Abstract
BACKGROUND/OBJECTIVES:
There are limited validated tools available for the assessment of dietary intake in pediatric populations. This report describes a comparative validation study of selected fatty acid intakes in children assessed by food frequency questionnaire (FFQ), compared with erythrocyte membrane fatty acids.
SUBJECTS/METHODS:
Overall, 46 overweight and 47 healthy-weight children aged 5–12 years (mean±SD, 9.1±1.3years, body mass index 20.5±4.0) were recruited; dietary fatty acid intakes assessed by parent report using a 135-item semi-quantitative FFQ, were compared with selected child erythrocyte membrane fatty acids assessed from fasting samples using gas chromatography. Spearman's rank correlation coefficients were calculated between fatty acid intake estimates (% of energy) and erythrocyte membrane concentrations (%mol/mol).
RESULTS:
Significant correlations were found between dietary and erythrocyte eicosapentanoic acid (EPA) concentration (r=0.24, P<0.05) with a statistical trend for total omega three (∑n-3) fatty acids (r=0.22, P=0.06) and linoleic acid (r=0.32, P=0.07) in the healthy-weight children only.
CONCLUSION:
Parental report of selected child fatty acid intakes using an FFQ can be used to provide an estimate of child intake of EPA, but further work is required to quantify this relationship for other fatty acids and in other populations.
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References
Connor W . Importance of n-3 fatty acids in health and disease. Am J Clin Nutr 2000; 71, 171S–175S.
Arab L . Biomarkers of fat and fatty acid intake. J Nutr 2003; 133, 925S–932S.
Beydoun MA, Kaufman JS, Ibrahim J, Satia JA, Heiss G . Measurement error adjustment in essential fatty acid intake from a food frequency questionniare: alternative approaches and methods. BMC Med Res Methodol 2007; 7, 41–55.
Willett W . Nutritional Epidemiology. 2nd edn, Oxford University Press: New York, 1998.
Watson J, Collins C, Sibbritt D, Dibley M, Garg M . Reproducibility and comparative validity of a food frequency questionnaire for Australian children and adolescents. Int J Behav Nutr Phys Act 2009; 6, 62.
Burrows TL, Warren JM, Colyvas K, Garg ML, Collins CE . Validation of overweight children's fruit and vegetable intake using plasma carotenoids. Obesity 2008; 17, 162–168.
Feunekes G I, Van Staveren WA, De Vries JH, Burema J, Hautvast JG . Relative and biomarker-based validity of a food-frequency questionnaire estimating intake of fats and cholesterol. Am J Clin Nutr 1993; 58, 489–496.
Parra MS, Schnaas L, Meydani M, Perroni E, Martinez S, Romieu I . Erythrocyte cell membrane phospholipid levels compared against reported dietary intakes of polyunsaturated fatty acids in pregnant Mexican women. Public Health Nutr 2002; 5, 931–937.
Sullivan BL, Williams PG, Meyer BJ . Biomarker validation of a long-chain omega-3 polyunsaturated fatty acid food frequency questionnaire. Lipids 2006; 41, 845–850.
Sun Q, Ma J, Campos H, Hankinson SE, Hu FB . Comparison between plasma and erthrocyte fatty acid content as biomarkers of fatty acid intake in US women. Am J Clin Nutr 2007; 86, 74–81.
Orton HD, Szabo NJ, Clare-Salzler M, Norris JM . Comparison between omega-3 and omega-6 polyunsaturated fatty acid intakes as assessed by a food frequency questionnaire and erythrocyte membrane fatty acid composition in young children. Eur J Clin Nutr 2008; 62, 733–738.
Decsi T, Molnar D, Koletzko B . Long-chain polyunsaturated fatty acids in plasma lipids of obese children lipids. Lipids 1996; 31, 305–311.
Gil-Campos M, Ramirez-Tortosa MC, Larque E, Linde J, Aguilera CM, Canete R et al. Metabolic syndrome affects fatty acid composition of plasma lipids in obese prepubertal children. Lipids 2008; 43, 723–732.
Uusitalo L, Nevalainen J, Salminen I, Ovaskainen M, Kronberg-Kippilä C, Ahonen S et al. Fatty acids in serum and diet—a canonical correlation analysis among toddlers. Matern Child Health 2011; e-pub ahead of print 8 November 2011, doi:10.1111/j.1740-8709.2011.00374.
Colombo C, Bennato V, Costantini D, Valmarana L, Dacco V, Zazzeron L et al. Dietary and circulating polyunsaturated fatty acid sin cystic fibrosis: are they related to clinical outcomes? J Pediatr Gastroenterol Nutr 2006; 43, 660–665.
Vlaardingerbroek H, Hornstra G, de Koning TJ, Smeitink JAM, Baaker HD, de Klerk HBC et al. Essential polyunsaturated fatty acids in plasma and erythrocytes of children with inborn errors of amino acid metabolism. Mol Genet Metab 2006; 88, 159–165.
Moilanen T, Rasanen L, Viikari J, Akerblom HK, Nikkari T . Correlation of serum fatty acid composition with dietary intake data in children and young adults. Ann Med 1992; 24, 67–70.
Guerra A, Demmelmair H, Toschke AM, Koletzko B . Three-year tracking of fatty acid composition of plasma phospholipids in healthy children. Ann Nutr Metab 2007; 51, 433–438.
Fukushima T, Hojo N, Isobe A, GaoT, Shiwaku K, Yamane Y . Food intake, serum lipids and amino acids of school children in agricultural communities in Japan. Eur J Clin Nutr 1999; 53, 207–210.
Innis SM, Vaghri Z, King J . n-6 Docosapentaenoic acid is not a predictor of low docosahexaenoic acid status in Canadian pre-school school. Am J Clin Nutr 2004; 80, 768–773.
Wang Y, Lobstein T . Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 2006; 1, 11–25.
Demory-Luce D, Morales M, Nicklas T, Baranowski T, Zakeri I GB . Changes in food group consumption patterns from childhood to young adulthood: the Bogalusa Heart Study. J Am Diet Assoc 2004; 104, 1684–1691.
Collins CE, Warren JM, Neve M, McCoy P, Stokes BJ . Measuring effectiveness of dietetic interventions in child obesity. A systematic review of randomized trials. Arch Pediatr Adolesc Med 2006; 160, 906–922.
Allhaud G, Guesnet P . Fatty acid composition of fats is an early determinant of childhood obesity: a short review and opinion. Obes Rev 2004; 5, 21–26.
Karlsson M, Marild S, Brandberg J, Lonn L, Friberg P, Strandvik B . Serum phospholipid fattt acids, adipose tissue, and metabolic markers in obese adolescents. Obesity 2006; 14, 1931–1939.
Micellef M, Munro I, Phang M, Garg M . Plasma n-3 polyunsaturated fatty acids are negativly associated with obesity. Br J Nutr 2009; 102, 1370–1374.
Jones R, Okely A, Collins C, Morgan P, Steele J, Warren J et al. The HIKCUPS Trial: a multi site randomised controlled trial of a combined physical activity skill development and dietary modification program in overweight and obese children. BMC Public Health 2007; 7, 15.
Cole T, Bellizzi M, Flegal M, Dietz W . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320, 1240–1243.
Finch M, Sutherland R, Harrison M, Collins CE . Canteen purchasing practices of year 1–6 primary school children and assosciation with SES and weight status. Aust N Z J Public Health 2006; 30, 247–251.
Marfell-Jones M, Olds T, Stewart A, Carter L . International Standards for Anthropometric Assessment. Potchefstroom: South Africa, 2006.
Cole T, Pan H . LMS Growth Computer Program. Medica lResearch Council: Cambridge, 2002.
Oddy W, Sherriff J, Kendal G, De Klerk NH, Mori T, Blake K et al. Patterns of fish consumption and levels of serum phospholipid very long chain omega 3 fatty acids in children with and without asthma living in Perth, Western Australia. Nutr Diet J Diet Assoc Aust 2004; 61, 31–37.
Cook T, Rutishauser I, Allsopp R . The Bridging Study-Comparing Results from the 1983, 1985 and 1995 Australian National Surveys: Commonwealth. Department of Health and Aged Care: Canberra, ACT, Australia, 2001.
Goodhill C . Nutrient Calculation Software. Xyris Software: Brisbane, Australia, 1998.
Mann NJ, Sinclair AJ, Percival P, Lewis JL, Meyer BJ, Howe PRC . Development of a database of fatty acids in Australian foods. J Nutr Diet 2003; 60, 42–45.
Lepage G, Roy GC . Direct transesterification of all classes of lipid in a one step reaction. J Lipid Res 1986; 27, 114–120.
McNaughton SA, Hughes MC, Marks GC . Validation of FFQ to estimate the intake of PUFA using plasma phospholipid fatty acids and weighed food records. Br J Nutr 2007; 97, 561–568.
Madden S, Garrioch C, Holub B . Direct diet quantification indicates low intakes of (n-3) fatty acids in children 4 to 8 years old. J Nutr 2009; 139, 1–5.
Lien V, Clandinin M . Dietary assessment of arachidonic acid and docosahexaenoic acid intake in 4–7 year-old children. J Am Coll Nutr 2009; 28, 7–15.
Meyer B, Mann N, Lewis J, Milligan G, Sinclair A, Howe P . Dietary intakes and food sources of omega 6 and omega 3 polyunsaturated fatty acids. Lipids 2003; 38, 391–398.
NHMRC. Report of the NHMRC Working Party; The Role of Polyunsaturated Fats in the Australian Diet. Australian Government Publishing Service: Canberra, ACT, Australia, 1992.
National Heart Foundation. A review of the relationship between dietary fat and cardiovascular disease. Aust J Nutr Diet 1999; 56, S5–S22.
Okuda M, Sasaki S, Bando N, Hashimoto M, Kunitsugu I, Sugiyama S et al. Carotenoid, tocopherol and fatty acid biomarkers and dietary intake estimated using a brief self administered diet history questionnaire for older Japanese children and adolescence. J Nutr Sci Vitaminol 2009; 55, 231–241.
McPherson RS, Hoelscher DM, Alexander M, Scanlon KS, Serdula MK . Dietary assessment methods among school-aged children: validity and reliability. Prev Med 2000; 31, S11–S33.
Baylin A, Kim MK, Donovan-Palmer A, Siles X, Dougherty L, Tocco P et al. Fasting whole blood as a biomarker of essential fatty acid intake in epidemiologic studies: comparison with adipose tissue and plasma. Am J Epidemiol 2005; 162, 373–381.
Hodson L, Skeaff CM, Fielding BA . Fatty acid composition of adipose tissue and blood in humans and its use as a biomarker of dietary intake. Prog Lipid Res 2008; 47, 348–380.
Katan MB, Deslypere JP, van Birgelen APJM, Penders M, Zegwaard M . Kinetics of the incorpooration of dietary fattyacids into serum cholesteryl esters, erythrocyte membranes, and adipose tissue: an 18-month controlled study. J Lipid Res 1997; 38, 2012–2022.
Acknowledgements
This study was supported by the University of Newcastle, Hunter Medical Research Institute and National Health and Medical Research Council. Clare Collins is a NHMRC CDA fellow.
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Contributors: TB and CC were responsible for study design, data collection. MG responsible for fatty acid analysis, BB contributed to data analysis and interpretation. All authors contributed in reading and approving the final manuscript.
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Burrows, T., Berthon, B., Garg, M. et al. A comparative validation of a child food frequency questionnaire using red blood cell membrane fatty acids. Eur J Clin Nutr 66, 825–829 (2012). https://doi.org/10.1038/ejcn.2012.26
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DOI: https://doi.org/10.1038/ejcn.2012.26
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