Underreporting of energy intake is less common among pregnant women in Indonesia

Winkvist, Anna; Persson, Viveka; Hartini, T. Ninuk S.

doi:10.1079/phn2001317

Cited by 36 publications

(55 citation statements)

References 21 publications

(32 reference statements)

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“…Individuals with a lower income might have more difficulties in the reporting tasks. Although some studies already observed that underreporters have lower income or education (Winkvist et al, 2002), the discriminant analysis used in our study allowed us to observe the importance of this variable. One may argue that income was highly relevant in this study because it was conducted in a developing country.…”

Section: Discussionmentioning

confidence: 89%

Characteristics of women who frequently under report their energy intake: a doubly labelled water study

et al. 2009

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Background/Objectives: We applied three dietary assessment methods and aimed at obtaining a set of physical, social and psychological variables that can discriminate those individuals who did not underreport ('never under-reporters'), those who underreported in one dietary assessment method ('occasional under-reporters') and those who underreported in two or three dietary assessment methods ('frequent under-reporters'). Participants/Methods: Sixty-five women aged 18-57 years were recruited for this study. Total energy expenditure was determined by doubly labelled water, and energy intake was estimated by three 24-h diet recalls, 3-day food records and a food frequency questionnaire. A multiple discriminant analysis was used to identify which of those variables better discriminated the three groups: body mass index (BMI), income, education, social desirability, nutritional knowledge, dietary restraint, physical activity practice, body dissatisfaction and binge-eating symptoms. Results: Twenty-three participants were 'never under-reporters'. Twenty-four participants were 'occasional under-reporters' and 18 were 'frequent under-reporters'. Four variables entered the discriminant model: income, BMI, social desirability and body dissatisfaction. According to potency indices, income contributed the most to the total discriminant power, followed in decreasing order by social desirability score, BMI and body dissatisfaction. Income, social desirability and BMI were the characteristics that mainly separated the 'never under-reporters' from the under-reporters (occasional or frequent). Body dissatisfaction better discriminated the 'occasional under-reporters' from the 'frequent under-reporters'. Conclusions: 'Frequent under-reporters' have a greater BMI, social desirability score, body dissatisfaction score and lower income. These four variables seemed to be able to discriminate individuals who are more prone to systematic under reporting.

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Section: Discussionmentioning

confidence: 89%

Characteristics of women who frequently under report their energy intake: a doubly labelled water study

et al. 2009

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“…Two previous studies in middle-income countries 29 estimated underreporting of 43% (for FFQ data) in South Africa 30 and 10% (using a 24-hour recall) in Egyptian women 12 . Levels of 29.7%, 16.2% and 17.6% during the first, second and third trimesters of pregnancy in Indonesia, a low-income country 31 , and underreporting of 5% for Cameroon 13 , have been reported. An earlier descriptive analysis of these data reported high underreporting in Jamaica, although levels were lower than in the United Kingdom 13 .…”

Section: Discussionmentioning

confidence: 99%

Under- and overreporting of energy is related to obesity, lifestyle factors and food group intakes in Jamaican adults

Mendez¹,

Wynter

Wilks

et al. 2004

Public Health Nutr.

116

100

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Objective: Research in industrialised countries has documented a high prevalence of underreported energy intakes associated with characteristics such as obesity. This paper examines the prevalence, patterns and impact of energy under-and overreporting on diet-obesity relationships in a middle-income developing country. Design: A 70-item food-frequency questionnaire was used. Underreporters had reported energy intakes , 1.35 £ basal metabolic rate (BMR), overreporters . 2.4 £ BMR. Multinomial models were used to identify characteristics associated with implausible reporting. Intakes were compared across reporting groups to assess evidence of bias. Associations between diet and obesity were compared with and without adjustment for implausible reporting. Setting: Spanish Town, neighbouring the capital city of Kingston, Jamaica. Subjects: Eight hundred and ninety-one Jamaican adults, aged 25-75 years, were randomly recruited. Results: More women than men (38.6% vs. 22.5%) underreported, but more men overreported energy (23.7% vs. 16.0%). Underreporting was positively associated with obesity, special diets, smoking and age; age was inversely associated with overreporting. Underreporters estimated lower energy from potentially socially undesirable food groups (e.g. snacks) and higher intakes of 'healthy' foods (e.g. fruit) than did plausible reporters. For some of these food groups, significant differences in intakes among normal-weight versus obese subjects observed among plausible reporters were absent when implausible reporters were included. In models of food group -obesity associations, adjusting for implausible energy yielded more credible results that more closely resembled findings in plausible reporters. Conclusions: Energy under-and overreporting are highly prevalent in Jamaica. Adjusting for implausible reporting may help to reduce bias in diet -health outcome associations.

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“…This procedure defined so-called cut-off limits for EI/BMR, thereby providing limits below which EI must be recognized as being incompatible with long-term maintenance of energy balance and survival. This kind of procedure has been widely applied to indicate the quality of dietary reports, including those of pregnant women (16,30,37). However, for the following reasons this procedure is not appropriate for pregnant women: First, it assumes that subjects are in energy balance, an assumption that is rarely valid during pregnancy.…”

Section: Figurementioning

confidence: 99%

Energy Metabolism During Human Pregnancy

Forsum

Löf

2007

Annu. Rev. Nutr.

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This review summarizes information regarding how human energy metabolism is affected by pregnancy, and current estimates of energy requirements during pregnancy are presented. Such estimates can be calculated using either increases in basal metabolic rate (BMR) or increases in total energy expenditure (TEE). The two modes of calculation give similar results for a complete pregnancy but different distributions of energy requirements in the three trimesters. Recent information is presented regarding the effect of pregnancy on BMR, TEE, diet-induced thermogenesis, and physical activity. The validity of energy intake (EI) data recently assessed in well-nourished pregnant women was evaluated using information regarding energy metabolism during pregnancy. The results show that underreporting of EI is common during pregnancy and indicate that additional longitudinal studies, taking the total energy budget during pregnancy into account, are needed to satisfactorily define energy requirements during the three trimesters of gestation.

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Underreporting of energy intake is less common among pregnant women in Indonesia

Cited by 36 publications

References 21 publications

Characteristics of women who frequently under report their energy intake: a doubly labelled water study

Characteristics of women who frequently under report their energy intake: a doubly labelled water study

Under- and overreporting of energy is related to obesity, lifestyle factors and food group intakes in Jamaican adults

Energy Metabolism During Human Pregnancy

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