Who are the 'low energy reporters' in the dietary and nutritional survey of British adults?

Pryer, Jane; Vrijheid, Martine; Nichols, R; Kiggins, M; Elliott, Paul

doi:10.1093/ije/26.1.146

Cited by 228 publications

(205 citation statements)

References 12 publications

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“…Based on the low energy intake, this group could also be called a low food energy group or low energy reporter (LER) group. Other studies have reported higher BMI in low energy groups (Pryer et al, 1997(Pryer et al, , 2001Fraser et al, 2000), but we did not find the same tendency in our LER group. However, we found a somewhat higher percentage of Bold numbers marks cluster with highest intake, underlined numbers marks clusters with lowest intake.…”

Section: Discussioncontrasting

confidence: 99%

Dietary patterns and lifestyle factors in the Norwegian EPIC cohort: The Norwegian Women and Cancer (NOWAC) study

et al. 2005

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Objective: To identify different dietary patterns in Norway using a combination of cluster and factor analysis. Design: Cross-sectional study. Setting: Nation-wide, population-based study. Subjects: The Norwegian EPIC cohort is a subcohort of the Norwegian Women and Cancer study (NOWAC), and consist 37.226 women aged 41-56 y who answered a food frequency questionnaire (FFQ) in 1998. Interventions: The associations among 50 food variables were first investigated by using principal component analysis. Five important factors were found. The five principal components were then used as input in the cluster analysis. Different socioeconomic and lifestyle variables were examined. Results: Six clusters of dietary patterns were found, and were labelled accordingly: 'traditional fish eaters', 'healthy eaters', 'average, less fish, less healthy', 'Western', 'traditional bread eaters', and 'alcohol users'. The traditional fish eaters and the traditional bread eaters were both highly represented in the north and west of Norway and were more likely to be present among persons with lower income and lower education. The healthy and the alcohol drinkers were found mostly in the south and east and were more likely to have higher income. Persons in the alcohol group were more likely to be current smokers. The western group had the highest percentage of three or more persons in the household and the shortest time since last birth, indicating that families with children dominate this group. Conclusion: Our data indicate six different dietary patterns in Norway, each with different socio-demographic and lifestyle characteristics.

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Section: Discussioncontrasting

confidence: 99%

Dietary patterns and lifestyle factors in the Norwegian EPIC cohort: The Norwegian Women and Cancer (NOWAC) study

et al. 2005

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“…Additionally, the diet quality indices may be affected positively or negatively depending on the nutritional profile of the 'forgotten' food items in the 24-hour food recalls. The proportion of LERs is however similar to that found in the British population, although we did not find demographic, socio-economic or BMI differences between LERs and other subjects, unlike Pryer et al 45,46 . Nevertheless, the high proportion of overweight (46%) and obesity (22%) in our sample suggests that many subjects likely consume more energy than they need.…”

Section: Dietary Patterns According To Length Of Stay In Canada and Sessupporting

confidence: 83%

Dietary transition stages based on eating patterns and diet quality among Haitians of Montreal, Canada

Désilets

Rivard

Shatenstein

et al. 2007

Public Health Nutr.

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Objectives: To identify dietary transition stages based on dietary patterns of adult Haitians having lived in Montreal for various lengths of time, and to assess associated dietary quality. Subjects: One hundred and eighty-one Haitians aged 25 -60 years were recruited by the modified random digit dialling method. Design: Socio-economic, diet and lifestyle variables were documented by questionnaire. Three non-consecutive 24-hour dietary recalls were conducted over a 3-month period. Dietary patterns were studied using cluster analysis, and their association with proportion of lifetime in Canada and with socio-economic status (SES) was examined. Diet quality criteria were micronutrient adequacy and healthfulness based on dietary recommendations of the World Health Organization. Results: Four dietary phenotypes were identified which could roughly represent stages of dietary transition or acculturation (Traditional, Pre-Western, Western and Modern). Subjects in the 'Traditional' cluster were older and had lived for a significantly lower proportion of their lifetime in Canada; they also tended to be of lower SES. Diet quality was significantly higher in the 'Traditional' than the 'Western' type, particularly with respect to healthfulness. A significantly lower proportion of subjects complying with limited intake of total fat (, 30%) and cholesterol (, 45%) was observed in the 'Western' compared with other diet phenotypes. Less than 15% of all subjects consumed enough dietary fibre, irrespective of diet type. Conclusion: Dietary transition stages could be identified on the basis of food patterns of Haitians according to the proportion of their lifetime in Canada. Encouraging the youth to retain the traditional food culture in its positive aspects would appear relevant.

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“…This procedure, known as the Goldberg cut-off technique, has demonstrated a widespread tendency to underestimation in large national dietary surveys from several countries as well as in many smaller surveys (Heywood et al, 1993;Fogelholm et al, 1996;Briefel et al, 1997;Lafay et al, 1997;Price et al, 1997;Pryer et al, 1997;Rothenberg et al, 1997;Voss et al, 1998). However, this technique was devised to evaluate the overall bias towards under-reporting at the group level.…”

Section: Introductionmentioning

confidence: 99%

An evaluation of the sensitivity and specificity of energy expenditure measured by heart rate and the Goldberg cut-off for energy intake: basal metabolic rate for identifying mis-reporting of energy intake by adults and children: a retrospective analysis

et al. 2003

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Objective: To identify adults and children as under-(UR), acceptable (AR), or over-reporters (OR) of energy intake (EI) using energy expenditure measured by doubly labelled water (DLW) (EE DLW ), and to use this as a reference to determine the sensitivity and specificity of (i) EE measured by heart rate (EE HR ), and (ii) the Goldberg cut-off technique for classifying subjects into the same categories. Design: Retrospective analysis of a dataset comprising concurrent measurements of EE DLW , EE HR , basal metabolic rate (BMR), and EI by weighed record (EI WR ) on 14 adults and 36 children. EI by diet history (EI DH ) was also measured in the children only. EI WR :EE DLW provided the reference definition of subjects as UR, AR or OR. Three strategies for classifying mis-reporters based on EE HR and Goldberg cut-offs were then explored. Sensitivity and specificity were calculated respectively as the proportion of UR and non-UR correctly identified.Results: Approximately 80% of all subjects were AR. For EI WR and EI DH respectively, the sensitivity of EE HR was 0.50 and 1.00, and specificity was 0.98 and 1.00. Although designating subjects as having low, medium or high activity levels (EE HR :BMR meas ) and calculating cut-offs based on appropriate WHO physical activity level PALs did not change sensitivity, specificity dropped to 0.98 (EI WR ) and 0.97 (EI DH ). Cut-offs based on a PAL of 1.55 reduced sensitivity to 0.33 (EI WR ) and 0.00 (EI DH ), but specificity remained unchanged. The sensitivity of all cut-offs based on physical activity level (PALs) for EI WR was 0.50 (adults) and 0.25 (children). Conclusions: If the precision of EE HR was improved, it may be useful for identifying mis-reporters of EI.

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Who are the 'low energy reporters' in the dietary and nutritional survey of British adults?

Abstract: These results suggest that LER may be overrepresented within specific population subgroups and that underreporting bias may not be food and nutrient neutral. This has implications for the design and interpretation of studies of diet and disease.

Cited by 228 publications

References 12 publications

Dietary patterns and lifestyle factors in the Norwegian EPIC cohort: The Norwegian Women and Cancer (NOWAC) study

Dietary patterns and lifestyle factors in the Norwegian EPIC cohort: The Norwegian Women and Cancer (NOWAC) study

Dietary transition stages based on eating patterns and diet quality among Haitians of Montreal, Canada

An evaluation of the sensitivity and specificity of energy expenditure measured by heart rate and the Goldberg cut-off for energy intake: basal metabolic rate for identifying mis-reporting of energy intake by adults and children: a retrospective analysis

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