Dietary assessment in the elderly: application of a two-step semiquantitative food frequency questionnaire for epidemiological studies

K Klipstein-Grobusch, JCM Witteman*, JH den Breeijen, RA Goldbohm, A Hofman, PTVM de Jong, HA Pols, DE Grobbee

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: Description and application of an adapted semiquantitative food frequency questionnaire (SFFQ) for dietary assessment in the elderly population of the Rotterdam Study.

Design: Dietary assessment consisting of a two-step approach was performed in 5434 participants (2225 men, 3029 women) of the Rotterdam Study from 1990 to 1993, a population-based prospective cohort of 7983 subjects aged 55-95 years (participation rate 78%).

Statistical analysis: Nutrient intake was calculated for men and women in four age groups (55-64 years, 65-74 years, 75-84 years, 85-95 years) and linear trend analysis for differences in mean nutrient intake across age groups (55-64 years, 65-74 years, 75-95 years) by regression analysis was conducted. The influence of baseline characteristics on energy and nutrient intakes adjusted by age and sex was investigated by one-way-analysis of variance.

Results: The adapted SFFQ made it possible to measure nutrient intake in the elderly within a limited time frame (2 x 20 min) across a wide age range (55-95 years). For nutrient intake we observed a general decline in mean intake of energy and most nutrients with age in men. In women the relation with age was not consistent: for most nutrients mean intake showed a decrease with age (e.g. water, magnesium, potassium), for same an increase (e.g. total fat, saturated fat, mono/disaccharides), and some nutrients showed no substantial change (e.g. calcium, retinol). Reported nutrient intake was influenced by body mass index, smoking status, socioeconomic status and activities of daily living. A prescribed diet was reported by 12.9% of participants and 34.6% used supplements on a regular basis.

Conclusions: The described two-step approach for dietary assessment in the elderly facilitated collection of data on dietary habits across a wide age range and within a limited time frame making it a suitable instrument for application in large-scale epidemiological studies in the elderly.

Original languageEnglish
Pages (from-to)361-373
Number of pages13
JournalJournal of Human Nutrition and Dietetics
Volume12
Issue number5
Publication statusPublished - Oct 1999

Keywords

  • dietary assessment
  • elderly
  • food frequency questionnaire
  • nutrient intake
  • TOTAL-ENERGY-EXPENDITURE
  • NUTRIENT INTAKE
  • VALIDATION
  • REPRODUCIBILITY
  • SUPPLEMENTS
  • ACCURACY
  • RECORDS
  • HEALTH
  • RECALL
  • WOMEN

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