Comparison of a web-based food record tool and a food-frequency questionnaire and objective validation using the doubly labelled water technique in a Swedish middle-aged population

Nybacka, Sanna; Forslund, Heléne Bertéus; Wirfält, Elisabet; Larsson, Ingrid; Ericson, Ulrika; Lemming, Eva Warensjö; Bergström, Göran; Hedblad, Bo; Winkvist, Anna; Lindroos, Anna Karin

doi:10.1017/jns.2016.29

Cited by 48 publications

(57 citation statements)

References 44 publications

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“…To date, however, the evidence for the accuracy of food records against recovery biomarkers has been limited to energy. Studies found that energy intake on multiple-day food records, on average, was underestimated by 20-25% compared with DLW (37)(38)(39)(40). More recently, the Nutrition and Physical Activity Assessment Study (NPAAS) evaluated a 4DFR against recovery biomarkers in women and found that mean energy intakes were underestimated by 20%, whereas absolute intakes of protein and sodium were underestimated by 2-4% and the absolute intake of potassium was overestimated by 20% (7,11).…”

Section: Resultsmentioning

confidence: 99%

Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers

Park

Dodd

Kipnis

et al. 2018

The American Journal of Clinical Nutrition

277

194

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Background: A limited number of studies have evaluated selfreported dietary intakes against objective recovery biomarkers. Objective: The aim was to compare dietary intakes of multiple Automated Self-Administered 24-h recalls (ASA24s), 4-d food records (4DFRs), and food-frequency questionnaires (FFQs) against recovery biomarkers and to estimate the prevalence of under-and overreporting. Design: Over 12 mo, 530 men and 545 women, aged 50-74 y, were asked to complete 6 ASA24s (2011 version), 2 unweighed 4DFRs, 2 FFQs, two 24-h urine collections (biomarkers for protein, potassium, and sodium intakes), and 1 administration of doubly labeled water (biomarker for energy intake). Absolute and density-based energyadjusted nutrient intakes were calculated. The prevalence of underand overreporting of self-report against biomarkers was estimated. Results: Ninety-two percent of men and 87% of women completed ≥3 ASA24s (mean ASA24s completed: 5.4 and 5.1 for men and women, respectively). Absolute intakes of energy, protein, potassium, and sodium assessed by all self-reported instruments were systematically lower than those from recovery biomarkers, with underreporting greater for energy than for other nutrients. On average, compared with the energy biomarker, intake was underestimated by 15-17% on ASA24s, 18-21% on 4DFRs, and 29-34% on FFQs. Underreporting was more prevalent on FFQs than on ASA24s and 4DFRs and among obese individuals. Mean protein and sodium densities on ASA24s, 4DFRs, and FFQs were similar to biomarker values, but potassium density on FFQs was 26-40% higher, leading to a substantial increase in the prevalence of overreporting compared with absolute potassium intake. Conclusions: Although misreporting is present in all self-report dietary assessment tools, multiple ASA24s and a 4DFR provided the best estimates of absolute dietary intakes for these few nutrients and outperformed FFQs. Energy adjustment improved estimates from FFQs for protein and sodium but not for potassium. The ASA24, which now can be used to collect both recalls and records, is a feasible means to collect dietary data for nutrition research.Am J Clin Nutr 2018;107:80-93.

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Section: Resultsmentioning

confidence: 99%

Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers

Park

Dodd

Kipnis

et al. 2018

The American Journal of Clinical Nutrition

277

194

View full text Add to dashboard Cite

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“…Strengths of the present study were the nation-wide, population-based approach employed for participant recruitment and the fact that dietary intake was assessed by repeated recordings, rather than a food frequency questionnaire, and covered several consecutive days, allowing variations in more frequent nutrients in the overall diet to be captured [14]. Still, all methods for recording diet intake suffer from recall bias, with systematic under-reporting being most common and most serious for data inference [28]. To limit the effects of under-reporting, we excluded subjects with the lowest energy intake and those who reported unrealistic energy intake relative to estimated need [18], and we energystandardized all dietary measures by the residual method [29].…”

Section: Discussionmentioning

confidence: 99%

Diet and nutrient status of legume consumers in Sweden: a descriptive cross-sectional study

Steib

Johansson

Hefni

et al. 2020

Nutr J

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Background: Legumes are nutrient-dense foods and can be an environmentally sustainable alternative to meat consumption. Data on legume intake are scarce and data on legume consumption in Sweden are lacking. This study investigated dietary intake and dietary patterns, together with iron, vitamin D, and folate status, in relation to legume consumption in Sweden. Methods: Cross-sectional dietary and biomarker data (n 1760) from the 2011 Riksmaten national survey were analyzed. All legume foods (including soy) were identified from 4-day dietary records and ferritin, folate, and vitamin D status in a subgroup (n 280). Participants were classified into non-consumers and quartiles of legume intake. Principal Component Analysis (PCA) was performed to uncover dietary patterns associated with legume intake. Partial Least Square (PLS) regression was used to identify variables associated with variations in legume consumption. Results: Legumes were consumed by 44% of the population, with mean (SD) intake of 138 (84) g/d in the highest and 11 (5) g/d in the lowest quartiles. Among consumers, 6% reported being vegetarian, compared with 0.9% among non-consumers. Legume consumers drank less alcohol, but had higher intakes of energy, dietary fiber, folate, thiamin, and several minerals, and more often met recommended intake levels for folate and fiber, critical nutrients in Sweden. Biomarker status did not differ with legume intake. PCA revealed multiple loadings on legumes that generally reflected healthier eating habits for legume-consuming women. PLS revealed that vegetarianism was most influential for high legume intake. Other influential variables were high fruit, tea, nut, and seed intakes. High intake of meat, sodas, fast foods, and sweet foods, together with omnivorism, were influential for low legume intake. The associations were similar for men and women. Conclusions: This study supports dietary recommendations on inclusion of legumes in a healthy diet. Greater focus on assessment of legume intake is necessary to explore the population-wide health effects of legumes as sustainable meat alternatives, and to reinforce national nutritional guidelines.

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“…The aim of this study was to use carotenoids as biomarkers of fruit and vegetable intake and alkylresorcinols as biomarkers of whole grain wheat and rye intake, when examining and comparing the ability of the two self-reported methods to capture habitual dietary intake. The validation on energy intake has previously been carried out [29]. Both methods are web-based and the validation process involves novel biomarkers, which makes this topic of interest for anyone involved in developing and evaluating new dietary assessment methods.…”

Section: Introductionmentioning

confidence: 99%

Carotenoids and alkylresorcinols as objective biomarkers of diet quality when assessing the validity of a web-based food record tool and a food frequency questionnaire in a middle-aged population

et al. 2016

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Background: Recently, two web-based dietary assessment tools were developed; a 4-day food record tool (the Riksmaten method), and a food frequency questionnaire (MiniMeal-Q). The aim of this study was to use objective biomarkers to examine the ability of the two methods to capture habitual dietary intake. Methods: In total, 200 individuals from the pilot study of the Swedish CArdioPulmonary bioImage Study (SCAPIS) participated. Plasma concentration of carotenoids were determined with high-performance liquid chromatography (HPLC) and used as biomarkers of fruit and vegetable intake. A gas chromatography mass spectrometry (GC-MS) method was used to quantify alkylresorcinol homologues, which were used as biomarkers of whole grain wheat and rye intake.

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Comparison of a web-based food record tool and a food-frequency questionnaire and objective validation using the doubly labelled water technique in a Swedish middle-aged population

Cited by 48 publications

References 44 publications

Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers

Comparison of self-reported dietary intakes from the Automated Self-Administered 24-h recall, 4-d food records, and food-frequency questionnaires against recovery biomarkers

Diet and nutrient status of legume consumers in Sweden: a descriptive cross-sectional study

Carotenoids and alkylresorcinols as objective biomarkers of diet quality when assessing the validity of a web-based food record tool and a food frequency questionnaire in a middle-aged population

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