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Development and reliability of questionnaires for the assessment of diet and physical activity behaviors in a multi-country sample in Europe the Feel4Diabetes Study

(2020) BMC ENDOCRINE DISORDERS. 20(Supplement 1).
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Abstract
Background Assessment of diet and physical activity and their determinants still remains a demanding task, especially when the objective is to evaluate the efficacy of lifestyle interventions. In the context of the Feel4Diabetes study (a European community based intervention study in families with school aged children and at high risk of developing diabetes), we aimed to develop questionnaires for the assessment of food-frequency and eating behaviors, and physical activity and sedentary behaviors in both parents and school-aged children and a questionnaire for overall family's energy balance-related behaviors. Methods Questionnaires were developed to be used in 6 countries under standardized harmonization procedures and included questions regarding not only food intake and physical activity, but also questions of their determinants. A reliability study was conducted in 191 pairs of parents and their children (N = 191). Parents completed the questionnaires on two occasions, within a 1-2 week interval. Reliability was tested by the intra-class correlation coefficients (ICC) of test-retest. Results Most of the questions in all questionnaires had excellent reliability, assessed as an ICC of > 0.810. Mean ICCs for food-frequency and eating behaviors questionnaires were 0.838 and 0.787, and for physical activity and sedentary behaviors questionnaires were 0.734 and 0.793, in adults and children respectively. Mean ICC for overall family's energy balance-related behaviors and their determinants was 0.659. Conclusion The developed questionnaires showed acceptable reliability and may be valuable tools in the assessment of children's and parents' behaviors related to diet, physical activity, sedentary behavior and overall energy balance in school- and community-based interventions.
Keywords
Physical activity & health, Endocrinology, Diabetes and Metabolism, General Medicine, Diet, Energy balance behaviors, Sedentary lifestyle, Nutrition, Physical activity, Reliability, Questionnaire, FOOD FREQUENCY QUESTIONNAIRE, FAMILY-INVOLVED INTERVENTION, RELATIVE VALIDITY, PREVENT OBESITY, EARLY-CHILDHOOD, SELF-REPORT, VALIDATION, CHILDREN

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MLA
Anastasiou, Costas, et al. “Development and Reliability of Questionnaires for the Assessment of Diet and Physical Activity Behaviors in a Multi-Country Sample in Europe the Feel4Diabetes Study.” BMC ENDOCRINE DISORDERS, vol. 20, no. Supplement 1, 2020, doi:10.1186/s12902-019-0469-x.
APA
Anastasiou, C., Fappa, E., Zachari, K., Mavrogianni, C., Van Stappen, V., Kivelä, J., … Makrilakis, K. (2020). Development and reliability of questionnaires for the assessment of diet and physical activity behaviors in a multi-country sample in Europe the Feel4Diabetes Study. BMC ENDOCRINE DISORDERS, 20(Supplement 1). https://doi.org/10.1186/s12902-019-0469-x
Chicago author-date
Anastasiou, Costas, Evaggelia Fappa, Konstantina Zachari, Christina Mavrogianni, Vicky Van Stappen, Jemina Kivelä, Eeva Virtanen, et al. 2020. “Development and Reliability of Questionnaires for the Assessment of Diet and Physical Activity Behaviors in a Multi-Country Sample in Europe the Feel4Diabetes Study.” BMC ENDOCRINE DISORDERS 20 (Supplement 1). https://doi.org/10.1186/s12902-019-0469-x.
Chicago author-date (all authors)
Anastasiou, Costas, Evaggelia Fappa, Konstantina Zachari, Christina Mavrogianni, Vicky Van Stappen, Jemina Kivelä, Eeva Virtanen, Esther González-Gil, Paloma Flores-Barrantes, Anna Nánási, Csilla Semánová, Roumyana Dimova, Natalya Usheva, Violeta Iotova, Greet Cardon, Yannis Manios, and Konstantinos Makrilakis. 2020. “Development and Reliability of Questionnaires for the Assessment of Diet and Physical Activity Behaviors in a Multi-Country Sample in Europe the Feel4Diabetes Study.” BMC ENDOCRINE DISORDERS 20 (Supplement 1). doi:10.1186/s12902-019-0469-x.
Vancouver
1.
Anastasiou C, Fappa E, Zachari K, Mavrogianni C, Van Stappen V, Kivelä J, et al. Development and reliability of questionnaires for the assessment of diet and physical activity behaviors in a multi-country sample in Europe the Feel4Diabetes Study. BMC ENDOCRINE DISORDERS. 2020;20(Supplement 1).
IEEE
[1]
C. Anastasiou et al., “Development and reliability of questionnaires for the assessment of diet and physical activity behaviors in a multi-country sample in Europe the Feel4Diabetes Study,” BMC ENDOCRINE DISORDERS, vol. 20, no. Supplement 1, 2020.
@article{8675239,
  abstract     = {{Background Assessment of diet and physical activity and their determinants still remains a demanding task, especially when the objective is to evaluate the efficacy of lifestyle interventions. In the context of the Feel4Diabetes study (a European community based intervention study in families with school aged children and at high risk of developing diabetes), we aimed to develop questionnaires for the assessment of food-frequency and eating behaviors, and physical activity and sedentary behaviors in both parents and school-aged children and a questionnaire for overall family's energy balance-related behaviors. Methods Questionnaires were developed to be used in 6 countries under standardized harmonization procedures and included questions regarding not only food intake and physical activity, but also questions of their determinants. A reliability study was conducted in 191 pairs of parents and their children (N = 191). Parents completed the questionnaires on two occasions, within a 1-2 week interval. Reliability was tested by the intra-class correlation coefficients (ICC) of test-retest. Results Most of the questions in all questionnaires had excellent reliability, assessed as an ICC of > 0.810. Mean ICCs for food-frequency and eating behaviors questionnaires were 0.838 and 0.787, and for physical activity and sedentary behaviors questionnaires were 0.734 and 0.793, in adults and children respectively. Mean ICC for overall family's energy balance-related behaviors and their determinants was 0.659. Conclusion The developed questionnaires showed acceptable reliability and may be valuable tools in the assessment of children's and parents' behaviors related to diet, physical activity, sedentary behavior and overall energy balance in school- and community-based interventions.}},
  articleno    = {{135}},
  author       = {{Anastasiou, Costas and Fappa, Evaggelia and Zachari, Konstantina and Mavrogianni, Christina and Van Stappen, Vicky and Kivelä, Jemina and Virtanen, Eeva and González-Gil, Esther and Flores-Barrantes, Paloma and Nánási, Anna and Semánová, Csilla and Dimova, Roumyana and Usheva, Natalya and Iotova, Violeta and Cardon, Greet and Manios, Yannis and Makrilakis, Konstantinos}},
  issn         = {{1472-6823}},
  journal      = {{BMC ENDOCRINE DISORDERS}},
  keywords     = {{Physical activity & health,Endocrinology,Diabetes and Metabolism,General Medicine,Diet,Energy balance behaviors,Sedentary lifestyle,Nutrition,Physical activity,Reliability,Questionnaire,FOOD FREQUENCY QUESTIONNAIRE,FAMILY-INVOLVED INTERVENTION,RELATIVE VALIDITY,PREVENT OBESITY,EARLY-CHILDHOOD,SELF-REPORT,VALIDATION,CHILDREN}},
  language     = {{eng}},
  number       = {{Supplement 1}},
  pages        = {{7}},
  title        = {{Development and reliability of questionnaires for the assessment of diet and physical activity behaviors in a multi-country sample in Europe the Feel4Diabetes Study}},
  url          = {{http://doi.org/10.1186/s12902-019-0469-x}},
  volume       = {{20}},
  year         = {{2020}},
}

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