Development, Relative Validity and Reproducibility of the Aus-SDS (Australian Short Dietary Screener) in Adults Aged 70 Years and Above

Nutrients. 2020 May 15;12(5):1436. doi: 10.3390/nu12051436.

Abstract

The aim of this study was to assess the relative validity and reproducibility of a six-item Australian Short Dietary Screener (Aus-SDS). The Aus-SDS assessed the daily intake of core food groups (vegetables, fruits, legumes and beans, cereals, protein sources and dairy sources) in 100 Australians (52 males and 48 females) aged ≥70 years. Relative validity was assessed by comparing intakes from the Aus-SDS1 with an average of three 24-hour recalls (24-HRs), and reproducibility using two administrations of the Aus-SDS (Aus-SDS1 and Aus-SDS2). Cohen's kappa statistic between the Aus-SDS1 and 24-HRs showed moderate to good agreement, ranging from 0.44 for fruits and dairy to 0.64 for protein. There was poor agreement for legume intake (0.12). Bland-Altman plots demonstrated acceptable limits of agreement between the Aus-SDS1 and 24-HRs for all food groups. Median intakes obtained from Aus-SDS1 and Aus-SDS2 did not differ. For all food groups, Cohen's kappa statistic ranged from 0.68 to 0.89, indicating acceptable agreement between the Aus-SDS1 and Aus-SDS2. Spearman's correlation coefficient between Aus-SDS1 and 24-HRs across all food groups ranged from 0.64 for fruit to 0.83 for protein. We found the Aus-SDS to be a useful tool in assessing daily intake of core food groups in this population.

Keywords: brief questionnaire; diet; dietary intake; dietary screener; food group; older adults; relative validity; validity.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Australia
  • Diet Surveys / standards*
  • Diet, Healthy / psychology
  • Feeding Behavior / psychology
  • Female
  • Geriatric Assessment / methods*
  • Humans
  • Male
  • Mass Screening / standards*
  • Mental Recall
  • Reproducibility of Results
  • Statistics, Nonparametric
  • Surveys and Questionnaires / standards*