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2022-01-24

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cc by (c) Martínez Pérez, Celia et al, 2022
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/182963

Integrative development of a short screening questionnaire of highly processed food consumption (sQ-HPF)

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https://doi.org/10.1186/s12966-021-01240-6

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Background: Recent lifestyle changes include increased consumption of highly processed foods (HPF), which has been associated with an increased risk of non-communicable diseases (NCDs). However, nutritional information relies on the estimation of HPF consumption from food-frequency questionnaires (FFQ) that are not explicitly developed for this purpose. We aimed to develop a short screening questionnaire of HPF consumption (sQ-HPF) that integrates criteria from the existing food classification systems. Methods: Data from 4400 participants (48.1% female and 51.9% male, 64.9 +/- 4.9 years) of the Spanish PREDIMED-Plus (PREvention with MEDiterranean DIet) trial were used for this analysis. Items from the FFQ were classified according to four main food processing-based classification systems (NOVA, IARC, IFIC and UNC). Participants were classified into tertiles of HPF consumption according to each system. Using binomial logistic regression, food groups associated with agreement in the highest tertile for at least two classification systems were chosen as items for the questionnaire. ROC analysis was used to determine cut-off points for the frequency of consumption of each item, from which a score was calculated. Internal consistency of the questionnaire was assessed through exploratory factor analysis (EFA) and Cronbach's analysis, and agreement with the four classifications was assessed with weighted kappa coefficients. Results: Regression analysis identified 14 food groups (items) associated with high HPF consumption for at least two classification systems. EFA showed that items were representative contributors of a single underlying factor, the HPF dietary pattern (factor loadings around 0.2). We constructed a questionnaire asking about the frequency of consumption of those items. The threshold frequency of consumption was selected using ROC analysis. Comparison of the four classification systems and the sQ-HPF showed a fair to high agreement. Significant changes in lifestyle characteristics were detected across tertiles of the sQ-HPF score. Longitudinal changes in HPF consumption were also detected by the sQ-HPF, concordantly with existing classification systems. Conclusions: We developed a practical tool to measure HPF consumption, the sQ-HPF. This may be a valuable instrument to study its relationship with NCDs.

Matèries

Qualitat dels aliments, Malalties

Matèries (anglès)

Food--Quality, Diseases

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Articles publicats en revistes (Ciències Clíniques)
<b>Publicacions de projectes de recerca finançats per la UE</b>
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

MARTÍNEZ PÉREZ, Celia, DAIMIEL, Lidia, CLIMENT MAINAR, Cristina, MARTÍNEZ-GONZÁLEZ, Miguel ángel, SALAS SALVADÓ, Jordi, CORELLA PIQUER, Dolores, SCHRÖDER, Helmut, MARTÍNEZ, J. alfredo, ALONSO GÓMEZ, Ángel m., WÄRNBERG, Julia, VIOQUE, Jesús, ROMAGUERA, Dora, LÓPEZ MIRANDA, José, ESTRUCH RIBA, Ramon, TINAHONES, Francisco j., LAPETRA, José, SERRA MAJEM, Lluís, BUENO CAVANILLAS, Aurora, TUR, Josep a., MARTÍN SÁNCHEZ, Vicente, PINTÓ SALA, Xavier, DELGADO RODRÍGUEZ, Miguel, MATÍA MARTÍN, Pilar, VIDAL I CORTADA, Josep, VÁZQUEZ, Clotilde, ROS RAHOLA, Emilio, BASTERRA GORTARI, F. javier, BABIO, Nancy, GUILLEM SAIZ, Patricia, ZOMEÑO FAJARDO, María dolores, ABETE, Itziar, VAQUERO LUNA, Jessica, BARÓN LÓPEZ, Francisco javier, GONZÁLEZ PALACIOS, Sandra, KONIECZNA, Jadwiga, GARCÍA RÍOS, Antonio, BERNAL LÓPEZ, M. rosa, SANTOS LOZANO, José manuel, BES RASTROLLO, Maira, KHOURY, Nadine, SAIZ, Carmen, PÉREZ VEGA, Karla alejandra, ZULET, M. angeles, TOJAL SIERRA, Lucas, VÁZQUEZ RUIZ, Zenaida, MARTINEZ, Maria angeles, MALCAMPO, Mireia, ORDOVÁS, José maría, SAN CRISTOBAL, Rodrigo. Integrative development of a short screening questionnaire of highly processed food consumption (sQ-HPF). _International Journal of Behavioral Nutrition and Physical Activity_. 2022. Vol.  vol 19, núm. num 1. [consulta: 21 de gener de 2026]. ISSN: 1479-5868. [Disponible a: https://hdl.handle.net/2445/182963]

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