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Precision and Bias of Food Frequency-based Measures of Fruit and Vegetable Intakes

Alan R. Kristal, Nancy C. Vizenor, Ruth E. Patterson, Marian L. Neuhouser, Ann L. Shattuck and Dale McLerran
Alan R. Kristal
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Nancy C. Vizenor
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Ruth E. Patterson
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Marian L. Neuhouser
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Ann L. Shattuck
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Dale McLerran
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DOI:  Published September 2000
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Tables

  • Table 1

    FFQ items used to calculate servings of fruits and vegetables

    Fruit & vegetable assessment methodFFQ
    7-item FFQa100-item FFQb122-item FFQc
    5 A Day method
    Summary QuestionsFruit, not including juicesFruit, not including juicesFruit, not including juices
    Vegetables, not including salad and potatoesVegetables, not including salad and potatoesVegetables, not including salad and potatoes
    JuiceOrange and grapefruit juiceOrange and grapefruit juiceOrange and grapefruit juice
    Other 100% fruit juicesOther fruit juicesOther fruit juices
    SaladGreen saladGreen salad, including spinach saladLettuce and plain lettuce salad
    Mixed lettuce or spinach salad with vegetables, such as carrots or tomatoes
    Fried potatoesFried potatoesFried potatoes, such as French fries and hash brownsFried potatoes, such as French fries and hash browns
    Fried plantainsFried plantains
    Other potatoesOther potatoesOther potatoes, cassava, yucca (boiled, baked, mashed)Other potatoes, cassava, yucca (boiled, baked, mashed)
    Sweet potatoes, yamsSweet potatoes, yams
    Total7 items 9 items10 items
    Summation
    Fruit10 items11 items
    Juice  2 items 2 items
    Vegetables13 items16 items
    Salad 1 item 2 items
    Fried Potato  2 items 2 items
    Other Potato 2 items 2 items
    Total30 items35 items
    • a Seattle 5 A Day Worksite Project (7) .

    • b Women’s Health Trial: Feasibility Study in Minority Populations (16) .

    • c Olestra Post-Marketing Surveillance Study (17) .

  • Table 2

    Comparison of dietary recall and 5 A Day method measures of servings per day of fruit and vegetables (n = 260), Seattle 5 A Day Worksite Project (7)

    Fruit and vegetable groupDietary recalla ( ± SD)b5 A Day method ( ± SD)brc
    Total4.07 ± 2.073.32 ± 1.91d0.50
    Total, excluding fried3.78 ± 2.043.15 ± 1.93d0.55
    Fruit+ Juice1.41 ± 1.141.45 ± 1.190.57
    Juice0.37 ± 0.490.56 ± 0.64d0.52
    Fruit0.97 ± 0.890.84 ± 0.77e0.59
    Total vegetable2.53 ± 1.391.80 ± 0.99d0.33
    Salad/raw vegetables0.74 ± 0.700.43 ± 0.34d0.39
    Cooked, excluding fried vegetables1.44 ± 0.921.37 ± 0.97d0.27
    Fried vegetables0.21 ± 0.360.13 ± 0.14d0.30
    • a Mean of three 24-h recalls.

    • b Geometric mean, SD back-transformed into original units.

    • c Pearson correlations, all P < 0.001.

    • d Versus dietary recall, P < 0.001.

    • e Versus dietary recall, P < 0.01.

  • Table 3

    Comparison of food record and FFQ measures of servings per day of fruit and vegetables (n = 1031), Women’s Health Trial Feasibility Study in Minority Populations (16)

    Fruit and vegetable groupFood recorda ( ± SD)bFFQ
    5 A Day methodSummation method
    ( ± SD)brc( ± SD)brc
    Total3.46 ± 1.63.11 ± 1.650.364.06 ± 2.200.41
    Total, excluding fried3.38 ± 1.62.99 ± 1.630.353.94 ± 2.170.41
    Fruit+ Juice1.22 ± 0.921.31 ± 0.960.451.84 ± 1.250.47
    Juice0.27 ± 0.330.52 ± 0.540.530.52 ± 0.540.53
    Fruit0.90 ± 0.780.76 ± 0.650.481.29 ± 0.940.49
    Total vegetable2.14 ± 1.071.73 ± 1.010.312.15 ± 1.280.32
    Salad/raw vegetables0.47 ± 0.430.40 ± 0.330.360.40 ± 0.330.36
    Cooked, excluding fried vegetables1.55 ± 0.881.22 ± 0.810.271.66 ± 1.030.25
    Fried vegetables0.07 ± 0.150.10 ± 0.160.270.10 ± 0.160.27
    • a Four-day food record.

    • b Geometric mean, SD versus back-transformed into original units. All differences (food records versus 5 A Day; food records versus summary; 5 A Day versus summary) P < 0.001.

    • c Pearson correlation with food record, all P < 0.001.

  • Table 4

    Correlations among FFQ and dietary recall measures of servings per day of fruit and vegetables, and serum carotenoid concentrations (n = 342), Olestra Post-Marketing Surveillance Study (17)

    Fruit and vegetable assessment methodDietary recallabSerum carotenoidsacSerum carotenoidsac (without lycopene)
    Fruit0.620.270.33
    5 A DayVegetables0.380.150.24
    Total0.580.240.32
    Fruit0.650.240.32
    SummationVegetables0.370.170.26
    Total0.570.230.32
    Fruit0.270.35
    Dietary recallbVegetables0.250.27
    Total0.330.38
    • a All correlations P < 0.001.

    • b Mean of four 24-h dietary recalls.

    • c Adjusted for total serum cholesterol.

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September 2000
Volume 9, Issue 9
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Precision and Bias of Food Frequency-based Measures of Fruit and Vegetable Intakes
Alan R. Kristal, Nancy C. Vizenor, Ruth E. Patterson, Marian L. Neuhouser, Ann L. Shattuck and Dale McLerran
Cancer Epidemiol Biomarkers Prev September 1 2000 (9) (9) 939-944;

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Precision and Bias of Food Frequency-based Measures of Fruit and Vegetable Intakes
Alan R. Kristal, Nancy C. Vizenor, Ruth E. Patterson, Marian L. Neuhouser, Ann L. Shattuck and Dale McLerran
Cancer Epidemiol Biomarkers Prev September 1 2000 (9) (9) 939-944;
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