1Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran
3Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
5Brighton & Sussex Medical School, Division of Medical Education, Falmer, Brighton, Sussex BN19PH, UK
6Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
7Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Background: Web-based food frequency questionnaires (FFQs) can overcome the limitations of paper-based questionnaires by allowing for complex skip patterns, portion size estimation based on food images, and real-time error checking. The aim of this study was to compare webbased and interview-administered FFQs in evaluation of dietary intake, using 24-hour recalls as the gold standard. Methods: A total of 3,000 subjects were recruited from participants in the Mashhad Stroke and Heart Atherosclerotic Disorder (MASHAD) Cohort Study. Participants were 35-65 years old. Nutritional assessment was conducted using a validated semi-quantitative FFQ consisted of 65 food items. Subjects were allocated to either the web-based FFQ or the interview-administered FFQ groups. Participants completed the web-based FFQ online, while the interview-administered FFQ and 24- hour recalls in paper format. They were completed by trained health professionals through face-to-face interviews. Results: In both groups, females comprised the majority, representing 66.2% and 63.9% of the web-based FFQ and interview-administered FFQ populations, respectively. A significant correlation was observed between FFQ results and daily intake estimates obtained from 24-hour recalls in both the web-based and interview-administered groups, though the correlation was stronger for the interview-administered FFQ. Conclusion: The stronger correlations observed for the interviewadministered FFQ may be attributed to the fact that paper questionnaires were completed with the assistance of trained interviewers.
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