Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Repeatability of maternal report on prenatal, perinatal and early postnatal factors: findings from the IDEFICS parental questionnaire

Abstract

Objective:

To investigate the repeatability of maternal self-reported prenatal, perinatal and early postnatal factors within the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study.

Design:

Data are from the baseline survey of the longitudinal cohort study IDEFICS in eight European countries.

Subjects:

A total of 420 parents from eight countries (43–61 per country) were asked to complete the parental questionnaire (PQ) twice at least 1 month apart.

Measurements:

The PQ assesses prenatal (maternal weight gain), perinatal (child's birth weight and length, Caesarean (C)-section, week of delivery) and early postnatal factors (exclusive breastfeeding, breastfeeding, introduction of solid food). Intra-class correlation coefficients (ICCs) were calculated to compare maternal reports on prenatal, perinatal and early postnatal factors between the first and second PQ.

Results:

In total, 249 data sets were considered for the analyses. Overall, maternal reports for prenatal and perinatal factors showed higher repeatability (ICC=0.81–1.00, P0.05 for all) than those for early infant nutrition (ICC=0.33–0.88, P0.05 for all). Perfect agreement was found for parental reports on C-section (ICCall=1.00, P0.05). There was stronger agreement for duration of breastfeeding (ICC=0.71, P0.05) compared with exclusive breastfeeding (ICC=0.33, P0.05). Maternal reports showed moderate correlation for the introduction of several types of food (cereals ICC=0.64, P0.05; fruits ICC=0.70, P0.05; meat ICC=0.83, P0.05; vegetables ICC=0.75, P0.05), and high correlation (ICC=0.88, P0.05) for cow's milk.

Conclusion:

Maternal reports on pregnancy and birth were highly reproducible, but parental recall of early infant nutrition was weaker and should be interpreted more cautiously.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Ahrens W, Bammann K, de Henauw S, Halford J, Palou A, Pigeot I et al. Understanding and preventing childhood obesity and related disorders – IDEFICS: a European multilevel epidemiological approach. Nutr Metab Cardiovasc Dis 2006; 16: 302–308.

    Article  CAS  Google Scholar 

  2. Bammann K, Peplies J, Sjöström M, Lissner L, De Henauw S, Galli C et al. Assessment of diet, physical activity, biological, social and environmental factors in a multi-centre European project on diet- and lifestyle-related disorders in children (IDEFICS). J Public Health 2006; 14: 279–289.

    Article  Google Scholar 

  3. Ahrens W, Bammann K, Siani A, Buchecker K, De Henauw S, Iacoviello L et al. The IDEFICS cohort: design, characteristics and participation in the baseline survey. Int J Obes 2011; 35 (Suppl 1): S3–S15.

    Article  Google Scholar 

  4. Boney CM, Verma A, Tucker R, Vohr BR . Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics 2005; 115: e290–e296.

    Article  Google Scholar 

  5. Ibánez L, Ong KKL, Dunger DB, de Zegher F . Early development of adiposity and insulin resistance after catch-up weight gain in small-for-gestational-age children. J Clin Endocrinol Metab 2006; 91: 2153–2158.

    Article  Google Scholar 

  6. Weyermann M, Rothenbacher D, Brenner H . Duration of breastfeeding and risk of overweight in childhood: a prospective birth cohort study from Germany (abstract). Int J Obes 2006; 30: 1281–1287.

    Article  CAS  Google Scholar 

  7. Toschke AM, Martin RM, von Kries R, Wells J, Smith GD, Ness AR . Infant feeding method and obesity: body mass index and dual-energy X-ray absorptiometry measurements at 9-10 y of age from the Avon Longitudinal Study of Parents and Children (ALSPAC). Am J Clin Nutr 2007; 85: 1578–1585.

    Article  CAS  Google Scholar 

  8. Olson JE, Shu XO, Ross JU, Pendergrass T, Robison LL . Medical record validation of maternally reported birth characteristics and pregnancy-related events: a report from the children's cancer group. Am J Epidemiol 1997; 145: 58–67.

    Article  CAS  Google Scholar 

  9. Rice F, Lewis A, Harold G, van den Bree M, Boivin J, Hay DF et al. Agreement between maternal report and antenatal records for a range of pre and peri-natal factors: the influence of maternal and child characteristics. Early Hum Dev 2007; 83: 497–504.

    Article  Google Scholar 

  10. Tomeo CA, Rich-Edwards JW, Michels KB, Berkey CS, Hunter DJ, Frazier AL et al. Reproducibility and validity of maternal recall of pregnancy-related events. Epidemiology 1999; 10: 774–777.

    Article  CAS  Google Scholar 

  11. Launer LJ, Forman MR, Hundt GL, Sarov B, Chang D, Berendes HW et al. Maternal recall of infant feeding events is accurate. J Epidemiol Community Health 1992; 46: 203–206.

    Article  CAS  Google Scholar 

  12. Tienboon P, Rutishauser IHE, Wahlqvist ML . Maternal recall of infant feeding practices after an interval of 14 to 15 years. Aust J Nutr Diet 1994; 51: 25–27.

    Google Scholar 

  13. Strippoli M-PF, Silverman M, Michel G, Kuehni CE . A parent-completed respiratory questionnaire for 1-year-old children: repeatability. Arch Dis Child 2007; 92: 861–865.

    Article  Google Scholar 

  14. Shrout PE, Fleiss JL . Intraclass correlations: uses in assessing rater reliability. Psychol Bull 1979; 2: 420–428.

    Article  Google Scholar 

  15. World Health Organization (WHO). Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser 2000; 894: i-xii, 1–253.

  16. Troude P, L'Hélias LF, Raison-Boulley AM, Castel C, Pichon C, Bouyer J et al. Perinatal factors reported by mothers: do they agree with medical records? Eur J Epidemiol 2008; 23: 557–564.

    Article  Google Scholar 

  17. Sanderson M, Williams MA, White E, Daling JR, Holt VL, Malone KE et al. Validity and reliability of subject and mother reporting of perinatal factors. Am J Epidemiol 1998; 147: 136–140.

    Article  CAS  Google Scholar 

  18. Yawn BP, Suman VJ, Jacobsen SJ . Maternal recall of distant pregnancy events. J Clin Epidemiol 1998; 51: 399–405.

    Article  CAS  Google Scholar 

  19. Adegboye ARA, Heitmann BL . Accuracy and correlates of maternal recall of birth weight and gestational age. BJOG 2008; 115: 886–893.

    Article  CAS  Google Scholar 

  20. Michels KB, Willett WC, Graubard BI, Vaidya RL, Cantwell MM, Sansbury LB et al. A longitudinal study of infant feeding and obesity throughout life course. Int J Obes 2007; 31: 1078–1085.

    Article  CAS  Google Scholar 

  21. Vobecky JS, Vobecky J, Froda S . The reliability of the maternal memory in a retrospective assessment of nutritional status. J Clin Epidemiol 1988; 41: 261–265.

    Article  CAS  Google Scholar 

  22. Harder T, Schellong K, Plagemann A . Differences between meta-analyses on breastfeeding and obesity support causality of the association. Pediatrics 2006; 117: 987.

    Article  Google Scholar 

  23. Haaga JG . Reliability of retrospective survey data on infant feeding. Demography 1988; 25: 307–314.

    Article  CAS  Google Scholar 

  24. Seidman DS, Slater PE, Ever-Hadani P, Gale R . Accuracy of mothers' recall of birth weight and gestational age. Br J Obstet Gynaecol 1987; 94: 731–735.

    Article  CAS  Google Scholar 

  25. Hakim RB, Tielsch JM, See LC . Agreement between maternal interview- and medical record-based gestational age. Am J Epidemiol 1992; 136: 566–573.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was carried out as part of the IDEFICS study (http://www.idefics.eu). We 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.

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to K Bammann.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

Statement of ethics

We certify that all applicable institutional and governmental regulations regarding the ethical use of human volunteers were followed during this research. In each country, the participating centres obtained ethical approval from their responsible authority. All participating children and their parents provided oral and/or written informed consent for all examinations and/or the collection of samples, subsequent analyses and storage of personal data and collected samples.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Herrmann, D., Suling, M., Reisch, L. et al. Repeatability of maternal report on prenatal, perinatal and early postnatal factors: findings from the IDEFICS parental questionnaire. Int J Obes 35 (Suppl 1), S52–S60 (2011). https://doi.org/10.1038/ijo.2011.35

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijo.2011.35

Keywords

This article is cited by

Search

Quick links