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FFQ-Osteoporosis 1

The document is a Food Frequency Questionnaire (FFQ) designed for patients with osteoporosis, collecting personal information and dietary habits over the past six months. It includes sections on food consumption frequency, types of food items, and vitamin D exposure and supplementation. The questionnaire aims to assess dietary patterns that may impact osteoporosis management.

Uploaded by

Poresh Girhepunje
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39 views6 pages

FFQ-Osteoporosis 1

The document is a Food Frequency Questionnaire (FFQ) designed for patients with osteoporosis, collecting personal information and dietary habits over the past six months. It includes sections on food consumption frequency, types of food items, and vitamin D exposure and supplementation. The questionnaire aims to assess dietary patterns that may impact osteoporosis management.

Uploaded by

Poresh Girhepunje
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Food Frequency Questionnaire (FFQ) for Osteoporosis Patients

Section A: Personal Information

1. Name: _____________________________________
2. Age: ______________________________________
3. Gender: ☐ Male ☐ Female
4. Height (cm): _______________________________
5. Weight (kg): _______________________________
6. Occupation: ________________________________
7. Region (State/City): _________________________
8. Diagnosis of Osteoporosis (Year): _____________
9. Medications/Supplements (if any): ____________

Frequency of consumption over the past 6 months Amount and Measurement (household)
Food Items

Daily 3-4 1-2 Less than Never/Rarely Bowl Plate Cup


times/week times/week once a week

1) How often do you consume


meals per day?
Food Source –

2) How often do you consume


dairy products?

a) Milk

b) Yogurt

c) Paneer

d) Cheese

3) How often do you consume


green leafy vegetables?

a) Spinach

b) Broccoli

4) How often do you consume


lentils and Pulses?
a) Dal

b) Chana

c) Rajma

5) How often do you consume


fish?

a) Sardines

b) Pilchards

6) How often do you consume


soy products?

a) Soy milk

b) Tofu

7) How often do you consume


calcium-fortified foods
a) Fortified cereals

b) Fortified orange juice

8) How often do you consume


nuts and seeds?

a) Almonds

b) Sesame seeds

c) Flaxseeds

9) How often do you consume


whole grains

a) Ragi

b) Rajgira

c) Millets
10) How often do use consume
fast food and drinks?

a) Carbonated drinks

b) Process meats (i.e.,


hot dogs, marinated
chicken )

11) How often do you get direct


exposure to sunlight
(without sunscreen) for at
least 15 minutes?

12) How often do you consume


vitamin D-rich foods (e.g.,
mushrooms, fortified milk,
eggs)?

13) Do you take any vitamin D


supplements?

14) How often do you consume


caffeinated drinks
a) Tea

b) Coffee

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