Development and Evaluation of a Short Instrument to Estimate Usual Dietary Intake of Percentage Energy from Fat
ABSTRACT To describe the data-based development of a short dietary assessment instrument, a 16-item screener; and to evaluate the performance of the screener, comparing its performance with a complete 120-item food frequency questionnaire (FFQ) in assessing percentage energy from fat intake.
A subsample (n=404) of participants in the National Institutes of Health-AARP Diet and Health Study, who had completed an FFQ and two 24-hour dietary recalls, also completed the fat screener. Percentage energy from fat from the screener and from the FFQ were compared with estimated true usual intake using a measurement error model.
For men, the mean percentage energy from fat estimates for the different methods were: recalls, 30.1%, screener, 29.9%; FFQ, 30.4%. For women, the results were: recalls, 31.3%, screener, 28.4%, FFQ, 30.0%. Estimated correlations between true intake and screener were 0.64 and 0.58 for men and women, respectively, and between true intake and FFQ were 0.67 for men and 0.72 for women. Estimated attenuation coefficients for the screener were 1.29 (men) and 0.98 (women) and for the FFQ were 0.56 (men) and 0.57 (women).
The percentage energy from fat screener, when used in conjunction with external reference data, may be useful to compare mean intakes of fat for different population subgroups, and to examine relationships between fat intake and other factors.
- SourceAvailable from: Carolyn E Banister
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- "This scale was validated by Thompson et al.17 At all visits (except for the initial visit) a questionnaire was used to determine fat intake.13,14 "
ABSTRACT: Background: Cervical cancer, a rare outcome of high-risk human papillomavirus (HPV) infection, disproportionately affects African American women, who are about twice more likely than European American women to die of the disease. Most cervical HPV infections clear in about one year. However, in some women HPV persists, posing a greater risk for cervical dysplasia and cancer. The Carolina Women’s Care Study (CWCS) was conducted to explore the biological, genetic, and lifestyle determinants of persistent HPV infection in college-aged European American and African American women. This paper presents the initial results of the CWCS, based upon data obtained at enrollment. Methods: Freshman female students attending the University of South Carolina were enrolled in the CWCS and followed until graduation with biannual visits, including two Papanicolaou tests, cervical mucus collection, and a questionnaire assessing lifestyle factors. We recruited 467 women, 293 of whom completed four or more visits for a total of 2274 visits. Results and conclusion: CWCS participants were 70% European American, 24% African American, 3% Latina/Hispanic, and 3% Asian. At enrollment, 32% tested positive for any HPV. HPV16 infection was the most common (18% of infections). Together, HPV16, 66, 51, 52, and 18 accounted for 58% of all HPV infections. Sixty-four percent of all HPV-positive samples contained more than one HPV type, with an average of 2.2 HPV types per HPV-positive participant. We found differences between African American and European American women in the prevalence of HPV infection (38.1% African American, 30.7% European American) and abnormal Papanicolaou test results (9.8% African-American, 5.8% European American). While these differences did not reach statistical significance at enrollment, as the longitudinal data of this cohort are analyzed, the sample size will allow us to confirm these results and compare the natural history of HPV infection in college-aged African American and European American women.International Journal of Women's Health 07/2013; 2013(5):379-388. DOI:10.2147/IJWH.S45590
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- "The Fat Screener measures an individual's usual dietary intake of percent calories from fat. The Fat Screener has good validity (r =0.64 in men and 0.58 in women) in adults when compared to true intake(Thompson, et al., 2007).The Fat Screener has demonstrated good validity in women (Thompson, et al., 2007; Thompson et al., 2008) and has been used in AA and HL samples (Parker, Coles, Logan, & Davis, 2010; Thompson, et al., 2008). "
ABSTRACT: African American (AA) and Hispanic or Latina (HL) women have the highest rates of overweight and obesity of any gender and ethnic groups. Binge eating disorder (BED) is the most common eating disorder in the United States and is linked to overweight and obesity. Traditional treatments for BED may not be appropriate or viable for AA and HL women, because they are less likely than whites to seek treatment for psychological conditions and may have less access to healthcare. Improving dietary habits in those with BED or subthreshold BED may reduce binge eating symptoms. The current study investigated the association of fruit, vegetable, and fat consumption to binge eating symptoms in AA and HL women. AA and HL women in the Health Is Power (HIP) study (N=283) reported fruit and vegetable intake, fat intake, and binge eating symptoms. Women were middle aged (M=45.8 years, SD=9.2) and obese (M BMI=34.5 kg/m(2), SD=7.5). Greater fat consumption was correlated with lower fruit and vegetable consumption (r(s)=-0.159, p<0.01). Higher BMI (r(s)=0.209, p<0.01), and greater fat consumption (r(s)=0.227, p<0.05) were correlated with increased binge eating symptoms. Multiple regression analysis demonstrated that for HL women (β=0.130, p=0.024), higher BMI (β=0.148, p=0.012), and greater fat consumption (β=0.196, p=0.001) were associated with increased binge eating symptoms (R(2)=0.086, F(3,278)=8.715, p<0.001). Findings suggest there may be a relationship between fat consumption and binge eating symptoms, warranting further study to determine whether improving dietary habits may serve as a treatment for BED in AA and HL women.Eating behaviors 04/2012; 13(2):179-82. DOI:10.1016/j.eatbeh.2012.01.007
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- "Fruit and vegetable and fat consumption were measured using the National Cancer Institute's Fruit and Vegetable and Fat Screeners, respectively, to measure number of servings consumed and total calories consumed from fats [36, 37]. Fruit and vegetable consumption was reported in terms of frequency and amount consumed each time over the last month. "
ABSTRACT: Physical inactivity, poor dietary habits, and obesity are vexing problems among minorities. SAving Lives, Staying Active (SALSA) was an 8-week randomized controlled crossover design, pilot study to promote regular physical activity (PA) and fruit and vegetable (FV) consumption as a means to preventing weight gain among women of color. Participants completed measures of demographics, PA, and dietary habits. Women (N = 50; M = 42 years) who participated were overweight (MBMI = 29.7 kg/m(2); Mbody fat = 38.5%) and reported low levels of leisure time PA (M = 10.7 MET-min/wk) and FV consumption (M = 4.2 servings/day). All were randomized to a four-week (1) semiweekly Latin dance group or (2) internet-based dietary education group. All participants reported a significant increase in weekly leisure time PA from baseline (M = 10.7 MET-min/wk) to follow up (M = 34.0 MET-min/wk, P < .001), and FV consumption increased over time by group (P = .02). Data suggest that Latin dance interventions to improve PA and web-based interventions to improve dietary habits show promise for improving health among women of color.Journal of obesity 01/2011; 2011(2090-0708):436509. DOI:10.1155/2011/436509