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Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults

We aimed to design and validate a new questionnaire of adherence to healthy food pyramid (HFP) (AP-Q), to improve previous instruments. The questionnaire was self-administered and included 28 questions from 10 categories (physical activity, health habits, hydration, grains, fruits, vegetables, oil t...

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Autores principales: Gila-Díaz, Andrea, Arribas, Silvia M., López de Pablo, Ángel Luis, López-Giménez, Ma Rosario, Phuthong, Sophida, Ramiro-Cortijo, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352209/
https://www.ncbi.nlm.nih.gov/pubmed/32503106
http://dx.doi.org/10.3390/nu12061656
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author Gila-Díaz, Andrea
Arribas, Silvia M.
López de Pablo, Ángel Luis
López-Giménez, Ma Rosario
Phuthong, Sophida
Ramiro-Cortijo, David
author_facet Gila-Díaz, Andrea
Arribas, Silvia M.
López de Pablo, Ángel Luis
López-Giménez, Ma Rosario
Phuthong, Sophida
Ramiro-Cortijo, David
author_sort Gila-Díaz, Andrea
collection PubMed
description We aimed to design and validate a new questionnaire of adherence to healthy food pyramid (HFP) (AP-Q), to improve previous instruments. The questionnaire was self-administered and included 28 questions from 10 categories (physical activity, health habits, hydration, grains, fruits, vegetables, oil type, dairy products, animal proteins, and snacks). A population of 130 Spanish adults answered it, obtaining scores from each category and a global score of HFP adherence (AP-Q score). Validation was performed through principal components analysis (PCA) and internal consistency by Cronbach’s alpha. AP-Q was also externally validated with Kidmed-test, answered by 45 individuals from the cohort. The global AP-Q score was 5.1 ± 1.3, with an internal consistency of 64%. The PCA analysis extracted seven principal components, which explained 68.5% of the variance. The global AP-Q score was positively associated with Kidmed-test score. Our data suggest that AP-Q is a complete and robust questionnaire to assess HFP adherence, with several advantages: easy to complete, cost-effective, timesaving and has the competency to assess, besides diet, several features affecting health status, lacking in other instruments. We suggest that AP-Q could be useful in epidemiological research, although it requires additional calibration to analyze its reproducibility and validation in other populations.
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spelling pubmed-73522092020-07-21 Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults Gila-Díaz, Andrea Arribas, Silvia M. López de Pablo, Ángel Luis López-Giménez, Ma Rosario Phuthong, Sophida Ramiro-Cortijo, David Nutrients Article We aimed to design and validate a new questionnaire of adherence to healthy food pyramid (HFP) (AP-Q), to improve previous instruments. The questionnaire was self-administered and included 28 questions from 10 categories (physical activity, health habits, hydration, grains, fruits, vegetables, oil type, dairy products, animal proteins, and snacks). A population of 130 Spanish adults answered it, obtaining scores from each category and a global score of HFP adherence (AP-Q score). Validation was performed through principal components analysis (PCA) and internal consistency by Cronbach’s alpha. AP-Q was also externally validated with Kidmed-test, answered by 45 individuals from the cohort. The global AP-Q score was 5.1 ± 1.3, with an internal consistency of 64%. The PCA analysis extracted seven principal components, which explained 68.5% of the variance. The global AP-Q score was positively associated with Kidmed-test score. Our data suggest that AP-Q is a complete and robust questionnaire to assess HFP adherence, with several advantages: easy to complete, cost-effective, timesaving and has the competency to assess, besides diet, several features affecting health status, lacking in other instruments. We suggest that AP-Q could be useful in epidemiological research, although it requires additional calibration to analyze its reproducibility and validation in other populations. MDPI 2020-06-03 /pmc/articles/PMC7352209/ /pubmed/32503106 http://dx.doi.org/10.3390/nu12061656 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gila-Díaz, Andrea
Arribas, Silvia M.
López de Pablo, Ángel Luis
López-Giménez, Ma Rosario
Phuthong, Sophida
Ramiro-Cortijo, David
Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults
title Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults
title_full Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults
title_fullStr Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults
title_full_unstemmed Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults
title_short Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults
title_sort development and validation of a questionnaire to assess adherence to the healthy food pyramid in spanish adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352209/
https://www.ncbi.nlm.nih.gov/pubmed/32503106
http://dx.doi.org/10.3390/nu12061656
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