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The role of energy intake and energy misreporting in the associations between eating patterns and adiposity.
Eur J Clin Nutr. 2018 01; 72(1):142-147.EJ

Abstract

BACKGROUND/OBJECTIVES

Research examining associations between eating occasion (EO) frequency and adiposity is inconclusive; studies examining the impact of energy misreporting are rare. This study examined associations between eating patterns and adiposity, with adjustment for energy misreporting, in a nationally representative sample of Australian adults.

SUBJECTS/METHODS

Dietary intake was assessed via two 24-h recalls collected during the 2011-12 National Nutrition and Physical Activity Survey (n=4050 adults, aged ⩾19 years). Frequencies of all EOs, meals and snacks were calculated. Height, weight and waist circumference (WC) were measured. Energy misreporting was assessed as the ratio of energy intake to predicted energy expenditure (EI:EE). Energy misreporters were identified by EI:EE ratios, <0.68 or >1.32. Multivariate regression models assessed associations between eating patterns and body mass index (BMI), WC, overweight/obesity (BMI ⩾25 kg m-2) and central overweight/obesity (WC ⩾94 cm in men and ⩾80 cm in women).

RESULTS

After adjustment for covariates and EI:EE, frequency of all EOs, meals (women only) and snacks was positively associated with WC and BMI (all P<0.01). Snack, but not meal frequency, was also associated with overweight/obesity (men: OR=1.22, 95% CI 1.07-1.39; women: OR=1.26, 95% CI 1.10-1.43) and central overweight/obesity (men: OR=1.17, 95% CI 1.04-1.32; women: OR=1.21, 95% CI 1.06-1.37). Multivariate analysis that excluded energy misreporters and adjusted for EI yielded either null or inverse associations (P<0.05).

CONCLUSIONS

These findings suggest that the associations between eating patterns and adiposity are complicated by the role of EI and energy misreporting. Longitudinal research that considers the impact of EI and energy misreporting is needed to better understand the relationship between eating patterns and obesity.

Authors+Show Affiliations

Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.

Pub Type(s)

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

Language

eng

PubMed ID

28561038

Citation

Leech, R M., et al. "The Role of Energy Intake and Energy Misreporting in the Associations Between Eating Patterns and Adiposity." European Journal of Clinical Nutrition, vol. 72, no. 1, 2018, pp. 142-147.
Leech RM, Worsley A, Timperio A, et al. The role of energy intake and energy misreporting in the associations between eating patterns and adiposity. Eur J Clin Nutr. 2018;72(1):142-147.
Leech, R. M., Worsley, A., Timperio, A., & McNaughton, S. A. (2018). The role of energy intake and energy misreporting in the associations between eating patterns and adiposity. European Journal of Clinical Nutrition, 72(1), 142-147. https://doi.org/10.1038/ejcn.2017.90
Leech RM, et al. The Role of Energy Intake and Energy Misreporting in the Associations Between Eating Patterns and Adiposity. Eur J Clin Nutr. 2018;72(1):142-147. PubMed PMID: 28561038.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of energy intake and energy misreporting in the associations between eating patterns and adiposity. AU - Leech,R M, AU - Worsley,A, AU - Timperio,A, AU - McNaughton,S A, Y1 - 2017/05/31/ PY - 2017/02/08/received PY - 2017/04/13/revised PY - 2017/04/24/accepted PY - 2017/6/1/pubmed PY - 2019/1/4/medline PY - 2017/6/1/entrez SP - 142 EP - 147 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 72 IS - 1 N2 - BACKGROUND/OBJECTIVES: Research examining associations between eating occasion (EO) frequency and adiposity is inconclusive; studies examining the impact of energy misreporting are rare. This study examined associations between eating patterns and adiposity, with adjustment for energy misreporting, in a nationally representative sample of Australian adults. SUBJECTS/METHODS: Dietary intake was assessed via two 24-h recalls collected during the 2011-12 National Nutrition and Physical Activity Survey (n=4050 adults, aged ⩾19 years). Frequencies of all EOs, meals and snacks were calculated. Height, weight and waist circumference (WC) were measured. Energy misreporting was assessed as the ratio of energy intake to predicted energy expenditure (EI:EE). Energy misreporters were identified by EI:EE ratios, <0.68 or >1.32. Multivariate regression models assessed associations between eating patterns and body mass index (BMI), WC, overweight/obesity (BMI ⩾25 kg m-2) and central overweight/obesity (WC ⩾94 cm in men and ⩾80 cm in women). RESULTS: After adjustment for covariates and EI:EE, frequency of all EOs, meals (women only) and snacks was positively associated with WC and BMI (all P<0.01). Snack, but not meal frequency, was also associated with overweight/obesity (men: OR=1.22, 95% CI 1.07-1.39; women: OR=1.26, 95% CI 1.10-1.43) and central overweight/obesity (men: OR=1.17, 95% CI 1.04-1.32; women: OR=1.21, 95% CI 1.06-1.37). Multivariate analysis that excluded energy misreporters and adjusted for EI yielded either null or inverse associations (P<0.05). CONCLUSIONS: These findings suggest that the associations between eating patterns and adiposity are complicated by the role of EI and energy misreporting. Longitudinal research that considers the impact of EI and energy misreporting is needed to better understand the relationship between eating patterns and obesity. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/28561038/The_role_of_energy_intake_and_energy_misreporting_in_the_associations_between_eating_patterns_and_adiposity_ L2 - https://doi.org/10.1038/ejcn.2017.90 DB - PRIME DP - Unbound Medicine ER -