To estimate agreement between questionnaire-based frequency measures from the Health Behaviour in School-aged Children study (HBSC) and 7-day 24-h recall measures of breakfast, lunch and evening meals among 11–15-year-olds, and examine whether disagreement between the two methods varied by socio-demographic factors.
In one week 11–15-year-old Danish students completed HBSC questionnaires including meal frequency items. The following week they completed daily 24-h recall questionnaire about their meals (response rate 88.4 %, n = 412).
Good to moderate agreement for the breakfast measure: per cent agreement 0.70–0.87, kappa 0.43–0.65. Fair agreement for the lunch measure: per cent agreement 0.53–0.84, kappa 0.26–0.54. High per cent agreement for the evening meal measure (0.83–0.95) but poor kappa agreement (0.14–0.19). Being immigrant predicted disagreement between the two methods for week day breakfast OR (95 % CI) 2.17 (1.16–4.04) and lunch 2.44 (1.33–4.48).
We found good to moderate agreement between frequency and 7-day 24-h recall measures for breakfast, a fair agreement for lunch and for evening meal the two agreement methods provided different results. Migration status predicted disagreement between the two methods.
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This work was supported by the Nordea Foundation [grant number 02-2011-0122] and the TrygFonden.
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Pedersen, T.P., Holstein, B.E., Laursen, B. et al. Main meal frequency measures in the Health Behaviour in School-aged Children study: agreement with 7-day 24-h recalls. Int J Public Health 60, 945–952 (2015). https://doi.org/10.1007/s00038-015-0738-z