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Original Articles

An assessment of the testretest reliability of the New Nordic Diet score

, , , , &
Article: 28397 | Received 01 May 2015, Accepted 21 Jul 2015, Published online: 11 Aug 2015
 

Abstract

Background

There is a growing interest in the New Nordic Diet (NND) as a potentially health promoting, environmentally friendly, and palatable regional diet. Also, dietary scores are gaining ground as a complementary approach for examining relations between dietary patterns and various health outcomes. A score assessing adherence to the NND has earlier been published, yet not tested for reliability.

Objective

To assess the test–retest reliability of the NND score in a sample of parents of toddlers, residing in Southern Norway.

Design

A questionnaire survey was completed on two occasions, approximately 14 days apart, by 67 parents of toddlers [85% females, mean age 34 years (SD=5.3 years)]. The NND score was constructed from 24 items and comprised 10 subscales that summarize meal pattern and intake of typical Nordic foods. Each subscale was dichotomized by the median and assigned values of ‘0’ or ‘1’. Adding the subscales yielded a score ranging from 0 to 10, which was further trichotomized. Test–retest reliability of the final NND score and individual subscales was assessed by Pearson's correlation coefficient and Spearman's rank correlation coefficient, respectively. Additionally, cross tabulation and kappa measure of agreement (k) were used to assess the test–retest agreement of classification into the NND score, and the subscales.

Results

Test–retest correlations of the NND score and subscales were r=0.80 (Pearson) and r=0.54–0.84 (Spearman), respectively, all p<0.001. There were 69% (k=0.52) and 67–88% (k=0.32–0.76) test–retest correct classification of the trichotomized score and the dichotomized subscales, respectively.

Conclusion

The NND score and the 10 subscales appear to have acceptable test–retest reliability when tested in a sample of parents of toddlers.

Acknowledgements

The authors are grateful to participating parents for their indispensable contribution.

Conflict of interest and funding

The study was financially supported by the University of Agder.