Spearman's correlation coefficients (r) were significant and positive (P<0.001). Reproducibility was lowest for diet soft drinks (κ=0.23, r=0.32) and highest for sweetened milk (κ=0.68, r=0.76). Correlation coefficients were comparable to those of previous studies on FFQ reproducibility in children and adults. Stratification did not reveal systematic differences in reproducibility by sex and age group. Spearman's correlation coefficients differed significantly between northern and southern European countries for 10 food items. In nine of them, the lower respective coefficient was still high enough to conclude acceptable reproducibility. As expected, longer time (>128 days) between the first and second administrations resulted in a generally lower, yet still acceptable, reproducibility.

Conclusion:

Results indicate that the CEHQ-FFQ gives reproducible estimates of the consumption frequency of 43 food items from 14 food groups in European children.

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Acknowledgements

This study was conducted as part of the IDEFICS study (http://www.idefics.eu). We gratefully acknowledge the financial support of the European Community within the Sixth RTD Framework Programme Contract No. 016181 (FOOD) and the grant support from the EU for the IDEFICS study.

The information in this document reflects the author's view and is provided as it is.

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Authors and Affiliations

  1. Department of Epidemiological Methods and Etiologic Research, Bremen Institute for Prevention Research and Social Medicine, University of Bremen, Bremen, Germany

    A Lanfer, A Hebestreit & W Ahrens

  2. Department of Preventive and Predictive Medicine, Nutritional Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

    V Krogh, S Sieri & V Pala

  3. Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden

    L Lissner & G Eiben

  4. Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy

    A Siani

  5. Department of Public Health, Ghent University, Ghent, Belgium

    I Huybrechts

  6. Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia

    H-M Loit

  7. Research and Education Institute of Child Health, Strovolos, Cyprus

    S Papoutsou

  8. Department of Paediatrics, University of Pécs, Pécs, Hungary

    É Kovács

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  1. A Lanfer
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  8. A Siani
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  9. I Huybrechts
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on behalf of the IDEFICS Consortium

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Correspondence to W Ahrens.

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Statement of ethics

We certify that all applicable institutional and governmental regulations regarding the ethical use of human volunteers were followed during this research. Approval by the appropriate ethics committees was obtained by each of the eight centres engaged in the fieldwork. Participants were not subjected to any study procedure before both the children and their parents gave consent for examinations, collection of samples, subsequent analysis and storage of personal data and collected samples. The participating children and their parents could consent to single components of the study while refraining from others.

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Lanfer, A., Hebestreit, A., Ahrens, W. et al. Reproducibility of food consumption frequencies derived from the Children's Eating Habits Questionnaire used in the IDEFICS study. Int J Obes 35 (Suppl 1), S61–S68 (2011). https://doi.org/10.1038/ijo.2011.36

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