Reproducibility of a Short-Form, Multicomponent Dietary Questionnaire to Assess Food Frequency Consumption, Nutrition Knowledge, and Lifestyle (SF-FFQ4PolishChildren) in Polish Children and Adolescents

Joanna Kowalkowska , Lidia Wadolowska , Jadwiga Hamulka , Natalia Wojtas , Magdalena Czlapka-Matyasik , Witold Kozirok , Monika Bronkowska , Joanna Sadowska , Sylwia Naliwajko , Izabela Dziaduch , Aneta Koronowicz , Ewelina Piasna-Słupecka , Ewa Czeczelewska , Jan Czeczelewski , Małgorzata Kostecka , Anna Dlugosz , Dorota Loboda , Marta Jeruszka-Bielak


The aim of the study was to assess the reproducibility of a short-form, multicomponent dietary questionnaire (SF-FFQ4PolishChildren) in Polish children and adolescents. The study involved 437 children (6–10 years old) and 630 adolescents (11–15 years old) from rural and urban areas of Poland. The self-administered questionnaire was related to nutrition knowledge, dietary habits, active/sedentary lifestyle, self-reported weight and height, and socioeconomic data. The questionnaire was completed with a two-week interval—twice by parents for their children (test and retest for children), twice by adolescents themselves (adolescent’s test and retest) and once by adolescents’ parents (parent’s test). The strength of agreement measured using the kappa statistic was interpreted as follows: 0–0.20 slight, 0.21–0.40 fair, 0.41–0.60 moderate, 0.61–0.80 good, and 0.81–1.00 excellent. Regarding the frequency of consumption of food items and meals, kappa statistics were 0.46–0.81 (the lowest: fruit/mixed fruit and vegetable juices; the highest: Energy drinks) in test–retest for children, 0.30–0.54 (fruit/mixed fruit and vegetable juices; breakfast, respectively) in adolescent’s test–retest, 0.27–0.56 (the lowest: Sweets, fruit, dairy products; the highest: Breakfast) in adolescent’s test and parent’s test. Lower kappa statistics were found for more frequently consumed foods (juices, fruit, vegetables), higher kappa statistics were found for rarely consumed foods (energy drinks, fast food). Across study groups, kappa statistics for diet quality scores were 0.31–0.55 (pro-healthy diet index, pHDI) and 0.26–0.45 (non-healthy diet index, nHDI), for active/sedentary lifestyle items they were 0.31–0.72, for components of the Family Affluence Scale (FAS) they were 0.55–0.93, for BMI categories (based on self-reported weight and height) they were 0.64–0.67, for the nutrition knowledge (NK) of adolescents the kappa was 0.36, for the nutrition knowledge of children’s parents it was 0.62. The Spearman’s correlations for diet quality scores were 0.52–0.76 (pHDI) and 0.53–0.83 (nHDI), for screen time score they were 0.45–0.78, for physical activity score they were 0.51–0.77, for the FAS score they were 0.90–0.93, and for the NK score they were 0.68–0.80. The questionnaire can be recommended to evaluate dietary and lifestyle behaviors among children and adolescents.
Author Joanna Kowalkowska
Joanna Kowalkowska,,
, Lidia Wadolowska
Lidia Wadolowska,,
, Jadwiga Hamulka
Jadwiga Hamulka,,
, Natalia Wojtas
Natalia Wojtas,,
, Magdalena Czlapka-Matyasik
Magdalena Czlapka-Matyasik,,
, Witold Kozirok
Witold Kozirok,,
, Monika Bronkowska
Monika Bronkowska,,
, Joanna Sadowska
Joanna Sadowska,,
, Sylwia Naliwajko
Sylwia Naliwajko,,
, Izabela Dziaduch
Izabela Dziaduch,,
et al.`
Journal seriesNutrients, ISSN 2072-6643, (N/A 140 pkt)
Issue year2019
Publication size in sheets0.85
Article number2929
Keywords in Englishfood frequency questionnaire; reproducibility; reliability; eating behaviors; meal consumption; nutrition knowledge; physical activity; schoolchildren
ASJC Classification1106 Food Science
Languageen angielski
LicenseJournal (articles only); published final; Uznanie Autorstwa (CC-BY); after publication
Reproducibility of a Short-Form, Multicomponent Dietary Questionnaire to Assess Food Frequency Consumption, Nutrition Knowledge, and Lifestyle(SF-FFQ4PolishChildren) in Polish Children and Adolescents of 10-12-2019
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Score (nominal)140
Score sourcejournalList
Publication indicators WoS Citations = 0; Scopus SNIP (Source Normalised Impact per Paper): 2016 = 1.392; WoS Impact Factor: 2018 = 4.171 (2) - 2018=4.813 (5)
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FinansowanieProject financially supported by Minister of Science and Higher Education in the range of the program entitled “Regional Initiative of Excellence” for the years 2019–2022, Project No. 010/RID/2018/19, amount of funding 12.000.000 PLN
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