Document Detail


Assessment of questionnaire validity for measuring total fat intake using plasma lipid levels as criteria.
MedLine Citation:
PMID:  11744515     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The validation of dietary total fat measurements has been elusive because no specific biomarker exists. In metabolic studies with controlled diets, plasma fasting triglyceride levels are reduced with higher fat intake and can thus serve as an "alloyed gold" standard. Participants in this cross-sectional analysis were 269 men aged 47-83 years from the Health Professionals Follow-up Study who completed a semiquantitative food frequency questionnaire and provided fasting blood specimens in 1994. In a multiple regression analysis adjusted for age; smoking; alcohol consumption; physical activity; body mass index; and intakes of protein, dietary fiber, and total energy, total fat intake was inversely associated with fasting triglycerides (for a fat increase of 1% of energy, triglyceride levels were lower by 2.5% (95% confidence interval: -3.7 to -1.3%, p = 0.0002)). For reported fat intakes of 20% or less of energy, the geometric mean fasting triglyceride level was 179, and for more than 40% of energy, it was 102 mg/dl. In addition, as predicted by metabolic studies, the inverse association between dietary fat and fasting triglyceride level was much stronger among overweight men than among men with a BMI of less than 25. These data provide additional evidence that informative measurements of dietary fat can be obtained by carefully constructed food frequency questionnaires.
Authors:
W Willett; M Stampfer; N F Chu; D Spiegelman; M Holmes; E Rimm
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Validation Studies    
Journal Detail:
Title:  American journal of epidemiology     Volume:  154     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-17     Completed Date:  2002-01-15     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1107-12     Citation Subset:  IM    
Affiliation:
Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA. walter.willett@channing.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Biological Markers / blood
Body Mass Index
Body Weight / physiology*
Cholesterol, HDL / blood*
Cohort Studies
Cross-Sectional Studies
Diet Surveys
Dietary Fats / administration & dosage*
Dietary Fiber / administration & dosage
Dietary Proteins / administration & dosage
Energy Intake / physiology
Exercise
Fasting / blood
Follow-Up Studies
Humans
Male
Middle Aged
Prospective Studies
Questionnaires / standards*
Regression Analysis
Reproducibility of Results
Smoking
Triglycerides / blood*
Grant Support
ID/Acronym/Agency:
AA11181/AA/NIAAA NIH HHS; CA55075/CA/NCI NIH HHS; HL35464/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Cholesterol, HDL; 0/Dietary Fats; 0/Dietary Proteins; 0/Triglycerides
Comments/Corrections
Comment In:
Am J Epidemiol. 2001 Dec 15;154(12):1100-2; discussion 1105-6   [PMID:  11744512 ]
Int J Epidemiol. 2002 Jun;31(3):694-5   [PMID:  12162249 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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