Development and validation of a short dietary questionnaire for assessing obesity-related dietary behaviours in young children.
Matern Child Nutr
; 20(2): e13613, 2024 Apr.
Article
in En
| MEDLINE
| ID: mdl-38192050
ABSTRACT
There are few short, validated tools to assess young children's obesity-related dietary behaviours, limiting the rapid screening of dietary behaviours in research and practice-based early obesity prevention. This study aimed to develop and assess the reliability and validity of a caregiver-reported short dietary questionnaire to rapidly assess obesity-related dietary behaviours in children aged 6 months to 5 years. The Early Prevention of Obesity in Childhood Dietary Questionnaire (EPOCH-DQ) was developed using a rigorous process to determine content and structural validity. Three age-appropriate versions were developed for (1) infants, aged 6-12 months, (2) toddlers, aged 1-2.9 years and (3) pre-schoolers, aged 3-5 years. The questionnaire (7-15 items) measures dietary behaviours, including diet risk from non-core food and beverage intake, diet quality from vegetable frequency, bread type and infant feeding practices. Test-retest reliability was assessed from repeated administrations 1 week apart (n = 126). Internal consistency, concurrent validity (against a comparison questionnaire, the InFANT Food Frequency Questionnaire), construct validity and interpretability were assessed (n = 209). Most scores were highly correlated and significantly associated (p < 0.05) for validity (rs 0.45-0.89, percentage agreement 68%-100%) and reliability (intraclass correlation coefficient 0.61-0.99) for diet risk, diet quality and feeding practice items. The EPOCH-DQ shows acceptable validity and reliability for screening of obesity-related behaviours of children under 5 years of age. The short length and, thus, low participant burden of the EPOCH-DQ allows for potential applications in various settings. Future testing of the EPOCH-DQ should evaluate culturally and socio-economically diverse populations and establish the predictive validity and sensitivity to detect change.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pediatric Obesity
Type of study:
Prognostic_studies
Limits:
Child, preschool
/
Humans
/
Infant
Language:
En
Journal:
Matern Child Nutr
/
Matern. child nutr
/
Maternal and child nutrition (Online)
Journal subject:
CIENCIAS DA NUTRICAO
/
PERINATOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
Australia
Country of publication:
Reino Unido