Evidence map›Paper›PMID 30940257›Full record

ArticlePublic health nutrition2019

Validation of a semi-quantitative FFQ for 18-month-old toddlers: the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) study.

Hui Xian Lim, Jia Ying Toh, Kok Hian Tan, Yap-Seng Chong, Fabian Yap, Keith M Godfrey, Yung Seng Lee, Mary Foong-Fong Chong

Abstract read
In one paragraph

Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Observational
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  7. Article
  8. Trajectories of lifestyle patterns from 2 to 8 years of age and cardiometabolic risk in children: the GUSTO study.The international journal of behavioral nutrition and physical activity · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The Valid and Reliable Semi-Quantitative Food Frequency Questionnaire among the Sleman Under Five Children.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hui Xian Lim1Singapore Institute for Clinical Sciences,Agency for Science,Technology and Research,Singapore.
Jia Ying Toh1Singapore Institute for Clinical Sciences,Agency for Science,Technology and Research,Singapore.
Kok Hian Tan2Department of Maternal Fetal Medicine,KK Women's and Children's Hospital,Singapore.
Yap-Seng Chong1Singapore Institute for Clinical Sciences,Agency for Science,Technology and Research,Singapore.
Fabian Yap3Duke-National University of Singapore Graduate Medical School,Singapore.
Keith M Godfrey7Medical Research Council Lifecourse Epidemiology Unit and National Institute for Health Research Southampton Biomedical Research Centre,University of Southampton and University Hospital Southampton National Health Service Foundation Trust,Southampton,UK.
Yung Seng Lee1Singapore Institute for Clinical Sciences,Agency for Science,Technology and Research,Singapore.ORCID 0000-0002-1253-0557
Mary Foong-Fong Chong1Singapore Institute for Clinical Sciences,Agency for Science,Technology and Research,Singapore.

Funding

British Heart Foundation RG/15/17/31749Department of Health NF-SI-0515-10042Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

objectiveDietary intake of toddlers has been of growing interest due to its long-term consequences on health. However, previous works have focused largely on Caucasian populations and less is known about Asian toddlers. We aimed to validate a semi-quantitative FFQ designed to assess dietary intakes of 18-month-old toddlers in a multi-ethnic Asian cohort.

designAn FFQ of ninety-four food items, identified based on food records of 12-month-old GUSTO children, the Southampton Women's Survey 12 Month Infancy Questionnaire and inputs from paediatric dietitians, was filled out two weeks before the 18th-month clinic visit. As the reference method, two non-consecutive 24 h recalls (24HR) were administered during and two weeks after the clinic visit. FFQ nutrient intakes were validated against averaged 24HR nutrient intakes, using the Wilcoxon signed-rank test, Spearman's rank-order correlation, cross-classification and the Bland-Altman method.

settingData from the Singapore Growing Up in Singapore Towards Healthy Outcomes (GUSTO) mother-offspring birth cohort.ParticipantsToddlers (n 188) aged 18 months.

resultsAbsolute nutrient intakes from the FFQ were significantly higher than from the 24HR, except for vitamin A. After energy adjustments, r range was 0·56-0·78 (macronutrients) and 0·40-0·54 (micronutrients). De-attenuation increased r to 0·58-0·96 and 0·45-0·65 for macro- and micronutrients, respectively. Of participants, ≥82·4 % (macronutrients) and ≥77·7 % (micronutrients) were classified in the same and adjacent quartiles. No clear systematic increase in intake differences with increasing mean intake was observed in Bland-Altman plots.

conclusionsThis FFQ can provide a satisfactory assessment of toddlers' energy-adjusted nutrient intakes, as well as accurately rank them in a group.

Indexed as

Child, PreschoolCohort StudiesDietDiet SurveysEnergy IntakeFemaleHumansMaleReproducibility of ResultsSingaporeFFQNutrient intakeToddlerValidation

Identifiers

PMID30940257
PMCPMC10260654

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.