Development and Validation of a Semi-Quantitative Food Frequency Questionnaire for Assessing Prebiotic and Probiotic Intake among Thai Adults

Authors

  • Pimwatchanok Trangcasanchai Master of Science Program in Nutrition, Faculty of Medicine Ramathibodi Hospital and Institute of Nutrition, Mahidol University, Nakhon Pathom
  • Parunya Thiyajai Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom
  • Pimnapanut Sridonpai Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom
  • Karaked Tongdonpo Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom
  • Sarunya Kitdumrongthum Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom
  • Wantanee Kriengsinyos Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom
  • Aree Prachansuwan Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom

Keywords:

Prebiotic, Probiotic, Semi-Food Frequency Questionnaire, Validity, Reliability

Abstract

Prebiotics and probiotics have been widely recognized for health-promoting food components. However, there is a lack of culturally specific tools to assess dietary intake of these compounds in Thailand. This study aims to develop and validate a semi-quantitative food frequency questionnaire (semi-FFQ) to assess prebiotic and probiotic intake among Thai adults. A 38-item semi-FFQ with nine frequency categories was developed and evaluated for content validity by five experts. Test-retest reliability was assessed longitudinally, and relative validity was compared with a three-day food record. A total of thirty Thai adults, aged 20 to 60 years, participated in test-retest reliability and relative validity assessments. The semi-FFQ exhibited strong content validity (item-level index ≥ 0.8 for 37 items; scale-level index = 0.97) and robust test-retest reliability (p-values < 0.05). It also demonstrated acceptable relative validity compared to the three-day food record (p-values > 0.05). Thus, the developed semi-FFQ is a valid and reliable tool for assessing prebiotic and probiotic intake among Thai adults.

References

Markowiak, P, & Śliżewska, K. Effects of probiotics, prebiotics, and synbiotics on human health. Nutrients. 2017;9(9):1021.

Wang X, Zhang P, Zhang X. Probiotics Regulate Gut Microbiota: an effective method to improve immunity. Molecules. 2021;26:6076.

Koh A, De Vadder F, Kovatcheva-Datchary P, Bäckhed F. From dietary fiber to host physiology:short-chain fatty acids as key bacterial metabolites. Cell. 2016;165(6):1332-45.

den Besten G, van Eunen K, Groen AK, Venema K, Reijngoud DJ, Bakker BM. The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism. J Lipid Res. 2013;54(9):2325-40.

Singh RK, Chang HW, Yan D, et al. Influence of diet on the gut microbiome and implications for human health. J Transl Med. 2017;15:73.

กระทรวงสาธารณสุข. ประกาศกระทรวงสาธารณสุข เรื่อง การใช้จุลินทรีย์โพรไบโอติกในอาหาร พ.ศ.2554 [สืบค้นเมื่อ 20 ส.ค. 2567]. ราชกิจจานุเบกษา เล่มที่ 128 ตอนพิเศษที่ 86ง (ลงวันที่ 3 สิงหาคม 2554). สืบค้นจาก: https://food.fda.moph.go.th/media.php?id=509371120303087616&name=54_Probiotics.pdf

Bayaga CLT, Pico MB, Bongga DC, Barrios EB, Gabriel AA. Development and evaluation of a culturally sensitive food frequency questionnaire for the assessment of prebiotic and probiotic intake of urban-living, low-to-medium-income women. Philippine J Sci, 2019;148(3):551-61.

van Welzen PC, Madern A, Raes N, Parnell J AN, Simpson DA, Byrne C, et al. The current and future status of floristic provinces in Thailand. In: Land use, climate change and biodiversity modeling: perspectives and applications. IGI Global; 2011.

Parhizgar N, Azadyekta M, Parhizgar P. Validity and reliability assessments of a 16-item food frequency questionnaire as a probiotic and prebiotic consumption scale in people aged 20 to 40 years in Tehran. Nutr Food Sci Res. 2021;8(2):35-42.

Wichienchot S, Youravong W, Prueksasri S, Ngampanya B. Recent researches on prebiotics for gut health in Thailand. FFHD. 2015;5(11):381-94.

Rahman MA, Yusoff MSB, Roslan NS, Mohammad JA, Ahmad A. Development and validation of the medical professionals resilience scale. BMC Health Service Res. 2021;21(1):482.

Da Cunha de Sá-Caputo D, Sonza A, Bachur JA, Bernardo-Filho M. Development, validation and reliability of a questionnaire to evaluate the changes on the level of physical exercises and in daily life habits due to COVID-19 pandemic social distancing. Acta Biomed. 2020;91(3):e2020004.

สถาบันโภชนาการ มหาวิทยาลัยมหิดล. โปรแกรมคำนวณ คุณค่าสารอาหาร INMUCAL-Nutrients V.4.0 ฐานข้อมูล ชุด NB4. นครปฐม: มหาวิทยาลัยมหิดล; 2561.

กระทรวงสาธารณสุข. ประกาศกระทรวงสาธารณสุข ฉบับที่ 445 พ.ศ.2566 ออกตามความในพระราชบัญญัติอาหาร พ.ศ.2522 เรื่อง ฉลากโภชนาการ [สืบค้นเมื่อ 20 ส.ค. 2567]. ราชกิจจานุเบกษา เล่มที่ 141 ตอนพิเศษ3ง (ลงวันที่ 4 มกราคม 2567). สืบค้นจาก: https://food.fda.moph.go.th/media.php?id=583907023645712384&name=P445.pdf

University of California. Food exchange list [Internet]. San Francisco: Diabetic education online [cited 2024 Aug 20]. Available from: https://dtc.ucsf.edu/pdfs/FoodLists.pdf

Jovanovic-Malinovska R, Kuzmanova S, Winkelhausen E. Oligosaccharide profile in fruits and vegetables as sources of prebiotics and functional foods. International J Food Prop. 2014;17: 949-65.

Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489-97.

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Published

2024-10-30

How to Cite

Trangcasanchai, P., Thiyajai, P., Sridonpai , P. ., Tongdonpo, K. ., Kitdumrongthum, S. ., Kriengsinyos, W. ., & Prachansuwan, A. (2024). Development and Validation of a Semi-Quantitative Food Frequency Questionnaire for Assessing Prebiotic and Probiotic Intake among Thai Adults. Journal of Nutrition Association of Thailand (Online), 59(2), 67–80. Retrieved from https://he01.tci-thaijo.org/index.php/JNAT/article/view/273345

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Section

Research article