Assessment of dietary fish consumption in pregnancy: comparing one-, four- and thirty-six-item questionnaires.

Abstract:

OBJECTIVE:Fish consumption influences a number of health outcomes. Few studies have directly compared dietary assessment methods to determine the best approach to estimating intakes of fish and its component nutrients, including DHA, and toxicants, including methylmercury. Our objective was to compare three methods of assessing fish intake. DESIGN:We assessed 30 d fish intake using three approaches: (i) a single question on total fish consumption; (ii) a brief comprehensive FFQ that included four questions about fish; and (iii) a focused FFQ with thirty-six questions about different finfish and shellfish. SETTING:Obstetrics practices in Boston, MA, USA. SUBJECTS:Fifty-nine pregnant women who consumed ≤2 monthly fish servings. RESULTS:Estimated intakes of fish, DHA and Hg were lowest with the one-question screener and highest with the thirty-six-item fish questionnaire. Estimated intake of DHA with the thirty-six-item questionnaire was 4·4-fold higher (97 v. 22 mg/d), and intake of Hg was 3·8-fold higher (1·6 v. 0·42 μg/d), compared with the one-question screener. Plasma DHA concentration was correlated with fish intake assessed with the one-question screener (Spearman r = 0·27, P = 0·04), but not with the four-item FFQ (r = 0·08, P = 0·54) or the thirty-six-item fish questionnaire (r = 0·01, P = 0·93). In contrast, blood and hair Hg concentrations were similarly correlated with fish and Hg intakes regardless of the assessment method (r = 0·35 to 0·52). CONCLUSIONS:A longer questionnaire provides no advantage over shorter questionnaires in ranking intakes of fish, DHA and Hg compared with biomarkers, but estimates of absolute intakes can vary by as much as fourfold across methods.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Oken E,Guthrie LB,Bloomingdale A,Gillman MW,Olsen SF,Amarasiriwardena CJ,Platek DN,Bellinger DC,Wright RO

doi

10.1017/S1368980013001985

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

1949-59

issue

9

eissn

1368-9800

issn

1475-2727

pii

S1368980013001985

journal_volume

17

pub_type

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