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Rawat, Swapnil; Kumari, Meena; Nagpal, Jitender
Indian journal of community medicine, 09/2024, Volume: 49, Issue: 5Journal Article
Background: Vitamin B 12 deficiency is widely prevalent in all age groups which is of major concern. However, there is no valid Food Frequency Questionnaire (FFQ) for dietary vitamin B 12 estimation. Hence, we aimed to develop and validate an FFQ for the estimation of dietary intake of Vitamin B 12 . Materials and Methods: Commonly consumed B 12 -rich food items were selected from literature and filtered using a market survey. For concordant and discriminant validation, B 12 and homocysteine levels were estimated. To establish convergent validity, the Cobalamin Intake in North Indians by Food Frequency Questionnaire (COIN-FFQ) and 72-hour dietary recall (72HrDR) were both administered to the same subjects. The COIN-FFQ was readministered after initial administration for test–retest reliability. Internal consistency of the FFQ was then tested using Cronbach’s alpha. Results: We enrolled 115 adults with a mean age and weight of 31.9 ± 8.7 years and 66.0 ± 11.8 kg, respectively. In total, 19.1% were vegetarian. The dietary B 12 using COIN-FFQ ( n = 60; mean = 4.3 ± 1.8 µg/d) was significantly correlated ( r = 0.255; P = 0.049) with serum levels (mean = 120.1 ± 62.6 pmol/L) establishing concordant validity. A significant difference was noted between the dietary, serum B 12 , and homocysteine levels of vegetarians versus nonvegetarians establishing discriminant validity (mean diff 1.4 (0.5–2.4), P = 0.004; Z-statistic −2.182, P value 0.029, and Z-statistic −2.438; P value 0.015), respectively. FFQ was strongly correlated with 72HrDR and test–retest FFQ ( n = 27; r = 0.814, P < 0.001 and r = 0.869, P < 0.001, respectively) establishing convergent validity and test–retest reliability. The internal consistency with Cronbach’s alpha was in the acceptable range, 0.631 ( n = 115). Conclusion: The newly developed COIN-FFQ is valid and reliable in estimating dietary B 12 intake.
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