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American Journal of Epidemiology Vol. 136, No. 2: 192-200
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health


research-article

Dietary Assessment of Older Iowa Women with a Food Frequency Questionnaire: Nutrient Intake, Reproducibility, and Comparison with 24-Hour Dietary Recall Interviews

Ronald G. Munger1,, Aaron R. Folsom2, Lawrence H. Kushi3, Susan A. Kaye2 and Thomas A. Sellers2

1Department of Preventive Medicine and Environmental Health, University of Iowa College of Medicine Iowa City, IA
2Division of Epidemiology, University of Minnesota School of Public Health Minneapolis, MN
3Division of Human Development and Nutrition, University of Minnesota School of Public Health Minneapolis, MN

Reprint requests to Dr. Ronald G. Munger, Department of Preventive Medicine and Environmental Health, 2830 Steindier Building, University of Iowa College of Medicine, Iowa City, IA 52242

The authors report the results of a dietary survey of 38,121 Iowa women, 55–69 years of age in 1986, based on a semiquantitative food frequency questionnaire previously tested among Boston-area women aged 34–59 years. The Iowa women, compared with the younger Boston-area women, consumed a similar amount of calories (1,767 vs. 1,844 kcal) and a similar amount of total calories from fat (35 vs. 37%) but had markedly greater intake of the following mtaronutrients after including supplement use: iron (+18%), calcium (+33%), vitamin A (+43%), riboflavin (+46%), thiamine (+50%), and pyridoxine (+122%). The reproducibility of the questionnaire was examined in two more administrations to 44 of the Iowa women in January and June of 1988. Reproducibirity was highest for alcohol (Pearson's r = 0.99), caffeine (r = 0.95), and vitamin E (r = 0.90) and lowest for sucrose (r = 0.53), polyunsaturated fat (r = 0.56), and iron (r = 0.59). Micronutrient intakes were generally more reproducible than macronutrient intakes. The agreement between the June 1988 questionnaire and the average of five 24-hour dietary recalls was also assessed in the 44 subjects. The median correlations of energy-adjusted intake were as follows: for macronutrients, r = 0.45; for micronutrients without supplements, r = 0.33; and for micronutrients with supplements, r = 0.64. This food frequency questionnaire appears to be reasonably reproducible and accurate, so that Its use may be extended to epidemiokxjic studies of older women with a broad range of socioeconomic backgrounds. Am J Epidemiol 1992:136:192–200.

diet; food; nutrition; nutrition surveys; questionnaires


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J. W. Lampe, D. R. Gustafson, A. M. Hutchins, M. C. Martini, S. Li, K. Wähälä, G. A. Grandits, J. D. Potter, and J. L. Slavin
Urinary Isoflavonoid and Lignan Excretion on a Western Diet: Relation to Soy, Vegetable, and Fruit Intake
Cancer Epidemiol. Biomarkers Prev., August 1, 1999; 8(8): 699 - 707.
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S. M. Gapstur, M. Morrow, and T. A. Sellers
Hormone Replacement Therapy and Risk of Breast Cancer With a Favorable Histology: Results of the Iowa Women's Health Study
JAMA, June 9, 1999; 281(22): 2091 - 2097.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
K. M Flegal
Evaluating epidemiologic evidence of the effects of food and nutrient exposures
Am. J. Clinical Nutrition, June 1, 1999; 69 (6): 1339S - 1344S.
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Am. J. Clin. Nutr.Home page
R. G Munger, J. R Cerhan, and B. C-H Chiu
Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women
Am. J. Clinical Nutrition, January 1, 1999; 69(1): 147 - 152.
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J. Nutr.Home page
T. J. Green, O. B. Allen, and D. L. O'Connor
A Three-Day Weighed Food Record and a Semiquantitative Food-Frequency Questionnaire Are Valid Measures for Assessing the Folate and Vitamin B-12 Intakes of Women Aged 16 to 19 Years
J. Nutr., October 1, 1998; 128(10): 1665 - 1671.
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S. A. Smith-Warner, D. Spiegelman, S.-S. Yaun, P. A. van den Brandt, A. R. Folsom, R. A. Goldbohm, S. Graham, L. Holmberg, G. R. Howe, J. R. Marshall, et al.
Alcohol and Breast Cancer in Women: A Pooled Analysis of Cohort Studies
JAMA, February 18, 1998; 279(7): 535 - 540.
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NEJMHome page
L. H. Kushi, A. R. Folsom, R. J. Prineas, P. J. Mink, Y. Wu, and R. M. Bostick
Dietary Antioxidant Vitamins and Death from Coronary Heart Disease in Postmenopausal Women
N. Engl. J. Med., May 2, 1996; 334(18): 1156 - 1162.
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B. C.-H. Chiu, J. R. Cerhan, A. R. Folsom, T. A. Sellers, L. H. Kushi, R. B. Wallace, W. Zheng, and J. D. Potter
Diet and Risk of Non-Hodgkin Lymphoma in Older Women
JAMA, May 1, 1996; 275(17): 1315 - 1321.
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NEJMHome page
D. J. Hunter, D. Spiegelman, H.-O. Adami, L. Beeson, P. A. van den Brandt, A. R. Folsom, G. E. Fraser, R. A. Goldbohm, S. Graham, G. R. Howe, et al.
Cohort Studies of Fat Intake and the Risk of Breast Cancer -- A Pooled Analysis
N. Engl. J. Med., February 8, 1996; 334(6): 356 - 361.
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NEJMHome page
G. V. Mann, G. Mirkin, M. Mogadam, R. J. Prineas, L. H. Kushi, A. R. Folsom, R. M. Bostick, J. Sabate, and G. E. Fraser
Walnuts and Serum Lipids
N. Engl. J. Med., July 29, 1993; 329(5): 358 - 360.
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A. R. Folsom, S. A. Kaye, T. A. Sellers, C.-P. Hong, J. R. Cerhan, J. D. Potter, and R. J. Prineas
Body Fat Distribution and 5-Year Risk of Death in Older Women
JAMA, January 27, 1993; 269(4): 483 - 487.
[Abstract] [PDF]



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