Validity of reported energy intake in obese and nonobese adolescents

Bandini, Linda G.; Schoeller, Dale A.; Cyr, Hélène; Dietz, William H.

doi:10.1093/ajcn/52.3.421

Cited by 582 publications

(378 citation statements)

References 19 publications

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“…Both mean BMI and body fat and the prevalence of overweight and obesity were markedly higher among the under-reporters, confirming the associations seen in earlier studies (4)(5)(6)(7)9,10,13,25) . The over-reporters had significantly lower BMI and 97 % of them had a BMI below 25 kg/m 2 , as compared with 88 % in the study by Johansson et al (9) .…”

Section: Discussionsupporting

confidence: 88%

Characteristics of under- and over-reporters of energy intake among 18–20-year-old males: the Gothenburg Osteoporosis and Obesity Determinants (GOOD) study

Klingberg

Hallenberg

Lorentzon

et al. 2008

Public Health Nutr.

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Objective: To identify and describe characteristics of the bias of reported energy intake of participants in the Gothenburg Osteoporosis and Obesity Determinants (GOOD) study. Design: A validated diet history with a detailed questionnaire and an interview was used. Body fat was analysed by dual-energy X-ray absorptiometry. The ratio of energy intake (EI) to BMR was used to define under-reporters (EI:BMR , 1?30), acceptable reporters (EI:BMR $ 1.30 to ,2.64) and over-reporters (EI:BMR $ 2.64). Setting: Sahlgrenska University Hospital, Gothenburg, Sweden. Subjects: A total of 695 males (18-20 years). Results: Sixty-eight per cent were classed as acceptable reporters, 22 % as overreporters and 10 % as under-reporters. The under-reporters had higher BMI and body fat percentage than acceptable reporters (P , 0?001), while over-reporters had lower BMI and body fat percentage (P , 0?001). Over-reporters had more frequent use of protein supplements than acceptable reporters and higher physical activity. Over-reporters had a more regular and under-reporters a less regular meal pattern compared with acceptable reporters. Conclusions: Important knowledge of dietary reporting bias in a previously sparsely studied population has been provided. Over-reporting of energy intake was more common than under-reporting in the present population of young men and characteristics of under-and over-reporters were identified. The GOOD study was initiated with the central aim to determine environmental and genetic factors involved in the regulation of bone and fat mass, and the nutrient data of the acceptable reporters can be used for further investigation of the health effects of energy and nutrient intake. Virtually all dietary assessments are based on self-reported dietary intake, which is frequently biased, resulting in over-or underestimation of the actual energy intake (1) . If subjects are in energy balance, i.e. weight-stable, the energy intake must correspond to the total energy expenditure. The doubly labelled water (DLW) technique is considered the 'gold standard' for determining total energy expenditure (2) ; however, the method is expensive and therefore not used in large studies. As an alternative method for detecting misreported energy intake the Goldberg cut-off (3) can be used. In a review, Black et al. (1) concluded that underreporting and under-eating occur in most dietary assessments, but with varying frequency according to the dietary assessment method used. Several characteristics of under-reporters, such as high BMI, high body fat percentage, food-specific reporting, low intake of fat, and high intake of protein and micronutrients, have been presented (4)(5)(6)(7)(8)(9)(10)(11)(12)(13) .Only a few studies have investigated the frequency and characteristics of over-reporting. Young, lean males have been found to be a group with a relatively high prevalence of over-reporting (9,12) , but data are sparse. The interpretation of relationships between diet and other variables can lead to false conclusions if bias ...

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Section: Discussionsupporting

confidence: 88%

Characteristics of under- and over-reporters of energy intake among 18–20-year-old males: the Gothenburg Osteoporosis and Obesity Determinants (GOOD) study

Klingberg

Hallenberg

Lorentzon

et al. 2008

Public Health Nutr.

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“…The FFQ does not assess the entire IRR, incidence rate ratio. *IRR for all adherence scores were adjusted for age (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)30-39, 40-49 and 50-60 years), sex, energy intake (in four categories), BMI (low, normal, overweight and obese), weakened immune system (yes/no), asthma (yes/no), perceived stress (below and above median), education level (secondary school or less and university), smoking (daily/less frequent/previous/never) and month (February to May).…”

Section: Discussionmentioning

confidence: 99%

Adherence to the Nordic Nutrition Recommendations as a measure of a healthy diet and upper respiratory tract infection

Fondell

Christensen

Bälter

et al. 2010

Public Health Nutr.

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Objective: The Nordic countries have published joint dietary recommendations, the Nordic Nutrition Recommendations (NNR), since 1980. We evaluated adherence to the NNR as a measure of a healthy diet and its potential association with self-reported upper respiratory tract infection (URTI). Design: A prospective, population-based study with a follow-up period of 4 months. Dietary intake was assessed using a semi-quantitative FFQ with ninetysix items, along with other lifestyle factors, at baseline. URTI was assessed every three weeks. A Poisson regression model was used to control for age, sex and other confounding factors. Setting: A middle-sized county in northern Sweden. Subjects: Swedish men and women (n 1509) aged 20-60 years. Results: The NNR include recommendations on macronutrient proportions, physical activity and intake of micronutrients, sodium, fibre and alcohol. We found that overall adherence to the NNR was moderately good. In addition, we found that high adherence to the NNR (.5?5 adherence points) was not associated with a lower risk of URTI (incidence rate ratio (IRR) 0?89, 95 % CI 0?73, 1?08) compared with low adherence (,4?5 adherence points). When investigating individual components of the NNR, only high physical activity was associated with lower URTI risk (IRR 5 0?82, 95 % CI 0?69, 0?97) whereas none of the dietary components were associated with risk of URTI. Conclusions: Overall adherence to the NNR was moderately good. Overall adherence to the NNR was not associated with URTI risk in our study. However, when investigating individual components of the NNR, we found that high physical activity was associated with lower URTI risk.

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“…emotional eating (overeating in response to emotions, corresponding to the psychosomatic theory of Bruch, 1964) 2. externally induced eating (eating in response to foodrelated stimuli, regardless of the internal states of hunger and satiety, corresponding to the externality theory of Schachter & Rodin, 1974) 3. restrained eating (attempts to refrain from eating, corresponding to the restrained eating theory of Herman & Polivy, 1975) The parent version (the DEBQ-P), used in the present study, was constructed in order to overcome the difficulties in assessing psychological factors of overeating in children due to low validity of self-reports (Bandini et al, 1990;Miotto et al, 2002). Each of the three scales of the DEBQ-P corresponds to a distinct factor and has adequate internal consistency.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Dutch Eating Behaviour Questionnaire parent version (DEBQ-P) in the Italian population: a screening tool to detect differences in eating behaviour among obese, overweight and normal-weight preadolescents

et al. 2004

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Objective: To validate the Dutch Eating Behaviour Questionnaire Parent version (DEBQ-P) in the Italian population and investigate the differences in eating behaviour among Italian normal-weight, overweight and obese preadolescents. Design: A cross-sectional validation study. Participants were measured and the approved translation of the questionnaire was administered to their parents. Setting: Three school communities in the province of Bergamo, Northern Italy. Subjects: A total of 312 preadolescents (mean age 12.9 y; s.d. 0.8, both sexes) from three secondary schools of the province of Bergamo, Northern Italy, and their parents were invited to participate to the study. Informed written consent was obtained from each subject and their parents. Students were measured and their parents filled in the approved translation of the DEBQ-P. Recruitment was opportunistic and school based. Results: Factor and internal consistency analysis confirmed the factor structure of the DEBQ-P and the high internal consistency of its three scales. Variance analysis showed that eating behaviour of Italian normal-weight, overweight and obese preadolescents differs significantly only in regards to the 'restrained eating' scale (F 19.29, Po0.001), with overweight and obese scoring higher. Conclusions: The DEBQ-P can be used for screening projects regarding eating behaviour in the Italian population. The association between restrained eating and weight status was confirmed for both sexes, but the relationship between external eating and emotional overeating and overweight requires further exploration.

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Validity of reported energy intake in obese and nonobese adolescents

Cited by 582 publications

References 19 publications

Characteristics of under- and over-reporters of energy intake among 18–20-year-old males: the Gothenburg Osteoporosis and Obesity Determinants (GOOD) study

Characteristics of under- and over-reporters of energy intake among 18–20-year-old males: the Gothenburg Osteoporosis and Obesity Determinants (GOOD) study

Adherence to the Nordic Nutrition Recommendations as a measure of a healthy diet and upper respiratory tract infection

Validation of the Dutch Eating Behaviour Questionnaire parent version (DEBQ-P) in the Italian population: a screening tool to detect differences in eating behaviour among obese, overweight and normal-weight preadolescents

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