Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health

Maria Lidia Palma; Mariana Batalha; Joana Pereira; Maria Joao Cebola; Paula Pereira; Marisa Nicolai

doi:doi:10.11648/j.ijnfs.20231203.12

| Peer-Reviewed

Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health

Maria Lidia Palma, Mariana Batalha, Joana Pereira, Maria Joao Cebola, Paula Pereira, Marisa Nicolai

Published in International Journal of Nutrition and Food Sciences (Volume 12, Issue 3)

Received: 23 May 2023 Accepted: 10 June 2023 Published: 27 June 2023

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

The correlation between the type of food in the diet and the occurrence of intestinal pathology and other health conditions is becoming increasingly clear. The fiber intake, particularly its relationship with the maintenance of intestinal microbiota has been ascertained and is included in the concept of intestinal permeability and health. The current study investigated compliance with recommended fiber intake and individuals’ clinical conditions. The study was carried out in May 2020, during the period of the first COVID lockdown in Portugal, through a MS Forms survey distributed through social media. A total of 167 out of 195 answers were considered valid, with participants being in the 18-74 age range. Most of the voluntary subjects were female. A valid food frequency questionnaire, adapted for the Portuguese population, was used to estimate dietary fiber intake and a questionnaire adapted from the Rome IV criteria and the Bristol Stool Scale was used to assess the presence of constipation. A tendency was found for individuals with some chronic disease to have a lower intake of dietary fiber. These findings indicate that an adequate dietary fiber intake and compliance with the recommended daily intake is important for the prevention of chronic diseases and that, by improving gut function, there is a general improvement of the body's functions. The study also found a higher fiber intake by females compared to males, for both groups, with and without pathology.

Published in	International Journal of Nutrition and Food Sciences (Volume 12, Issue 3)
DOI	10.11648/j.ijnfs.20231203.12
Page(s)	77-85
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Intestinal Microbiome, Intake, Fibers, Health, Chronic Diseases

References

[1]	Makki, K.; Deehan, E. C.; Walter, J.; Bäckhed, F. (2018). The Impact of Dietary Fiber on Gut Microbiota in Host Health and Disease. Cell Host Microbe., 23 (6), 705–715. https://doi.org/10.1016/j.chom.2018.05.012
[2]	Korczak, R.; Kamil, A.; Fleige, L.; Donovan, S. M.; Slavin, J. L. (2017). Dietary fiber and digestive health in children. Nutr. Rev., 75 (4), 241–259. https://doi.org/10.1093/nutrit/nuw068
[3]	Holscher H. D. (2017). Dietary fiber and prebiotics and the gastrointestinal microbiota. Gut Microbes., 8 (2), 172–184. https://doi.org/10.1080/19490976.2017.1290756
[4]	Mahan, L. K.; Escott-Stump, S.; Raymond, J. L. (2008). Krause`s Food & Nutrition Therapy, 12th Ed.; Elsevier/Saunders.
[5]	Stephen, A.; Champ, M.; Cloran, S.; Fleith, M.; Van Lieshout, L.; Mejborn, H.; Burley, V. (2017). Dietary fibre in Europe: Current state of knowledge on definitions, sources, recommendations, intakes and relationships to health. Nutr. Res. Rev., 30 (2), 149-190. doi: 10.1017/S095442241700004X.
[6]	Bernaud, F. S. R.; Rodrigues, T. C. (2013). Dietary fiber: adequate intake and effects on metabolism health. Arq. Bras. Endocrinol. Metabol., 57, 397-405. https://doi.org/10.1590/S0004-27302013000600001
[7]	Almeida, L. B.; Marinho, C. B.; Souza, C. D. S.; Cheib, V. B. P. (2009). Disbiose intestinal. Rev. Bras. Nutr. Clín., 24 (1), 58-65.
[8]	Wong, J., Comelli, E. M., Kendall, C. W., Sievenpiper, J. L., Noronha, J. C., & Jenkins, D. G. (2017). Dietary Fiber, Soluble and Insoluble, Carbohydrates, Fructose, and Lipids. Elsevier eBooks, 187–200. https://doi.org/10.1016/b978-0-12-804024-9.00022-7
[9]	Korcz, E.; Kerényi, Z.; Varga, L. (2018). Dietary fibers, prebiotics, and exopolysaccharides produced by lactic acid bacteria: potential health benefits with special regard to cholesterol-lowering effects. Food Funct., 9 (6), 3057–3068. https://doi.org/10.1039/c8fo00118a
[10]	Direção Geral da Saúde (DGS). (2012 a). Programa Nacional Promoção da Alimentação saudável Alimentação e saúde • PNPAS. Retrieved 13 June, 2020 from https://alimentacaosaudavel.dgs.pt/conheca-o-pnpas
[11]	Direção Geral da Saúde (DGS). (2012 b). Programa Nacional Promoção da Alimentação saudável. Retrieved 13 June, 2020 from https://alimentacaosaudavel.dgs.pt/nutriente/fibra/
[12]	El-Salhy M.; Ystad S. O.; Mazzawi, T.; Gundersen, D. (2017). Dietary fiber in irritable bowel syndrome (Review). Int. J. Mol. Med. 40 (3), 607-613. https://doi:10.3892/ijmm.2017.3072
[13]	Ueki, T.; Nakashima, M. (2019). Relationship Between Constipation and Medication. J. UOEH., 41 (2), 145–151. https://doi.org/10.7888/juoeh.41.145
[14]	Flach, J.; Koks, M.; Van der Waal, M. B.; Claassen, E.; Larsen, O. F. F. (2018). Economic Potential of probiotic supplementation in institutionalized elderly with chronic constipation. Pharma Nutrition., 6 (4), 198-206 https://doi.org/10.1016/j.phanu.2018.10.001
[15]	Lambeau, K. V.; McRorie Jr, J. W. (2017). Fiber supplements and clinically proven health benefits: How to recognize and recommend an effective fiber therapy. J. Am. Assoc. Nurse Pract., 29 (4), 216–223. https://doi.org/10.1002/2327-6924.12447
[16]	Sun, B.; Shi, X.; Wang, T.; Zhang, D. (2018). Exploration of the Association between Dietary Fiber Intake and Hypertension among U. S. Adults Using 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines: NHANES 2007⁻2014. Nutrients., 10 (8), 1091. https://doi.org/10.3390/nu10081091
[17]	Serviço Nacional de Saúde [SNS]. (n.d.) retrieved 20 November 2020, from https://www.sns24.gov.pt/tema/doencas-cronicas/obesidade/-sec-0
[18]	Delzenne, N. M.; Olivares, M.; Neyrinck, A. M.; Beaumont, M.; Kjølbæk, L.; Larsen, T. M.; Benítez-Páez, A.; Romaní-Pérez, M.; Garcia-Campayo, V.; Bosscher, D.; Sanz, Y.; van der Kamp, J. W. (2020). Nutritional interest of dietary fiber and prebiotics in obesity: Lessons from the MyNewGut consortium. Clin. Nutr., 39 (2), 414–424. https://doi.org/10.1016/j.clnu.2019.03.002
[19]	Azevedo, R.; Ribeiro, H.; Pinto, J.; Leitão, C.; Caldeira, A.; Banhudo, A. (2017). Modelo preditivo de obstipação: O que poderá ser útil para além do Roma IV? Constipation predictive model: What can be useful beyond Rome IV? Revista Portuguesa de Coloproctologia., Mai/Out.
[20]	Selem, S. S. A. D. C.; Carvalho, A. M. D.; Verly-Junior, E.; Carlos, J. V.; Teixeira, J. A.; Marchioni, D. M. L.; Fisberg, R. M. (2014). Validade e reprodutibilidade de um questionário de frequência alimentar para adultos de São Paulo, Brasil. Rev. Bras. Epidemiol., 17, 852-859. https://doi:10.1590/1809-4503201400040005.
[21]	Schmulson, M. J.; Drossman, D. A. (2017). What Is New in Rome IV. J. Neurogastroenterol. Motil., 23 (2), 151–163. https://doi.org/10.5056/jnm16214.
[22]	Simren, M., Palsson, O. S., & Whitehead, W. E. (2017). Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice. Current gastroenterology reports, 19 (4), 15. https://doi.org/10.1007/s11894-017-0554-0Setia, MS. (2016). Methodology Series Module 3: Cross-sectional Studies. Indian J Dermatol., 61 (3), 261-4. doi: 10.4103/0019-5154.182410.
[23]	Setia, MS. (2016). Methodology Series Module 3: Cross-sectional Studies. Indian J Dermatol., 61 (3), 261-4. doi: 10.4103/0019-5154.182410.
[24]	Lopes, C.; Aro, A.; Azevedo, A.; Ramos, E.; Barros, H. (2007). Intake and adipose tissue composition of fatty acids and risk of myocardial infarction in a male Portuguese community sample. J. Am. Diet. Assoc., 107 (2), 276–286. https://doi.org/10.1016/j.jada.2006.11.008
[25]	Whaley, D. L. (2005). The Interquartile Range: Theory and Estimation. Electronic Theses and Dissertations. Paper 1030. https://dc.etsu.edu/etd/1030
[26]	Shapiro, S. S.; Wilk, M. B. (1965). An analysis of variance test for normality (complete samples). Biometrika., 52 (3/4), 591-611.
[27]	Zar, J. H. (2010). Biostatistical analysis. Pearson Prentice Hall, Upper Saddle River, USA, ISBN 0131008463, 9780131008465.
[28]	Tukey, J. (1949). Comparing individual means in the analysis of variance. Biometrics, 5 (2), 99-114. doi: 10.2307/3001913.
[29]	Spearman, C. (1904). The Proof and Measurement of Association between Two Things. Am. J. Psychol., 15, 72–101.
[30]	Wickham, H.; Averick, M.; Bryan, J.; Chang, W.; McGowan, L. D.; François, R.; Grolemund, G.; Hayes, A.; Henry, L.; Hester, J.; Kuhn, M.; Pedersen, T. L.; Miller, E.; Bache, S. M.; Müller, K.; Ooms, J.; Robinson, D.; Seidel, D. P.; Spinu, V.; Takahashi, K.; Vaughan, D.; Wilke, C.; Woo, K.; Yutani, H. (2019). Welcome to the tidyverse. J. Open Source Softw., 4 (43), 1686. doi: 10.21105/joss.01686.
[31]	Harrell Jr, Frank E. (2015). Hmisc: Harrel miscellaneous. http.//cran.r-project.org/web/packages/Hmisc/index.html.
[32]	Kassambara, A. (2021). Rstatix: Pipe-Friendly Framework for Basic Statistical Tests. https://rpkgs.datanovia.com/rstatix/
[33]	Patil, I. (2021) statsExpressions: R Package for Tidy Dataframes and Expressions with Statistical Details. J. Open. Source Softw., 6 (61), 3236. https://doi.org/10.21105/joss.0323
[34]	Kassambara, A. (2020). ggpubr: 'ggplot2' Based Publication Ready Plots. https://rpkgs.datanovia.com/ggpubr/
[35]	Kruskal, W. H.; Wallis W. A. (1952). Use of Ranks in One-Criterion Variance Analysis. J. Am. Stat. Assoc., 47 (260), 583-621.
[36]	Veronese, N.; Solmi, M.; Caruso, M. G.; Giannelli, G.; Osella, A. R.; Evangelou, E.; Maggi, S.; Fontana, L.; Stubbs, B.; Tzoulaki, I. (2018). Dietary fiber and health outcomes: an umbrella review of systematic reviews and meta-analyses. Am. J. Clin. Nutr., 107 (3), 436-444. https//doi: 10.1093/ajcn/nqx082.
[37]	Brownlee, I. A.; Chater, P. I.; Pearson, J. P.; Wilcox, M. D. (2017). Dietary fibre and weight loss: Where are we now? Food Hydrocoll., 68, 186-191. https://doi.org/10.1016/j.foodhyd.2016.08.029
[38]	Marques, F. Z.; Nelson, E.; Chu, P. Y.; Horlock, D.; Fiedler, A.; Ziemann, M.; Tan, J. K.; Kuruppu, S.; Rajapakse, N. W.; El-Osta, A.; Mackay, C. R.; Kaye, D. M. (2017). High-Fiber Diet and Acetate Supplementation Change the Gut Microbiota and Prevent the Development of Hypertension and Heart Failure in Hypertensive Mice. Circulation., 135 (10), 964–977. https://doi.org/10.1161/CIRCULATIONAHA.116.024545
[39]	Dreher, M. L. (2018). Dietary fiber in health and disease. Humana Pres.
[40]	Tantawy, S. A., Kamel, D. M., Abdelbasset, W. K., & Elgohary, H. M. (2017). Effects of a proposed physical activity and diet control to manage constipation in middle-aged obese women. Diabetes. Metab. Syndr. Obes., 10, 513–519. https://doi.org/10.2147/DMSO. S140250
[41]	Mauz, E.; Hoffmann, R.; Houben, R.; Krause, L.; Kamtsiuris, P.; Gößwald, A. (2018). Mode Equivalence of Health Indicators Between Data Collection Modes and Mixed-Mode Survey Designs in Population-Based Health Interview Surveys for Children and Adolescents: Methodological Study. J. Med. Internet Res., 20 (3), e64. https://doi.org/10.2196/jmir.7802
[42]	Rinninella, E.; Raoul, P.; Cintoni, M.; Franceschi, F.; Miggiano, G. A. D.; Gasbarrini, A.; Mele, M. C. (2019). What is the Healthy Gut Microbiota Composition? A Changing Ecosystem across Age, Environment, Diet, and Diseases. Microorganisms, 7 (1), 14. https://doi.org/10.3390/microorganisms7010014

Cite This Article

Plain Text BibTeX RIS

APA Style

Maria Lidia Palma, Mariana Batalha, Joana Pereira, Maria Joao Cebola, Paula Pereira, et al. (2023). Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health. International Journal of Nutrition and Food Sciences, 12(3), 77-85. https://doi.org/10.11648/j.ijnfs.20231203.12

Copy | Download

ACS Style

Maria Lidia Palma; Mariana Batalha; Joana Pereira; Maria Joao Cebola; Paula Pereira, et al. Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health. Int. J. Nutr. Food Sci. 2023, 12(3), 77-85. doi: 10.11648/j.ijnfs.20231203.12

Copy | Download

AMA Style

Maria Lidia Palma, Mariana Batalha, Joana Pereira, Maria Joao Cebola, Paula Pereira, et al. Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health. Int J Nutr Food Sci. 2023;12(3):77-85. doi: 10.11648/j.ijnfs.20231203.12

Copy | Download

@article{10.11648/j.ijnfs.20231203.12,
  author = {Maria Lidia Palma and Mariana Batalha and Joana Pereira and Maria Joao Cebola and Paula Pereira and Marisa Nicolai},
  title = {Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health},
  journal = {International Journal of Nutrition and Food Sciences},
  volume = {12},
  number = {3},
  pages = {77-85},
  doi = {10.11648/j.ijnfs.20231203.12},
  url = {https://doi.org/10.11648/j.ijnfs.20231203.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20231203.12},
  abstract = {The correlation between the type of food in the diet and the occurrence of intestinal pathology and other health conditions is becoming increasingly clear. The fiber intake, particularly its relationship with the maintenance of intestinal microbiota has been ascertained and is included in the concept of intestinal permeability and health. The current study investigated compliance with recommended fiber intake and individuals’ clinical conditions. The study was carried out in May 2020, during the period of the first COVID lockdown in Portugal, through a MS Forms survey distributed through social media. A total of 167 out of 195 answers were considered valid, with participants being in the 18-74 age range. Most of the voluntary subjects were female. A valid food frequency questionnaire, adapted for the Portuguese population, was used to estimate dietary fiber intake and a questionnaire adapted from the Rome IV criteria and the Bristol Stool Scale was used to assess the presence of constipation. A tendency was found for individuals with some chronic disease to have a lower intake of dietary fiber. These findings indicate that an adequate dietary fiber intake and compliance with the recommended daily intake is important for the prevention of chronic diseases and that, by improving gut function, there is a general improvement of the body's functions. The study also found a higher fiber intake by females compared to males, for both groups, with and without pathology.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health
AU  - Maria Lidia Palma
AU  - Mariana Batalha
AU  - Joana Pereira
AU  - Maria Joao Cebola
AU  - Paula Pereira
AU  - Marisa Nicolai
Y1  - 2023/06/27
PY  - 2023
N1  - https://doi.org/10.11648/j.ijnfs.20231203.12
DO  - 10.11648/j.ijnfs.20231203.12
T2  - International Journal of Nutrition and Food Sciences
JF  - International Journal of Nutrition and Food Sciences
JO  - International Journal of Nutrition and Food Sciences
SP  - 77
EP  - 85
PB  - Science Publishing Group
SN  - 2327-2716
UR  - https://doi.org/10.11648/j.ijnfs.20231203.12
AB  - The correlation between the type of food in the diet and the occurrence of intestinal pathology and other health conditions is becoming increasingly clear. The fiber intake, particularly its relationship with the maintenance of intestinal microbiota has been ascertained and is included in the concept of intestinal permeability and health. The current study investigated compliance with recommended fiber intake and individuals’ clinical conditions. The study was carried out in May 2020, during the period of the first COVID lockdown in Portugal, through a MS Forms survey distributed through social media. A total of 167 out of 195 answers were considered valid, with participants being in the 18-74 age range. Most of the voluntary subjects were female. A valid food frequency questionnaire, adapted for the Portuguese population, was used to estimate dietary fiber intake and a questionnaire adapted from the Rome IV criteria and the Bristol Stool Scale was used to assess the presence of constipation. A tendency was found for individuals with some chronic disease to have a lower intake of dietary fiber. These findings indicate that an adequate dietary fiber intake and compliance with the recommended daily intake is important for the prevention of chronic diseases and that, by improving gut function, there is a general improvement of the body's functions. The study also found a higher fiber intake by females compared to males, for both groups, with and without pathology.
VL  - 12
IS  - 3
ER  -

Copy | Download

Author Information

Maria Lidia Palma

Center for Research in Biosciences and Health Technologies (CBIOS), Lusofona University, Lisbon, Portugal
Mariana Batalha

Lusofona University, Lisbon, Portugal
Joana Pereira

cE3c - Centre for Ecology, Evolution and Environmental Changes, Science Faculty, Lisbon University, Lisbon, Portugal
Maria Joao Cebola

Center for Research in Biosciences and Health Technologies (CBIOS), Lusofona University, Lisbon, Portugal
Paula Pereira

Center for Research in Biosciences and Health Technologies (CBIOS), Lusofona University, Lisbon, Portugal
Marisa Nicolai

Center for Research in Biosciences and Health Technologies (CBIOS), Lusofona University, Lisbon, Portugal

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Maria Lidia Palma, Mariana Batalha, Joana Pereira, Maria Joao Cebola, Paula Pereira, et al. (2023). Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health. International Journal of Nutrition and Food Sciences, 12(3), 77-85. https://doi.org/10.11648/j.ijnfs.20231203.12

Copy | Download

ACS Style

Maria Lidia Palma; Mariana Batalha; Joana Pereira; Maria Joao Cebola; Paula Pereira, et al. Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health. Int. J. Nutr. Food Sci. 2023, 12(3), 77-85. doi: 10.11648/j.ijnfs.20231203.12

Copy | Download

AMA Style

Maria Lidia Palma, Mariana Batalha, Joana Pereira, Maria Joao Cebola, Paula Pereira, et al. Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health. Int J Nutr Food Sci. 2023;12(3):77-85. doi: 10.11648/j.ijnfs.20231203.12

Copy | Download

@article{10.11648/j.ijnfs.20231203.12,
  author = {Maria Lidia Palma and Mariana Batalha and Joana Pereira and Maria Joao Cebola and Paula Pereira and Marisa Nicolai},
  title = {Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health},
  journal = {International Journal of Nutrition and Food Sciences},
  volume = {12},
  number = {3},
  pages = {77-85},
  doi = {10.11648/j.ijnfs.20231203.12},
  url = {https://doi.org/10.11648/j.ijnfs.20231203.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20231203.12},
  abstract = {The correlation between the type of food in the diet and the occurrence of intestinal pathology and other health conditions is becoming increasingly clear. The fiber intake, particularly its relationship with the maintenance of intestinal microbiota has been ascertained and is included in the concept of intestinal permeability and health. The current study investigated compliance with recommended fiber intake and individuals’ clinical conditions. The study was carried out in May 2020, during the period of the first COVID lockdown in Portugal, through a MS Forms survey distributed through social media. A total of 167 out of 195 answers were considered valid, with participants being in the 18-74 age range. Most of the voluntary subjects were female. A valid food frequency questionnaire, adapted for the Portuguese population, was used to estimate dietary fiber intake and a questionnaire adapted from the Rome IV criteria and the Bristol Stool Scale was used to assess the presence of constipation. A tendency was found for individuals with some chronic disease to have a lower intake of dietary fiber. These findings indicate that an adequate dietary fiber intake and compliance with the recommended daily intake is important for the prevention of chronic diseases and that, by improving gut function, there is a general improvement of the body's functions. The study also found a higher fiber intake by females compared to males, for both groups, with and without pathology.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Food Frequency Questionnaire to Assess Fiber Intake and Its Relationship with Health
AU  - Maria Lidia Palma
AU  - Mariana Batalha
AU  - Joana Pereira
AU  - Maria Joao Cebola
AU  - Paula Pereira
AU  - Marisa Nicolai
Y1  - 2023/06/27
PY  - 2023
N1  - https://doi.org/10.11648/j.ijnfs.20231203.12
DO  - 10.11648/j.ijnfs.20231203.12
T2  - International Journal of Nutrition and Food Sciences
JF  - International Journal of Nutrition and Food Sciences
JO  - International Journal of Nutrition and Food Sciences
SP  - 77
EP  - 85
PB  - Science Publishing Group
SN  - 2327-2716
UR  - https://doi.org/10.11648/j.ijnfs.20231203.12
AB  - The correlation between the type of food in the diet and the occurrence of intestinal pathology and other health conditions is becoming increasingly clear. The fiber intake, particularly its relationship with the maintenance of intestinal microbiota has been ascertained and is included in the concept of intestinal permeability and health. The current study investigated compliance with recommended fiber intake and individuals’ clinical conditions. The study was carried out in May 2020, during the period of the first COVID lockdown in Portugal, through a MS Forms survey distributed through social media. A total of 167 out of 195 answers were considered valid, with participants being in the 18-74 age range. Most of the voluntary subjects were female. A valid food frequency questionnaire, adapted for the Portuguese population, was used to estimate dietary fiber intake and a questionnaire adapted from the Rome IV criteria and the Bristol Stool Scale was used to assess the presence of constipation. A tendency was found for individuals with some chronic disease to have a lower intake of dietary fiber. These findings indicate that an adequate dietary fiber intake and compliance with the recommended daily intake is important for the prevention of chronic diseases and that, by improving gut function, there is a general improvement of the body's functions. The study also found a higher fiber intake by females compared to males, for both groups, with and without pathology.
VL  - 12
IS  - 3
ER  -

Copy | Download