“Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon”
Rationale: Non-communicable diseases (NCDs) are a leading cause of mortality in Lebanon, with diet playing a significant role in their prevention. Due to the high burden of NCDs, accurate and culturally appropriate dietary assessment tools are needed. The Modified Mediterranean Prime Screen (MMPS),...
محفوظ في:
| المؤلف الرئيسي: | |
|---|---|
| التنسيق: | masterThesis |
| منشور في: |
2025
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/17253 https://doi.org/10.26756/th.2023.830 http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php |
| الوسوم: |
إضافة وسم
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| _version_ | 1864513474303885312 |
|---|---|
| author | Mattar, Lama Haisam |
| author_facet | Mattar, Lama Haisam |
| author_role | author |
| dc.creator.none.fl_str_mv | Mattar, Lama Haisam |
| dc.date.none.fl_str_mv | 2025-09-12T06:51:08Z 2025-09-12T06:51:08Z 2025 2025-08-08 |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10725/17253 https://doi.org/10.26756/th.2023.830 http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php |
| dc.language.none.fl_str_mv | en |
| dc.publisher.none.fl_str_mv | Lebanese American University |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” |
| dc.type.none.fl_str_mv | Thesis info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/masterThesis |
| description | Rationale: Non-communicable diseases (NCDs) are a leading cause of mortality in Lebanon, with diet playing a significant role in their prevention. Due to the high burden of NCDs, accurate and culturally appropriate dietary assessment tools are needed. The Modified Mediterranean Prime Screen (MMPS), a culture-specific dietary screener, was developed to assess dietary intake associated with NCD risk in adults in Lebanon. Methods: This study aimed to validate the MMPS against a reference Food Frequency Questionnaire (FFQ) to evaluate its reproducibility and agreement in assessing diet quality indices such as the Mediterranean Diet Score (MDS) and Dietary Approaches to Stop Hypertension (DASH). Reproducibility and agreement were assessed through Intraclass Correlation Coefficients (ICCs) and Cohen’s Kappa (κ). Results: The study included 214 adults (65% females, mean age 38.9 ± 13.4 years). For the MDS components, the FFQ demonstrated excellent reproducibility for vegetables and legumes and good to moderate for all the other components except for fruits (poor reproducibility). The MMPS also showed excellent reproducibility for fish and good to moderate reproducibility for all the other components except for cereals (poor reproducibility). Agreement between FFQ and MMPS was good to moderate for all food groups, however it was poor for the MDS total score (ICC = 0.435). For DASH components, Cohen’s Kappa between FFQ1 and FFQ2 ranged from fair (fruits, κ = 0.357) to excellent (sweetened beverages, κ = 0.857). Reproducibility of the MMPS was stronger, particularly for whole grains (κ = 0.761) and red and processed meats (κ = 0.685). In contrast, agreement between FFQ and MMPS was highest for sweetened beverages (κ = 0.481) but slight to fair for most other components. Conclusion: The MMPS demonstrated moderate reproducibility and poor agreement in estimating key dietary quality indices, including the MDS and DASH. |
| eu_rights_str_mv | openAccess |
| format | masterThesis |
| id | LAURepo_3b47e6f27a47631b3a939102fffd37d6 |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/17253 |
| publishDate | 2025 |
| publisher.none.fl_str_mv | Lebanese American University |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon”Mattar, Lama HaisamRationale: Non-communicable diseases (NCDs) are a leading cause of mortality in Lebanon, with diet playing a significant role in their prevention. Due to the high burden of NCDs, accurate and culturally appropriate dietary assessment tools are needed. The Modified Mediterranean Prime Screen (MMPS), a culture-specific dietary screener, was developed to assess dietary intake associated with NCD risk in adults in Lebanon. Methods: This study aimed to validate the MMPS against a reference Food Frequency Questionnaire (FFQ) to evaluate its reproducibility and agreement in assessing diet quality indices such as the Mediterranean Diet Score (MDS) and Dietary Approaches to Stop Hypertension (DASH). Reproducibility and agreement were assessed through Intraclass Correlation Coefficients (ICCs) and Cohen’s Kappa (κ). Results: The study included 214 adults (65% females, mean age 38.9 ± 13.4 years). For the MDS components, the FFQ demonstrated excellent reproducibility for vegetables and legumes and good to moderate for all the other components except for fruits (poor reproducibility). The MMPS also showed excellent reproducibility for fish and good to moderate reproducibility for all the other components except for cereals (poor reproducibility). Agreement between FFQ and MMPS was good to moderate for all food groups, however it was poor for the MDS total score (ICC = 0.435). For DASH components, Cohen’s Kappa between FFQ1 and FFQ2 ranged from fair (fruits, κ = 0.357) to excellent (sweetened beverages, κ = 0.857). Reproducibility of the MMPS was stronger, particularly for whole grains (κ = 0.761) and red and processed meats (κ = 0.685). In contrast, agreement between FFQ and MMPS was highest for sweetened beverages (κ = 0.481) but slight to fair for most other components. Conclusion: The MMPS demonstrated moderate reproducibility and poor agreement in estimating key dietary quality indices, including the MDS and DASH.Lebanese American University2025-09-12T06:51:08Z2025-09-12T06:51:08Z20252025-08-08Thesisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttp://hdl.handle.net/10725/17253https://doi.org/10.26756/th.2023.830http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.phpeninfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/172532025-09-12T06:57:09Z |
| spellingShingle | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” Mattar, Lama Haisam |
| status_str | publishedVersion |
| title | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” |
| title_full | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” |
| title_fullStr | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” |
| title_full_unstemmed | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” |
| title_short | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” |
| title_sort | “Validity and Reproducibility of a Culturally Specific Diet Screener in Evaluating Diet Quality Indices among Adults in Lebanon” |
| url | http://hdl.handle.net/10725/17253 https://doi.org/10.26756/th.2023.830 http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php |