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Energy Intake in Socially Vulnerable Women Living in Brazil: Assessment of the Accuracy of Two Methods of Dietary Intake Recording Using Doubly Labeled Water.
J Acad Nutr Diet. 2016 10; 116(10):1560-1567.JA

Abstract

BACKGROUND

Diet is related to the prevention of chronic diseases, but assessing dietary intake is a complex task, especially in socially vulnerable populations.

OBJECTIVES

To assess the accuracy of the 24-hour food recall (24HFR) and the food frequency questionnaire (FFQ) methods in socially vulnerable women in Brazil and compare these methods against doubly labeled water (DLW).

DESIGN

Cross-sectional study. Energy intake (EI) was measured using 3 24HFRs and 1 FFQ. Total energy expenditure (TEE) was measured using DLW. Cutoff points were calculated to assess underreporting and overreporting using both the difference and the ratio between the EI and TEE.

PARTICIPANTS/SETTING

Sixty-seven socially vulnerable, nondieting adult women with stable body weight and mothers of malnourished children.

MAIN OUTCOME MEASURES

EI, in kilocalories, derived from 24HFR and FFQ.

STATISTICAL ANALYSES

Repeated measures analysis of variance was used to compare EI and TEE and Bland-Altman graphs were plotted to assess the agreement between these variables. Spearman correlation coefficient between the ratio of EI to TEE and socioeconomic or anthropometric variables was calculated.

RESULTS

Mean TEE was 2,186 kcal (95% CI 2,063 to 2,309 kcal). EI obtained through 24HFR (mean=1,848.6 kcal [95% CI 1,737.5 to 1,959.7 kcal]) was significantly lower than TEE (P=0.01), and significantly lower than the EI obtained through FFQ (mean=2,084.5 [95% CI 1,929.0 to 2,240.0 kcal]; P<0.01). There were no statistically significant differences between the EI values of FFQ and TEE (P=0.89). The distribution of underreporters, nonunderreporters, and overreporters were more homogenous in the FFQ method. There was a positive correlation between body fat percentage and underreporting in the FFQ method (r=0.245; P=0.046).

CONCLUSIONS

The methods of assessing dietary intake in our study showed poor agreement with TEE obtained by DLW. These may, therefore, not be the most suitable methods for assessing EI in this population.

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Authors

Lins ILL
No affiliation info available
Bueno NB
No affiliation info available
Grotti Clemente AP
No affiliation info available
Pfrimer K
No affiliation info available
Sawaya AL
No affiliation info available
de Menezes Toledo Florêncio TM
No affiliation info available

MeSH

AdultBody CompositionBody Mass IndexBrazilChildChild Nutrition DisordersCross-Sectional StudiesDeuteriumDeuterium OxideDietDiet RecordsEnergy IntakeEnergy MetabolismFemaleHumansMental RecallMothersOxygen IsotopesPovertyPoverty AreasReproducibility of ResultsSensitivity and SpecificitySurveys and QuestionnairesVulnerable PopulationsWater

Pub Type(s)

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

Language

eng

PubMed ID

27083987

Citation

Lins, Isabela Lays Lopes, et al. "Energy Intake in Socially Vulnerable Women Living in Brazil: Assessment of the Accuracy of Two Methods of Dietary Intake Recording Using Doubly Labeled Water." Journal of the Academy of Nutrition and Dietetics, vol. 116, no. 10, 2016, pp. 1560-1567.
Lins ILL, Bueno NB, Grotti Clemente AP, et al. Energy Intake in Socially Vulnerable Women Living in Brazil: Assessment of the Accuracy of Two Methods of Dietary Intake Recording Using Doubly Labeled Water. J Acad Nutr Diet. 2016;116(10):1560-1567.
Lins, I. L. L., Bueno, N. B., Grotti Clemente, A. P., Pfrimer, K., Sawaya, A. L., & de Menezes Toledo Florêncio, T. M. (2016). Energy Intake in Socially Vulnerable Women Living in Brazil: Assessment of the Accuracy of Two Methods of Dietary Intake Recording Using Doubly Labeled Water. Journal of the Academy of Nutrition and Dietetics, 116(10), 1560-1567. https://doi.org/10.1016/j.jand.2016.02.023
Lins ILL, et al. Energy Intake in Socially Vulnerable Women Living in Brazil: Assessment of the Accuracy of Two Methods of Dietary Intake Recording Using Doubly Labeled Water. J Acad Nutr Diet. 2016;116(10):1560-1567. PubMed PMID: 27083987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Energy Intake in Socially Vulnerable Women Living in Brazil: Assessment of the Accuracy of Two Methods of Dietary Intake Recording Using Doubly Labeled Water. AU - Lins,Isabela Lays Lopes, AU - Bueno,Nassib Bezerra, AU - Grotti Clemente,Ana Paula, AU - Pfrimer,Karina, AU - Sawaya,Ana Lydia, AU - de Menezes Toledo Florêncio,Telma Maria, Y1 - 2016/04/12/ PY - 2015/09/01/received PY - 2016/02/23/accepted PY - 2016/4/17/entrez PY - 2016/4/17/pubmed PY - 2017/6/10/medline KW - 24-hour food recall KW - Doubly labeled water KW - Energy intake KW - Food frequency questionnaire KW - Low income population SP - 1560 EP - 1567 JF - Journal of the Academy of Nutrition and Dietetics JO - J Acad Nutr Diet VL - 116 IS - 10 N2 - BACKGROUND: Diet is related to the prevention of chronic diseases, but assessing dietary intake is a complex task, especially in socially vulnerable populations. OBJECTIVES: To assess the accuracy of the 24-hour food recall (24HFR) and the food frequency questionnaire (FFQ) methods in socially vulnerable women in Brazil and compare these methods against doubly labeled water (DLW). DESIGN: Cross-sectional study. Energy intake (EI) was measured using 3 24HFRs and 1 FFQ. Total energy expenditure (TEE) was measured using DLW. Cutoff points were calculated to assess underreporting and overreporting using both the difference and the ratio between the EI and TEE. PARTICIPANTS/SETTING: Sixty-seven socially vulnerable, nondieting adult women with stable body weight and mothers of malnourished children. MAIN OUTCOME MEASURES: EI, in kilocalories, derived from 24HFR and FFQ. STATISTICAL ANALYSES: Repeated measures analysis of variance was used to compare EI and TEE and Bland-Altman graphs were plotted to assess the agreement between these variables. Spearman correlation coefficient between the ratio of EI to TEE and socioeconomic or anthropometric variables was calculated. RESULTS: Mean TEE was 2,186 kcal (95% CI 2,063 to 2,309 kcal). EI obtained through 24HFR (mean=1,848.6 kcal [95% CI 1,737.5 to 1,959.7 kcal]) was significantly lower than TEE (P=0.01), and significantly lower than the EI obtained through FFQ (mean=2,084.5 [95% CI 1,929.0 to 2,240.0 kcal]; P<0.01). There were no statistically significant differences between the EI values of FFQ and TEE (P=0.89). The distribution of underreporters, nonunderreporters, and overreporters were more homogenous in the FFQ method. There was a positive correlation between body fat percentage and underreporting in the FFQ method (r=0.245; P=0.046). CONCLUSIONS: The methods of assessing dietary intake in our study showed poor agreement with TEE obtained by DLW. These may, therefore, not be the most suitable methods for assessing EI in this population. SN - 2212-2672 UR - https://www.unboundmedicine.com/medline/citation/27083987/Energy_Intake_in_Socially_Vulnerable_Women_Living_in_Brazil:_Assessment_of_the_Accuracy_of_Two_Methods_of_Dietary_Intake_Recording_Using_Doubly_Labeled_Water_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2212-2672(16)00231-8 DB - PRIME DP - Unbound Medicine ER -