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American Journal of Epidemiology Vol. 128, No. 3: 655-666
Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health


research-article

REPRODUCIBILITY AND VALIDITY OF DIETARY ASSESSMENT INSTRUMENTS

I. A SELF-ADMINISTERED FOOD USE QUESTIONNAIRE WITH A PORTION SIZE PICTURE BOOKLET

PIRJO PIETINEN1,, ANNE M. HARTMAN2, ELIINA HAAPA1, LEENA RÄSÄNEN3, JAASON HAAPAKOSKI1, JUNI PALMGREN1, DEMETRIUS ALBANES2, JARMO VIRTAMO1 and JUSSI K. HUTTUNEN1

1National Public Health Institute Helsinki, Finland
2National Cancer Institute, National Institutes of Health Bethesda, MD
3Department of Nutrition, University of Helsinki Helsinki, Finland

Reprint requests to Dr. Pirjo Pietinen, Department of Epidemiology, National Public Health Institute, Mannerheimintie 166, SF-00280 Helsinki, Finland

A self-administered food use questionnaire which included 276 food items and mixed dishes and a portion size picture booklet with 122 photographs was developed for a large lung cancer intervention trial among approximately 27,000 Finnish men aged 50–69 years. The reproducibility and validity of this questionnaire were studied from March to October 1984. In the reproducibility study, 121 men aged 55–69 years completed the questionnaire three times, at three-month intervals. The intraclass correlations varied from 0.56 for vitamin A to 0.88 for alcohol, with most falling between 0.60 and 0.70. In the validity study, 190 men of similar age kept food consumption records for 12 two-day periods, distributed evenly over a period of six months, and filled in the questionnaire both before and after this period. Correlations between nutrient intake values from the food records and the food use questionnaires ranged from 0.40 for selenium to 0.80 for alcohol. Among subjects who belonged to the lowest quintile on the basis of the food record measurement, an average of 51 per cent fell into the same quintile and 76 per cent fell into the lowest two quintiles when they were categorized on the basis of the food use questionnaire. Findings were similar for the upper tail of the distribution. These data indicate that the self-administered food use questionnaire is useful for measuring individual or group intakes for a variety of nutrients.

diet; dietary fiber; nutrition surveys; selenium; vitamin E


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J. M. Leppala, M. Paunio, J. Virtamo, R. Fogelholm, D. Albanes, P. R. Taylor, and O. P. Heinonen
Alcohol Consumption and Stroke Incidence in Male Smokers
Circulation, September 14, 1999; 100(11): 1209 - 1214.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
N. Malila, J. Virtamo, M. Virtanen, D. Albanes, J. A. Tangrea, and J. K. Huttunen
The Effect of {{alpha}}-Tocopherol and {beta}-Carotene Supplementation on Colorectal Adenomas in Middle-Aged Male Smokers
Cancer Epidemiol. Biomarkers Prev., June 1, 1999; 8(6): 489 - 493.
[Abstract] [Full Text]


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JNCI J Natl Cancer InstHome page
R. Z. Stolzenberg-Solomon, D. Albanes, F. J. Nieto, T. J. Hartman, J. A. Tangrea, M. Rautalahti, J. Sehlub, J. Virtamo, and P. R. Taylor
Pancreatic Cancer Risk and Nutrition-Related Methyl-Group Availability Indicators in Male Smokers
J Natl Cancer Inst, March 17, 1999; 91(6): 535 - 541.
[Abstract] [Full Text] [PDF]


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Health Education JournalHome page
G. Bunting and R. Freeman
The influence of socio-demographic factors upon children's breaktime food consumption in North and West Belfast
Health Education Journal, January 1, 1999; 58(4): 401 - 409.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. E. Tornwall, J. Virtamo, J. K. Haukka, A. Aro, D. Albanes, B. K. Edwards, and J. K. Huttunen
Effect of {alpha}-Tocopherol (Vitamin E) and ß-Carotene Supplementation on the Incidence of Intermittent Claudication in Male Smokers
Arterioscler Thromb Vasc Biol, December 1, 1997; 17(12): 3475 - 3480.
[Abstract] [Full Text]


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Am. J. Respir. Crit. Care Med.Home page
M. RAUTALAHTI, J. VIRTAMO, J. HAUKKA, O. P. HEINONEN, J. SUNDVALL, D. ALBANES, and J. K. HUTTUNEN
The Effect of Alpha-Tocopherol and Beta-Carotene Supplementation on COPD Symptoms
Am. J. Respir. Crit. Care Med., November 1, 1997; 156(5): 1447 - 1452.
[Abstract] [Full Text]


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CirculationHome page
D. R. Labarthe
Dietary Fiber: Further Epidemiological Support for a High-Intake Dietary Pattern
Circulation, December 1, 1996; 94(11): 2696 - 2698.
[Full Text]


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CirculationHome page
P. Pietinen, E. B. Rimm, P. Korhonen, A. M. Hartman, W. C. Willett, D. Albanes, and J. Virtamo
Intake of Dietary Fiber and Risk of Coronary Heart Disease in a Cohort of Finnish Men: The Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study
Circulation, December 1, 1996; 94(11): 2720 - 2727.
[Abstract] [Full Text]


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BMJHome page
M. Paunio, J. Virtamo, C.-G. Gref, and O. P Heinonen
Serum high density lipoprotein cholesterol, alcohol, and coronary mortality in male smokers
BMJ, May 11, 1996; 312(7040): 1200 - 1203.
[Abstract] [Full Text]


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JAMAHome page
J. M. Rapola, J. Virtamo, J. K. Haukka, O. P. Heinonen, D. Albanes, P. R. Taylor, and J. K. Huttunen
Effect of Vitamin E and Beta Carotene on the Incidence of Angina Pectoris: A Randomized, Double-blind, Controlled Trial
JAMA, March 6, 1996; 275(9): 693 - 698.
[Abstract] [PDF]


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NEJMHome page
Beta Carotene Cancer Prevention Study Group The Al
The Effect of Vitamin E and Beta Carotene on the Incidence of Lung Cancer and Other Cancers in Male Smokers
N. Engl. J. Med., April 14, 1994; 330(15): 1029 - 1035.
[Abstract] [Full Text]



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