RT Journal Article
T1 Integrative development of a short screening questionnaire of highly processed food consumption (sQ-HPF).
A1 Martinez-Perez, Celia
A1 Daimiel, Lidia
A1 Climent-Mainar, Cristina
A1 Martinez-Gonzalez, Miguel Angel
A1 Salas-Salvado, Jordi
A1 Corella, Dolores
A1 Schröder, Helmut
A1 Martinez, Jose Alfredo
A1 Alonso-Gomez, Angel M
A1 Wärnberg, Julia
A1 Vioque, Jesus
A1 Romaguera, Dora
A1 Lopez-Miranda, Jose
A1 Estruch, Ramon
A1 Tinahones, Francisco J
A1 Lapetra, Jose
A1 Serra-Majem, Lluis
A1 Bueno-Cavanillas, Aurora
A1 Tur, Josep A
A1 Sanchez, Vicente Martin
A1 Pinto, Xavier
A1 Delgado-Rodriguez, Miguel
A1 Matia-Martin, Pilar
A1 Vidal, Josep
A1 Vazquez, Clotilde
A1 Ros, Emilio
A1 Basterra, Javier
A1 Babio, Nancy
A1 Guillem-Saiz, Patricia
A1 Zomeño, Maria Dolores
A1 Abete, Itziar
A1 Vaquero-Luna, Jessica
A1 Baron-Lopez, Francisco Javier
A1 Gonzalez-Palacios, Sandra
A1 Konieczna, Jadwiga
A1 Garcia-Rios, Antonio
A1 Bernal-Lopez, Maria Rosa
A1 Santos-Lozano, Jose Manuel
A1 Bes-Rastrollo, Maira
A1 Khoury, Nadine
A1 Saiz, Carmen
A1 Perez-Vega, Karla Alejandra
A1 Zulet, Maria Angeles
A1 Tojal-Sierra, Lucas
A1 Ruiz, Zenaida Vázquez
A1 Martinez, Maria Angeles
A1 Malcampo, Mireia
A1 Ordovas, Jose M
A1 San-Cristobal, Rodrigo
K1 Food processing-based classification
K1 Highly processed food
K1 NOVA
K1 PREDIMED-Plus
K1 Questionnaire
K1 Ultra-processed food
AB 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. 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. 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. We developed a practical tool to measure HPF consumption, the sQ-HPF. This may be a valuable instrument to study its relationship with NCDs. Retrospectively registered at the International Standard Randomized Controlled Trial Registry ( ISRCTN89898870 ) on July 24, 2014.
PB BioMed Central
YR 2021
FD 2021-12-14
LK http://hdl.handle.net/10668/20329
UL http://hdl.handle.net/10668/20329
LA en
NO Martinez-Perez C, Daimiel L, Climent-Mainar C, Martínez-González MÁ, Salas-Salvadó J, Corella D, et al. Integrative development of a short screening questionnaire of highly processed food consumption (sQ-HPF). Int J Behav Nutr Phys Act. 2022 Jan 24;19(1):6
DS RISalud
RD Apr 6, 2025