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A simple method for identification of misreporting of energy intake from infancy to school age: Results from a longitudinal study.
Clin Nutr. 2018 06; 37(3):1053-1060.CN

Abstract

BACKGROUND & AIMS

Misreporting is a major source of reporting bias in nutritional surveys. It can affect the analysis of associations between diet and disease. Although various methods have been proposed to identify misreporting, their application to infants and young children is difficult. We identify misreporting of energy intake in infants and young children and propose a simplified approach.

METHODS

1199 children were enrolled in the Childhood Obesity Programme (CHOP) based in 5 European countries (Belgium, Germany, Italy, Poland and Spain) with repeated measurements of 3-day weighed food protocol and anthropometric indices at 10 time points between ages 1-96 months. Individual cut-offs for the ratio of reported energy intake and estimated energy requirement were calculated to identify misreporters. Misreporting was studied according to age, gender, BMI z-scores and country.

RESULTS

We identified a higher proportion of over-reporters (18.9%) as compared to under-reporters (10.6%). The proportion of over-reporting was higher among infants while under-reporting was more prevalent in school-aged children. Under-reporting was higher in boys (12.0%) and in obese/over-weight children (36.3%). Mean values for upper and lower cut-offs for the ratio of reported energy intake and estimated energy requirement in children ≤12 months were 0.80 and 1.20, and 0.75 and 1.25 for children >12 months, respectively. Using these fixed (mean) values, 90.4% (kappa statistic: 0.78) of all misreporters could be identified.

CONCLUSIONS

Despite intensive measures to obtain habitual intake of children, an essential proportion of nutritional reports were found to be implausible. Both over- and under-reporting should be carefully analysed, even in studies on infants. Fixed cut-offs can be applied to identify misreporting if no individual variation in energy intake can be calculated.

CLINICAL TRIAL REGISTRY

This trial was registered at https://clinicaltrials.gov/show/NCT00338689.

Authors+Show Affiliations

Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany.Paediatrics Research Unit, Universitat Rovira i Virgili, Reus, Spain.Centre Hospitalier Chrétien St Vincent, Liège-Rocourt, Belgium.Department of Health Sciences, University of Milan, Milan, Italy.Children's Memorial Health Institute, Warsaw, Poland.Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany. Electronic address: Office.Koletzko@med.uni-muenchen.de.Department of Medical Informatics, Biometry and Epidemiology, Ludwig Maximilian University, Munich, Germany.Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany.

Pub Type(s)

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

Language

eng

PubMed ID

28780991

Citation

Gomes, Delphina, et al. "A Simple Method for Identification of Misreporting of Energy Intake From Infancy to School Age: Results From a Longitudinal Study." Clinical Nutrition (Edinburgh, Scotland), vol. 37, no. 3, 2018, pp. 1053-1060.
Gomes D, Luque V, Xhonneux A, et al. A simple method for identification of misreporting of energy intake from infancy to school age: Results from a longitudinal study. Clin Nutr. 2018;37(3):1053-1060.
Gomes, D., Luque, V., Xhonneux, A., Verduci, E., Socha, P., Koletzko, B., Berger, U., & Grote, V. (2018). A simple method for identification of misreporting of energy intake from infancy to school age: Results from a longitudinal study. Clinical Nutrition (Edinburgh, Scotland), 37(3), 1053-1060. https://doi.org/10.1016/j.clnu.2017.05.003
Gomes D, et al. A Simple Method for Identification of Misreporting of Energy Intake From Infancy to School Age: Results From a Longitudinal Study. Clin Nutr. 2018;37(3):1053-1060. PubMed PMID: 28780991.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A simple method for identification of misreporting of energy intake from infancy to school age: Results from a longitudinal study. AU - Gomes,Delphina, AU - Luque,Veronica, AU - Xhonneux,Annick, AU - Verduci,Elvira, AU - Socha,Piotr, AU - Koletzko,Berthold, AU - Berger,Ursula, AU - Grote,Veit, Y1 - 2017/06/01/ PY - 2016/07/18/received PY - 2017/04/07/revised PY - 2017/05/01/accepted PY - 2017/8/7/pubmed PY - 2019/10/1/medline PY - 2017/8/8/entrez KW - Energy requirements KW - Infants KW - Misreporting of energy intake KW - School-aged children KW - Weighed food record SP - 1053 EP - 1060 JF - Clinical nutrition (Edinburgh, Scotland) JO - Clin Nutr VL - 37 IS - 3 N2 - BACKGROUND & AIMS: Misreporting is a major source of reporting bias in nutritional surveys. It can affect the analysis of associations between diet and disease. Although various methods have been proposed to identify misreporting, their application to infants and young children is difficult. We identify misreporting of energy intake in infants and young children and propose a simplified approach. METHODS: 1199 children were enrolled in the Childhood Obesity Programme (CHOP) based in 5 European countries (Belgium, Germany, Italy, Poland and Spain) with repeated measurements of 3-day weighed food protocol and anthropometric indices at 10 time points between ages 1-96 months. Individual cut-offs for the ratio of reported energy intake and estimated energy requirement were calculated to identify misreporters. Misreporting was studied according to age, gender, BMI z-scores and country. RESULTS: We identified a higher proportion of over-reporters (18.9%) as compared to under-reporters (10.6%). The proportion of over-reporting was higher among infants while under-reporting was more prevalent in school-aged children. Under-reporting was higher in boys (12.0%) and in obese/over-weight children (36.3%). Mean values for upper and lower cut-offs for the ratio of reported energy intake and estimated energy requirement in children ≤12 months were 0.80 and 1.20, and 0.75 and 1.25 for children >12 months, respectively. Using these fixed (mean) values, 90.4% (kappa statistic: 0.78) of all misreporters could be identified. CONCLUSIONS: Despite intensive measures to obtain habitual intake of children, an essential proportion of nutritional reports were found to be implausible. Both over- and under-reporting should be carefully analysed, even in studies on infants. Fixed cut-offs can be applied to identify misreporting if no individual variation in energy intake can be calculated. CLINICAL TRIAL REGISTRY: This trial was registered at https://clinicaltrials.gov/show/NCT00338689. SN - 1532-1983 UR - https://www.unboundmedicine.com/medline/citation/28780991/A_simple_method_for_identification_of_misreporting_of_energy_intake_from_infancy_to_school_age:_Results_from_a_longitudinal_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0261-5614(17)30164-4 DB - PRIME DP - Unbound Medicine ER -