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Accepted manuscript

A Cross-Sectional Comparison of the Functionality of the Short-Form Food Frequency Questionnaire to a 3-Day Food Intake Record Completed Early in the Second Trimester of Pregnancy

Published online by Cambridge University Press:  15 July 2025

Karishma Hosein
Affiliation:
R. Samuel McLaughlin Foundation - Exercise and Pregnancy Lab, School of Kinesiology, Faculty of Health Sciences, Western University, London, Canada
Taniya S. Nagpal
Affiliation:
Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Canada
Roberta Bgeginski
Affiliation:
R. Samuel McLaughlin Foundation - Exercise and Pregnancy Lab, School of Kinesiology, Faculty of Health Sciences, Western University, London, Canada Children’s Health Research Institute, London, Canada
Harry Prapavessis
Affiliation:
Children’s Health Research Institute, London, Canada Exercise and Health Promotion Lab, School of Kinesiology, Faculty of Health Sciences, Western University, London, Canada
Isabelle Giroux
Affiliation:
School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
Michelle F. Mottola*
Affiliation:
R. Samuel McLaughlin Foundation - Exercise and Pregnancy Lab, School of Kinesiology, Faculty of Health Sciences, Western University, London, Canada Department of Anatomy & Cell Biology, Schulich School of Medicine & Dentistry, Western University, London, Canada Children’s Health Research Institute, London, Canada
*
CORRESPONDING AUTHOR: Michelle Mottola PhD, Room 2245, 3-M Centre, School of Kinesiology, Faculty of Health Sciences, The University of Western Ontario London, Ontario, Canada. N6A 3K7, Email: mmottola@uwo.ca, 519-661-2111 ex 88366
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Abstract

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Using a behavioural intervention to target nutrition during pregnancy may be key in meeting recommendations for healthy eating. The aim was to assess the use of a short-term dietary intake measurement tool (3-day food intake record) to infer long-term habitual dietary intake during pregnancy (using a short-form food frequency questionnaire). A convenience sample (n=90) between 12- and 18-weeks’ gestation were recruited from a larger randomised controlled trial for cross-sectional analysis. Participants completed a 44-item food frequency questionnaire and 3-day food intake record. Using the participant food intake record, the investigator blindly completed a second frequency questionnaire. The frequency questionnaires were scored using Dietary Quality Scores (DQS) and compared. Aggregate data were evaluated using a Wilcoxon signed rank test, and individual-level data were evaluated using a Bland-Altman plot. No significant difference was observed in the scores (Z=-1.88, p=0.06), with small effect size (r=0.19). The Bland-Altman plot showed that comparing the DQS derived from the two different dietary assessments underestimated scores by a mean difference of 0.4 points (95% limits of agreement: -3.50 to 4.26). The data points were evenly spread suggesting no systematic variation for over- or underestimation of scores. Minimal difference was observed between the functionality of the two assessment instruments. However, the food intake record can be completed by pregnant individuals to estimate short-term nutrient intake, and then scored by the investigator to estimate long-term dietary quality. Combining these two instruments may best capture the most accurate representation of dietary habits over time.

Information

Type
Research Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society