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Relative validity of a short screener to assess diet quality in patients with severe obesity before and after bariatric surgery.


ABSTRACT:

Objective

To determine the relative validity and reproducibility of the Eetscore FFQ, a short screener for assessing diet quality, in patients with (severe) obesity before and after bariatric surgery (BS).

Design

The Eetscore FFQ was evaluated against 3-d food records (3d-FR) before (T0) and 6 months after BS (T6) by comparing index scores of the Dutch Healthy Diet index 2015 (DHD2015-index). Relative validity was assessed using paired t tests, Kendall's tau-b correlation coefficients (τb), cross-classification by tertiles, weighted kappa values (k w ) and Bland-Altman plots. Reproducibility of the Eetscore FFQ was assessed using intraclass correlation coefficients (ICC).

Setting

Regional hospital, the Netherlands.

Participants

Hundred and forty participants with obesity who were scheduled for BS.

Results

At T0, mean total DHD2015-index score derived from the Eetscore FFQ was 10·2 points higher than the food record-derived score (P < 0·001) and showed an acceptable correlation (τb = 0·42, 95 % CI: 0·27, 0·55). There was a fair agreement with a correct classification of 50 % (k w = 0·37, 95 % CI: 0·25, 0·49). Correlation coefficients of the individual DHD components varied from 0·01-0·54. Similar results were observed at T6 (τb = 0·31, 95 % CI: 0·12, 0·48, correct classification of 43·7 %; k w = 0·25, 95 % CI: 0·11, 0·40). Reproducibility of the Eetscore FFQ was good (ICC = 0·78, 95 % CI: 0·69, 0·84).

Conclusion

The Eetscore FFQ showed to be acceptably correlated with the DHD2015-index derived from 3d-FR, but absolute agreement was poor. Considering the need for dietary assessment methods that reduce the burden for patients, practitioners and researchers, the Eetscore FFQ can be used for ranking according to diet quality and for monitoring changes over time.

SUBMITTER: Heusschen L 

PROVIDER: S-EPMC9991825 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Relative validity of a short screener to assess diet quality in patients with severe obesity before and after bariatric surgery.

Heusschen Laura L   Berendsen Agnes Am AA   Balvers Michiel Gj MG   Deden Laura N LN   de Vries Jeanne Hm JH   Hazebroek Eric J EJ  

Public health nutrition 20220704


<h4>Objective</h4>To determine the relative validity and reproducibility of the Eetscore FFQ, a short screener for assessing diet quality, in patients with (severe) obesity before and after bariatric surgery (BS).<h4>Design</h4>The Eetscore FFQ was evaluated against 3-d food records (3d-FR) before (T0) and 6 months after BS (T6) by comparing index scores of the Dutch Healthy Diet index 2015 (DHD2015-index). Relative validity was assessed using paired <i>t</i> tests, Kendall's tau-b correlation c  ...[more]

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