A novel FFQ for Brazilian adults based on the Nova classification system: development, reproducibility and validation

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Publicado en:Public Health Nutrition vol. 28, no. 1 (2025)
Autor principal: Evelyn Oliveira da Silva Frade
Otros Autores: Kamila Tiemann Gabe, Caroline dos Santos Costa, Neri, Daniela, Martínez-Steele, Euridice, Rauber, Fernanda, Steluti, Josiane, Renata Bertazzi Levy, Maria Laura da Costa Louzada
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Cambridge University Press
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022 |a 1368-9800 
022 |a 1475-2727 
024 7 |a 10.1017/S1368980025000412  |2 doi 
035 |a 3203183991 
045 2 |b d20250101  |b d20251231 
084 |a 80032  |2 nlm 
100 1 |a Evelyn Oliveira da Silva Frade  |u Postgraduate Program in Nutrition and Health, Department of Nutrition, School of Public Health, University of São Paulo (USP), São Paulo, Brazil; Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil 
245 1 |a A novel FFQ for Brazilian adults based on the Nova classification system: development, reproducibility and validation 
260 |b Cambridge University Press  |c 2025 
513 |a Journal Article 
520 3 |a Objective:To describe the development and validation of the Nova FFQ (NovaFFQ) for Brazilian adults.Design:The NovaFFQ is a self-administered, semi-quantitative questionnaire. The food list includes the most consumed foods and drinks based on 2017–2018 National Food Intake Survey data. We identified and differentiated foods that could be classified into multiple Nova groups. We assessed reproducibility and criterion validity using the percent energy contribution of each Nova group. Reproducibility was assessed by comparing NovaFFQ estimates on two occasions. Criterion validity was assessed by comparing the first NovaFFQ estimate against the mean of two Nova24h recalls. We estimated the intraclass correlation coefficients (ICC) for both analyses and assessed the agreement of classification into quintiles using the prevalence-and-bias-adjusted kappa coefficients for criterion validity analysis.Setting:Nationwide Brazilian study, the NutriNet-Brasil cohort.Participants:There were 243 participants in the reproducibility analysis and 376 in the criterion validity analysis.Results:Strong reproducibility was observed, with an ICC of 0·91 for all the Nova groups. Criterion validity showed a moderate ICC, ranging from 0·61 for processed and ultra-processed foods (UPF) to 0·65 for unprocessed and minimally processed foods. Substantial agreement in ranking individuals across quintiles was found, as indicated by the prevalence-and-bias-adjusted kappa (PABAK = 0·74, 0·72, 0·70 and 0·73 for unprocessed and minimally processed foods, culinary ingredients and processed and ultra-processed foods, respectively).Conclusions:The NovaFFQ is a valid instrument for assessing food consumption by processing level, especially for discriminating individuals according to the magnitude of consumption in all Nova groups. 
651 4 |a Brazil 
653 |a Bias 
653 |a Classification 
653 |a Reproducibility 
653 |a Processed foods 
653 |a Pilot projects 
653 |a Food consumption 
653 |a Food intake 
653 |a Nutrition 
653 |a Criteria 
653 |a Adults 
653 |a Food processing 
653 |a Beverages 
653 |a Correlation coefficients 
653 |a Correlation coefficient 
653 |a Public health 
653 |a Social 
700 1 |a Kamila Tiemann Gabe  |u Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil 
700 1 |a Caroline dos Santos Costa  |u Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil 
700 1 |a Neri, Daniela  |u Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil 
700 1 |a Martínez-Steele, Euridice  |u Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil 
700 1 |a Rauber, Fernanda  |u Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil; Department of Preventive Medicine, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil 
700 1 |a Steluti, Josiane  |u Public Policies and Collective Health Department, Health and Society Institute, Federal University of Sao Paulo, Santos, Brazil 
700 1 |a Renata Bertazzi Levy  |u Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil; Department of Preventive Medicine, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil 
700 1 |a Maria Laura da Costa Louzada  |u Centre for Epidemiological Studies in Nutrition and Health, School of Public Health, University of São Paulo, São Paulo, Brazil; Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil 
773 0 |t Public Health Nutrition  |g vol. 28, no. 1 (2025) 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3203183991/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3203183991/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3203183991/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch