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Accepted manuscript

Development and Validity of the ‘Modified Mediterranean Prime Screen’ to assess Dietary Intake Among Women of Reproductive Age in Lebanon

Published online by Cambridge University Press:  31 May 2024

Mariam Assaad
Affiliation:
Calcium Metabolism and Osteoporosis Program, World Health Organization Collaborating Center for Metabolic Bone Disorders, American University of Beirut, Beirut, 1107 2020
Sara Ajjour
Affiliation:
Calcium Metabolism and Osteoporosis Program, World Health Organization Collaborating Center for Metabolic Bone Disorders, American University of Beirut, Beirut, 1107 2020
Maya Rahme
Affiliation:
Calcium Metabolism and Osteoporosis Program, World Health Organization Collaborating Center for Metabolic Bone Disorders, American University of Beirut, Beirut, 1107 2020
Laila Al-Shaar
Affiliation:
Department of Public Health Sciences, Penn State University
May Sakr
Affiliation:
Department of Clinical Nutrition, American University of Beirut, Beirut, 1107 2020
Hala Ghattas
Affiliation:
Health Promotion, Education, and Behavior Arnold School of Public Health, University of South Carolina
Ghada El-Hajj Fuleihan
Affiliation:
Calcium Metabolism and Osteoporosis Program, World Health Organization Collaborating Center for Metabolic Bone Disorders, American University of Beirut, Beirut, 1107 2020
Jana Jabbour*
Affiliation:
Nutrition Program, Department of Natural Sciences, Lebanese American University, Beirut, Lebanon
*
#Corresponding author, Email: [email protected]
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Abstract

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The Mediterranean region registers an increasing prevalence of obesity. The region lacks a diet screener to assess obesogenic nutrients. This study aimed to evaluate the reproducibility and validity of the Modified Mediterranean Prime Screen (MMPS) in estimating obesogenic nutrients’ intake among women of reproductive age, as compared to a culturally validated Food Frequency Questionnaire (FFQ), in Lebanon. We developed the MMPS consisting of 32 food/beverage items specific to the Lebanese Mediterranean culture. The MMPS and FFQ were administered in two visits (2 weeks-6 months apart), face to face, and via telephone during the COVID pandemic. Reproducibility and validity of the MMPS were assessed using intraclass correlation coefficients (ICC) and Pearson’s correlations, respectively. The study included 143 women, age: 31.5 ± 4.6 years, body mass index 24.2 ± 4.0 Kg/ m2, 87% with university education, 91% food secure. The reproducibility of the MMPS was moderate for energy and all assessed nutrients except for saturated fatty acid (ICC=0.428). The agreement of the MMPS with the reference FFQ was adequate for energy and obesogenic nutrients. Yet, the Pearson correlations for energy-adjusted nutrient intake were low for trans-fatty acids (0.294) and polyunsaturated fatty acids (0.377). The MMPS can be a time efficient tool for dietary assessment of energy and many obesogenic nutrients. Future studies should validate the MMPS across the lifespan and revaluate it after updating the fatty acids profiles in the culturally specific food composition tables.

Type
Research Article
Copyright
© The Authors 2024

Footnotes

*

These authors contributed equally to this work to be kindly assigned both as primary authors