Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon

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 wo...

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Main Author: Assaad, Mariam (author)
Other Authors: Ajjour, Sara (author), Rahme, Maya (author), Al-Shaar, Laila (author), Sakr, May (author), Ghattas, Hala (author), El-Hajj Fuleihan, Ghada (author), Jabbour, Jana (author)
Format: article
Published: 2024
Online Access:http://hdl.handle.net/10725/16565
https://doi.org/10.1017/S0007114524000977
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/development-and-validity-of-the-modified-mediterranean-prime-screen-to-assess-dietary-intake-among-women-of-reproductive-age-in-lebanon/EC78F33EDAF3D89A0531CF1D29BAB572
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_version_ 1864513472925007872
author Assaad, Mariam
author2 Ajjour, Sara
Rahme, Maya
Al-Shaar, Laila
Sakr, May
Ghattas, Hala
El-Hajj Fuleihan, Ghada
Jabbour, Jana
author2_role author
author
author
author
author
author
author
author_facet Assaad, Mariam
Ajjour, Sara
Rahme, Maya
Al-Shaar, Laila
Sakr, May
Ghattas, Hala
El-Hajj Fuleihan, Ghada
Jabbour, Jana
author_role author
dc.creator.none.fl_str_mv Assaad, Mariam
Ajjour, Sara
Rahme, Maya
Al-Shaar, Laila
Sakr, May
Ghattas, Hala
El-Hajj Fuleihan, Ghada
Jabbour, Jana
dc.date.none.fl_str_mv 2024
2024-07-28
2025-02-13T11:53:56Z
2025-02-13T11:53:56Z
dc.identifier.none.fl_str_mv 1475-2662
http://hdl.handle.net/10725/16565
https://doi.org/10.1017/S0007114524000977
Assaad, M., Ajjour, S., Rahme, M., Al-Shaar, L., Sakr, M., Ghattas, H., ... & Jabbour, J. (2024). Development and Validity of the ‘Modified Mediterranean Prime Screen’to assess Dietary Intake Among Women of Reproductive Age in Lebanon. British Journal of Nutrition, 132(2), 200-208.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/development-and-validity-of-the-modified-mediterranean-prime-screen-to-assess-dietary-intake-among-women-of-reproductive-age-in-lebanon/EC78F33EDAF3D89A0531CF1D29BAB572
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv British Journal of Nutrition
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description 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 with a culturally validated Food Frequency Questionnaire (FFQ), in Lebanon. We developed the MMPS consisting of thirty-two 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 coronavirus disease 2019 pandemic. The reproducibility and validity of the MMPS were assessed using intraclass correlation coefficients (ICC) and Pearson’s correlations, respectively. The study included 143 women, aged 31·5 (sd 4·6) years, BMI 24·2 (sd 4·0) kg/m2, 87 % with university education and 91 % food secure. The reproducibility of the MMPS was moderate for energy and all assessed nutrients except for SFA (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 PUFA (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 re-evaluate it after updating the fatty acid profiles in the culturally specific food composition tables.
eu_rights_str_mv openAccess
format article
id LAURepo_ac3245a135e383391d00a2180a0ac4f1
identifier_str_mv 1475-2662
Assaad, M., Ajjour, S., Rahme, M., Al-Shaar, L., Sakr, M., Ghattas, H., ... & Jabbour, J. (2024). Development and Validity of the ‘Modified Mediterranean Prime Screen’to assess Dietary Intake Among Women of Reproductive Age in Lebanon. British Journal of Nutrition, 132(2), 200-208.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/16565
publishDate 2024
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spelling Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in LebanonAssaad, MariamAjjour, SaraRahme, MayaAl-Shaar, LailaSakr, MayGhattas, HalaEl-Hajj Fuleihan, GhadaJabbour, JanaThe 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 with a culturally validated Food Frequency Questionnaire (FFQ), in Lebanon. We developed the MMPS consisting of thirty-two 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 coronavirus disease 2019 pandemic. The reproducibility and validity of the MMPS were assessed using intraclass correlation coefficients (ICC) and Pearson’s correlations, respectively. The study included 143 women, aged 31·5 (sd 4·6) years, BMI 24·2 (sd 4·0) kg/m2, 87 % with university education and 91 % food secure. The reproducibility of the MMPS was moderate for energy and all assessed nutrients except for SFA (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 PUFA (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 re-evaluate it after updating the fatty acid profiles in the culturally specific food composition tables.Published2025-02-13T11:53:56Z2025-02-13T11:53:56Z20242024-07-28Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1475-2662http://hdl.handle.net/10725/16565https://doi.org/10.1017/S0007114524000977Assaad, M., Ajjour, S., Rahme, M., Al-Shaar, L., Sakr, M., Ghattas, H., ... & Jabbour, J. (2024). Development and Validity of the ‘Modified Mediterranean Prime Screen’to assess Dietary Intake Among Women of Reproductive Age in Lebanon. British Journal of Nutrition, 132(2), 200-208.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.cambridge.org/core/journals/british-journal-of-nutrition/article/development-and-validity-of-the-modified-mediterranean-prime-screen-to-assess-dietary-intake-among-women-of-reproductive-age-in-lebanon/EC78F33EDAF3D89A0531CF1D29BAB572enBritish Journal of Nutritioninfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/165652025-02-26T14:46:59Z
spellingShingle Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
Assaad, Mariam
status_str publishedVersion
title Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
title_full Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
title_fullStr Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
title_full_unstemmed Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
title_short Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
title_sort Development and validity of the ‘Modified Mediterranean Prime Screen’ to assess dietary intake among women of reproductive age in Lebanon
url http://hdl.handle.net/10725/16565
https://doi.org/10.1017/S0007114524000977
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/development-and-validity-of-the-modified-mediterranean-prime-screen-to-assess-dietary-intake-among-women-of-reproductive-age-in-lebanon/EC78F33EDAF3D89A0531CF1D29BAB572