PMID- 33357249 OWN - NLM STAT- MEDLINE DCOM- 20220127 LR - 20220127 IS - 1475-2662 (Electronic) IS - 0007-1145 (Print) IS - 0007-1145 (Linking) VI - 126 IP - 8 DP - 2021 Oct 28 TI - Validation of New Interactive Nutrition Assistant - Diet in India Study of Health (NINA-DISH) FFQ with multiple 24-h dietary recalls among pregnant women in Pune, India. PG - 1247-1256 LID - 10.1017/S0007114520005188 [doi] AB - Adequate dietary intake is critical to prevent adverse pregnancy outcomes. India has a high burden of maternal and child morbidity and mortality, but there is a lack of adequate tools to assess dietary intake. We validate an FFQ, New Interactive Nutrition Assistant - Diet in India Study of Health (NINA-DISH), among pregnant women living with and without HIV in Pune, India. Women were selected from a cohort study investigating immune responses to HIV and latent tuberculosis during pregnancy. The FFQ was administered during the third trimester and validated against multiple 24-h dietary recalls (24-HDR) collected in second and third trimesters. Data for analysis were available from fifty-eight women out of seventy enrolled into this sub-study, after excluding those with incomplete data or implausible energy intake. The median (Q1, Q3) age of study participants was 23 (20, 25) years. Median (Q1, Q3) daily energy intakes were 10 552 (8000, 11 958) and 10 673 (8510, 13 962) kJ by 24-HDR and FFQ, respectively, with FFQ overestimating nutrient intake. Pearson correlations between log-transformed estimates from FFQ and 24-HDR for energy, protein, carbohydrate, fat, Fe and Zn were 0.47, 0.48, 0.45, 0.33, 0.4 and 0.54, respectively. Energy-adjusted and de-attenuated correlations ranged from 0.41 (saturated fat) to 0.73 (Na). The highest misclassification into extreme tertiles was observed for fat (22 %), saturated fat (21 %) and Na (21 %). Bias existed at higher intake levels as observed by Bland-Altman plots. In conclusion, NINA-DISH is a valid and feasible tool for estimating dietary intakes among urban pregnant women in Western India. FAU - Rajagopalan, Kripa AU - Rajagopalan K AD - Division of Nutritional Sciences, Cornell University, Ithaca, NY14850, USA. AD - Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD21205, USA. FAU - Alexander, Mallika AU - Alexander M AD - BJMC JHU Clinical Trial Unit, BJ Government Medical College, Pune411001, India. FAU - Naik, Shilpa AU - Naik S AD - Department of Obstetrics and Gynecology, BJ Government Medical College, Government of Maharashtra, Pune411001, India. FAU - Patil, Nikhil AU - Patil N AD - BJMC JHU Clinical Trial Unit, BJ Government Medical College, Pune411001, India. FAU - Mehta, Shivani AU - Mehta S AD - Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD21205, USA. FAU - Leu, Cheng-Shiun AU - Leu CS AD - Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY10032, USA. FAU - Bhosale, Ramesh AU - Bhosale R AD - Department of Obstetrics and Gynecology, BJ Government Medical College, Government of Maharashtra, Pune411001, India. FAU - Mathad, Jyoti S AU - Mathad JS AD - Department of Medicine, Weill Cornell Medical College, New York, NY10065, USA. FAU - Caulfield, Laura E AU - Caulfield LE AD - Center for Human Nutrition, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD21205, USA. FAU - Gupta, Amita AU - Gupta A AD - Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD21205, USA. AD - Center for Clinical Global Health Education, Johns Hopkins University, Baltimore, MD21205, USA. FAU - Talegawkar, Sameera A AU - Talegawkar SA AD - Departments of Exercise and Nutrition Sciences and Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, DC20052, USA. FAU - Shivakoti, Rupak AU - Shivakoti R AUID- ORCID: 0000-0002-2773-9310 AD - Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY10032, USA. LA - eng GR - K99 HD089753/HD/NICHD NIH HHS/United States GR - K23 AI129854/AI/NIAID NIH HHS/United States GR - UM1 AI069465/AI/NIAID NIH HHS/United States GR - R01 HD081929/HD/NICHD NIH HHS/United States GR - R00 HD089753/HD/NICHD NIH HHS/United States GR - U01 AI069465/AI/NIAID NIH HHS/United States GR - P30 AI094189/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20201228 PL - England TA - Br J Nutr JT - The British journal of nutrition JID - 0372547 SB - IM MH - Cohort Studies MH - Diet MH - Diet Records MH - *Diet Surveys MH - Energy Intake MH - Female MH - *HIV Infections MH - Humans MH - India MH - Pregnancy MH - *Pregnant Women MH - Reproducibility of Results MH - Surveys and Questionnaires PMC - PMC8236492 MID - NIHMS1656453 OTO - NOTNLM OT - 24-h dietary recall OT - Diet OT - FFQ OT - India OT - Nutrition OT - Pregnant women OT - Validation COIS- The authors had no conflict of interest relevant to this article to disclose. EDAT- 2020/12/29 06:00 MHDA- 2022/01/28 06:00 PMCR- 2021/10/28 CRDT- 2020/12/28 10:15 PHST- 2020/12/29 06:00 [pubmed] PHST- 2022/01/28 06:00 [medline] PHST- 2020/12/28 10:15 [entrez] PHST- 2021/10/28 00:00 [pmc-release] AID - S0007114520005188 [pii] AID - 10.1017/S0007114520005188 [doi] PST - ppublish SO - Br J Nutr. 2021 Oct 28;126(8):1247-1256. doi: 10.1017/S0007114520005188. Epub 2020 Dec 28.