Underreporting of energy intake in four populations of African origin

Mennen, LI; Jackson, Maria; Cade, Janet; Mbanya, Jean Claude; Lafay, Lionel; Sharma, Sangita; Walker, Susan; Chungong, Stella; Wilks, Rainford; Balkau, B.; Forrester, Terrence; Cruickshank, J.K.

doi:10.1038/sj.ijo.0801246

Cited by 37 publications

(41 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our earlier report 18 showed that the prevalence of underreporting was lowest in rural Cameroon, somewhat higher in urban Cameroon and Jamaica and highest in the UK, suggesting trends in cultural influences on obesity.…”

Section: Non-dietary Factorsmentioning

confidence: 80%

“…In crosssectional studies weight status may influence intakes and obscure any relationship of dietary contribution to weight outcomes. In spite of the care taken to eliminate underand over-reporters, our data may also be subject to methodological bias, such as the ability to estimate diet 11 , as previously discussed 18 . An unexpected finding was the association of higher protein intake with overweight.…”

Section: Diet and Excess Weightmentioning

confidence: 97%

See 1 more Smart Citation

Diet and overweight and obesity in populations of African origin: Cameroon, Jamaica and the UK

Jackson

Walker

Cruickshank

et al. 2007

Public Health Nutr.

Self Cite

View full text Add to dashboard Cite

Objectives: To determine the relationship of diet to overweight and obesity among populations of African origin. Design and setting: Cross-sectional data were obtained from adults aged 25-74 years in rural Cameroon (n ¼ 686), urban Cameroon (n ¼ 975), Jamaica (n ¼ 924) and Afro-Caribbeans in the UK (n ¼ 257). Dietary data were collected using foodfrequency questionnaires specifically designed for each site. Body mass index (BMI) was used as a measure of overweight. Results: The expected gradient in the distribution of overweight across sites was seen in females (rural Cameroon, 9.5%; urban Cameroon, 47.1%; Jamaica, 63.8%; UK, 71.6%); however, among males overweight was less prevalent in Jamaica (22.0%) than urban Cameroon (36.3%). In developing countries increased risks of overweight (BMI $ 25 kg m 22 ) were influenced by higher energy (urban Cameroonian men) and protein (Jamaican women) intakes. No dietary variables were associated with obesity (BMI $ 30 kg m 22 ) in Cameroon or Jamaica. In the UK, energy intakes were inversely related with overweight whereas increased risks of being overweight were associated with higher protein (men) and fat (women) intakes. Similarly, whereas higher protein and fat intakes in UK men and women were associated with obesity, carbohydrate intakes were associated with decreased risks of obesity in men. Conclusions: Diet and overweight were associated in the UK but few dietary variables were related to overweight in Jamaica and the Cameroon. These findings suggest that associations between diet and overweight/obesity are not generalisable among populations. Keywords Diet Overweight African originObesity in adult populations is recognised as a growing epidemic worldwide 1 and appears to be increasing more rapidly in developing countries 2 . Importantly, obesity is associated with non-communicable diseases, including non-insulin-dependent diabetes, hypertension, dyslipidaemia, cardiovascular diseases, certain types of cancers and psychological problems 1 . The disproportionate increase in the developing world has been attributed to the 'nutrition transition', a shift from traditional diets and lifestyle to the pattern of Western societies 2 . Its serious implications for the health of these populations are clear through the link between overweight and chronic non-communicable diseases.Little is known about diet and its contribution to adiposity in the African Diaspora. We have previously reported on the variation in diet across three populations that share a common genetic ancestry but different environmentsrural and urban Cameroon, Jamaica and Afro-Caribbeans the UK 3 . Our investigation of adult Jamaicans of African descent regarding the relationships between body mass index (BMI) and diet showed that BMI was not explained by energy and that higher protein intake was associated with increased BMI in females only 4 . In the present study we investigated the relationship of diet to overweight and obesity across these different populations.It was hypothesised that, relative t...

show abstract

Section: Non-dietary Factorsmentioning

confidence: 80%

Section: Diet and Excess Weightmentioning

confidence: 97%

Diet and overweight and obesity in populations of African origin: Cameroon, Jamaica and the UK

Jackson

Walker

Cruickshank

et al. 2007

Public Health Nutr.

Self Cite

View full text Add to dashboard Cite

show abstract

“…In an Irish study (Kilkenny Health Project), reported energy intake from an FFQ below a cut-off of 1.27 identified 53% of subjects as underreporters 25 . Another FFQ administered in the UK evaluated close to 39% of men and 28% of women as underreporters 26 . It must be noted that dietary underreporting is not confined to FFQs, but occurs with all dietary assessment methods, indicating a possibly consistent aberrant behaviour when nutritional evaluation is performed 3,7 .…”

Section: Discussionmentioning

confidence: 99%

“…Participants were categorised by age group (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) 21 . The PAL values were 1.55, 1.78 and 2.10 for men, and 1.56, 1.64 and 1.82 for women.…”

Section: Assessment Of Lifestyle Variablesmentioning

confidence: 99%

Underreporting of energy intake from a self-administered food-frequency questionnaire completed by adults in Montreal

Bedard

Shatenstein

Nadon

2004

Public Health Nutr.

View full text Add to dashboard Cite

Background: Energy intake determined from self-reported dietary assessment methods may be underreported. Therefore, it is important that such methods be validated against another with known validity for energy intake or energy expenditure. Methods: We investigated potential underestimation of energy intake obtained from our semi-quantitative food-frequency questionnaire (FFQ) administered between 2000 and 2001 in the metropolitan area of Montreal, Canada. The study population included 246 adults aged 18 to 82 years. The ratio of energy intake to estimated basal metabolic rate (EI/BMR) was used to assess underreporting and physical activity was determined from self-administered questions. Comparison of the EI/BMR ratio with the Goldberg statistical cut-off allowed us to detect individuals who were low energy reporters (LERs). LERs and non-LERs were compared to determine if they differed on sociodemographic, anthropometric and lifestyle variables. Results: The EI/BMR ratio was 1.26 for men and 1.32 for women. LERs represented 43% of the sample of individuals. Male LERs accounted for 54% compared with 35% among females. Underreporting of energy intake was highest in men and individuals who were older, heavier, with higher body mass index and lower education level. A higher proportion of male LERs perceived their financial situation as adequate while a greater proportion of female LERs considered themselves poor. Conclusion: Our data suggest that underreporting of energy intake from the FFQ was considerable and may bias dietary interpretation. As this was uneven across the sample, it is crucial to recognise the characteristics of LERs in order to increase the validity of reported energy intake.

show abstract

“…The cut-off level for defining under-reporting depends on the physical activity level of the population. We collected data on activity and energy expenditure based on Lipid Research Clinic (LRC) questionnaire, 24 but, because it had not been validated for our society, the results were unreliable so under-reporters were identified by cut-off value of energy intake divided by basal metabolism rate estimated using Harris and Benedict's equation 25 of less than 1.15 for adults 26 and 1.06 27 for children and adolescents. These cut-off points have been used for subjects with sedentary to average physical activity levels in previous reports.…”

Section: Measurementsmentioning

confidence: 99%

Familial clustering of obesity and the role of nutrition: Tehran Lipid and Glucose Study

2002

View full text Add to dashboard Cite

OBJECTIVE:To clarify the hypothesis that parent's dietary intakes are associated with their offspring's body mass index. DESIGN: Observational analytical cross-sectional survey among inhabitants of district 13 in the east of Tehran. SUBJECTS: A total of 117 healthy families comprising 474 subjects including 240 offspring (3 -25 y old). MEASUREMENTS: Weight and height were measured by a standard protocol and body mass index (kg=m 2 ) was calculated. Dietary intakes were assessed by means of a 2 day dietary recall questionnaire. RESULTS: The prevalence of overweight was 11.8% in offspring of normal-weight parents, 19.0% in offspring of overweight fathers and normal-weight mothers, 25.4% in offspring of overweight mothers and normal-weight fathers and 40.8% in offspring with both parents overweight. The Offspring's overweight was significantly and independently associated with highenergy intake of both parents (odds ratio; 95% CI 2.7; 1.6 -4.5). Adjusted for the sex of parents, the chances of offspring being overweight were higher in overweight (3.8; 1.5 -9.2) and high-energy-intake mothers (2.6; 1.2 -5.6) and high-energy-intake fathers (2.0; 1.1 -3.9) as compared with children of normal-weight parents. High fat intake of husbands was an independent risk factor increasing the chances of their wives being overweight (2.1; 1.5 -3.6) and vice versa (1.8; 1.2 -2.8). CONCLUSION: The observed familial obesity pattern was shown to be associated with the familial dietary intakes. Hence, familial intervention seems essential to stop the accelerated rise in the prevalence of overweight and obesity in our community.

show abstract

Underreporting of energy intake in four populations of African origin

Cited by 37 publications

References 12 publications

Diet and overweight and obesity in populations of African origin: Cameroon, Jamaica and the UK

Diet and overweight and obesity in populations of African origin: Cameroon, Jamaica and the UK

Underreporting of energy intake from a self-administered food-frequency questionnaire completed by adults in Montreal

Familial clustering of obesity and the role of nutrition: Tehran Lipid and Glucose Study

Contact Info

Product

Resources

About