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Comparison of energy intake in toddlers assessed by food frequency questionnaire and total energy expenditure measured by the doubly labeled water method.
J Acad Nutr Diet. 2013 Mar; 113(3):459-463.JA

Abstract

The ability of parents to accurately report energy intake in toddlers has rarely been validated using the gold-standard doubly labeled water (DLW) method to assess total energy expenditure (TEE). The aim of the study was to evaluate the accuracy of toddler energy intake (EI), estimated using the Australian Child and Adolescent Eating Survey (ACAES) food frequency questionnaire (FFQ) by parent report compared with a weighed food record (WFR) and TEE measured by DLW. Twelve toddlers had TEE assessed over 10 days using DLW. Usual energy intake was estimated by the primary caregiver, using standard toddler portions in ACAES-FFQ and a 4-day WFR and daily EI (in kilocalories) derived using national nutrient databases. Accuracy of reporting was calculated from absolute (EI-TEE) and percentage (EI/TEE×100) differences between EI and TEE and Pearson correlations and limits of agreement from Bland-Altman plots. Toddlers (n=12, 7 boys) had a mean age of 3.2±0.5 years, body mass index 16.2±0.9 kg, body mass index z score 0.1±0.8, EI from ACAES-FFQ 1,183±281kcal/day, and WFR 1,179±278 kcal/day and DLW TEE 1,251±149 kcal/day. The mean difference and limits of agreement (±2 standard deviations) compared with DLW was -68 (-623, 488) kcal/day for the FFQ and for the WFR -72 (-499, 354) kcal/day. Although both a semiquantitative FFQ and WFR can adequately estimate toddler energy intake at the group level in this population, toddler-specific portion size estimates should be assigned to foods listed in the FFQ. Choice of method is likely to depend on practical issues, including cost and burden.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

23317500

Citation

Collins, Clare E., et al. "Comparison of Energy Intake in Toddlers Assessed By Food Frequency Questionnaire and Total Energy Expenditure Measured By the Doubly Labeled Water Method." Journal of the Academy of Nutrition and Dietetics, vol. 113, no. 3, 2013, pp. 459-463.
Collins CE, Burrows TL, Truby H, et al. Comparison of energy intake in toddlers assessed by food frequency questionnaire and total energy expenditure measured by the doubly labeled water method. J Acad Nutr Diet. 2013;113(3):459-463.
Collins, C. E., Burrows, T. L., Truby, H., Morgan, P. J., Wright, I. M. R., Davies, P. S. W., & Callister, R. (2013). Comparison of energy intake in toddlers assessed by food frequency questionnaire and total energy expenditure measured by the doubly labeled water method. Journal of the Academy of Nutrition and Dietetics, 113(3), 459-463. https://doi.org/10.1016/j.jand.2012.09.021
Collins CE, et al. Comparison of Energy Intake in Toddlers Assessed By Food Frequency Questionnaire and Total Energy Expenditure Measured By the Doubly Labeled Water Method. J Acad Nutr Diet. 2013;113(3):459-463. PubMed PMID: 23317500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of energy intake in toddlers assessed by food frequency questionnaire and total energy expenditure measured by the doubly labeled water method. AU - Collins,Clare E, AU - Burrows,Tracy L, AU - Truby,Helen, AU - Morgan,Philip J, AU - Wright,Ian M R, AU - Davies,Peter S W, AU - Callister,Robin, Y1 - 2013/01/11/ PY - 2012/06/27/received PY - 2012/09/21/accepted PY - 2013/1/16/entrez PY - 2013/1/16/pubmed PY - 2013/4/17/medline SP - 459 EP - 463 JF - Journal of the Academy of Nutrition and Dietetics JO - J Acad Nutr Diet VL - 113 IS - 3 N2 - The ability of parents to accurately report energy intake in toddlers has rarely been validated using the gold-standard doubly labeled water (DLW) method to assess total energy expenditure (TEE). The aim of the study was to evaluate the accuracy of toddler energy intake (EI), estimated using the Australian Child and Adolescent Eating Survey (ACAES) food frequency questionnaire (FFQ) by parent report compared with a weighed food record (WFR) and TEE measured by DLW. Twelve toddlers had TEE assessed over 10 days using DLW. Usual energy intake was estimated by the primary caregiver, using standard toddler portions in ACAES-FFQ and a 4-day WFR and daily EI (in kilocalories) derived using national nutrient databases. Accuracy of reporting was calculated from absolute (EI-TEE) and percentage (EI/TEE×100) differences between EI and TEE and Pearson correlations and limits of agreement from Bland-Altman plots. Toddlers (n=12, 7 boys) had a mean age of 3.2±0.5 years, body mass index 16.2±0.9 kg, body mass index z score 0.1±0.8, EI from ACAES-FFQ 1,183±281kcal/day, and WFR 1,179±278 kcal/day and DLW TEE 1,251±149 kcal/day. The mean difference and limits of agreement (±2 standard deviations) compared with DLW was -68 (-623, 488) kcal/day for the FFQ and for the WFR -72 (-499, 354) kcal/day. Although both a semiquantitative FFQ and WFR can adequately estimate toddler energy intake at the group level in this population, toddler-specific portion size estimates should be assigned to foods listed in the FFQ. Choice of method is likely to depend on practical issues, including cost and burden. SN - 2212-2672 UR - https://www.unboundmedicine.com/medline/citation/23317500/Comparison_of_energy_intake_in_toddlers_assessed_by_food_frequency_questionnaire_and_total_energy_expenditure_measured_by_the_doubly_labeled_water_method_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2212-2672(12)01648-6 DB - PRIME DP - Unbound Medicine ER -