scholarly journals Evaluating the quality of dietary intake validation studies

2009 ◽  
Vol 102 (S1) ◽  
pp. S3-S9 ◽  
Author(s):  
Lluis Serra-Majem ◽  
Lene Frost Andersen ◽  
Patricia Henríque-Sánchez ◽  
Jorge Doreste-Alonso ◽  
Almudena Sánchez-Villegas ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Validation Studies ◽  
Scoring System ◽  
Dietary Assessment ◽  
Quality Score ◽  
Assessment Methods ◽  
Nutritional Epidemiology ◽  
Supplement Use ◽  
Dietary Assessment Methods

Within the EURopean micronutrient RECommendations Aligned Network of Excellence (EURRECA), a scoring system was developed to assess the quality of dietary intake validation studies. The scoring system included three steps. The first step was to give each study a quality score, which included five components: sample size, statistics used, data collection procedure, consideration of seasonality and supplement use. Scores ranged from 0 to 7, and validation studies classified as very good ( ≥ 5), good (5–3·5), acceptable/reasonable (3·5–2·5) and poor ( < 2·5). The second and third steps included an adjustment/weighting of the correlation coefficient according to the quality score and moreover a rating of the adjusted/weighted correlation. The scoring system was tested in 124 validation studies that included at least one vitamin. Only 5·6 % of the 124 studies were judged to be of very good quality according to the quality score, 41·9 % of good quality and 16·9 % had a poor rating. When adjusting for the study quality scores, crude and adjusted mean correlations of vitamins A, C, D and E intakes were similar, but the percentage of correlation values classified as poor or very good was higher after adjustment. These results show the importance of considering the quality of studies validating dietary assessment methods and the correlations obtained for the micronutrient of interest when interpreting effects observed in epidemiological studies using dietary assessment methods. Without a doubt, this subject constitutes a key topic for research in nutritional epidemiology.

scholarly journals Dietary assessment methods for micronutrient intake: a systematic review on vitamins

2009 ◽  
Vol 102 (S1) ◽  
pp. S10-S37 ◽  
Author(s):  
Patricia Henríquez-Sánchez ◽  
Almudena Sánchez-Villegas ◽  
Jorge Doreste-Alonso ◽  
Adriana Ortiz-Andrellucchi ◽  
Karina Pfrimer ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Quality Index ◽  
Dietary Assessment ◽  
Correlation Coefficients ◽  
Reference Method ◽  
Assessment Methods ◽  
Vitamin B ◽  
Vitamin Supplement ◽  
Supplement Use ◽  
Dietary Assessment Methods

The EURRECA Network of Excellence is working towards the development of aligned micronutrient recommendations across Europe. The purpose of the present study was to define how to identify dietary intake validation studies in adults pertaining to vitamins. After establishing a search strategy, we conducted a MEDLINE and EMBASE literature review. A scoring system was developed to rate the quality of each validation study according to sample size, statistical methods, data collection procedure, seasonality and vitamin supplement use. This produced a quality index with possible scores obtained ranging from 0·5 to 7. Five thousand four-hundred and seventy-six papers were identified. The numbers meeting the inclusion criteria were: for vitamin A, 76; vitamin C, 108; vitamin D, 21; vitamin E, 75; folic acid, 47; vitamin B12, 19; vitamin B6, 21; thiamine, 49; riboflavin, 49; and niacin, 32. The most frequently used method to ascertain dietary intake was the Food Frequency Questionnaire (FFQ), whereas dietary records (DR) and 24-h recalls were the most used reference methods. The correlation coefficients (CC) between vitamin intakes estimated by FFQ and the reference method were weighted according to the study's quality index and ranged from 0·41 to 0·53 when the reference method was the DR and from 0·43 to 0·67 when the reference was 24-h recalls. A minority of studies (n33) used biomarkers for validation and in these the CC ranged from 0·26 to 0·38. The FFQ is an acceptable method of assessing vitamin intake. The present review provides new insights regarding the characteristics that assessment methods for dietary intake should fulfil.

scholarly journals Dietary assessment methods for intakes of iron, calcium, selenium, zinc and iodine

2009 ◽  
Vol 102 (S1) ◽  
pp. S38-S55 ◽  
Author(s):  
Lluis Serra-Majem ◽  
Karina Pfrimer ◽  
Jorge Doreste-Alonso ◽  
Lourdes Ribas-Barba ◽  
Almudena Sánchez-Villegas ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Validation Studies ◽  
Quality Index ◽  
Dietary Assessment ◽  
Correlation Coefficients ◽  
Reference Method ◽  
Assessment Methods ◽  
Inclusion Criteria ◽  
Dietary Assessment Methods ◽  
Dietary Records

The EURopean micronutrient RECommendations Aligned (EURRECA) Network of Excellence is working towards developing aligned micronutrient recommendations across Europe. The purpose of the present study was to conduct a review of methods used in validation studies carried out in adults assessing dietary intake of EURRECA priority minerals. A search strategy and inclusion criteria were defined and a scoring system was developed to rate the quality of each validation study that produced a quality index with possible scores obtained ranging from 0·5 to 7. A MEDLINE and EMBASE literature review was conducted. Articles/validation studies meeting the inclusion criteria included: 79/88 for Fe; 95/104 for Ca; 13/15 for Se; 29/30 for Zn; 7/9 for iodine. The most frequently used method to ascertain dietary intake was the Food Frequency Questionnaire (FFQ), whereas dietary records (DR) and 24 h recalls were the most used reference methods. The correlation coefficients (CC) between study mineral intakes estimated by FFQ and the reference method were weighted according to the study's quality index and obtained acceptable to good ratings, ranging from 0·36 to 0·60 when the reference method was DR and from 0·41 to 0·58 when the reference was 24 h recalls. A minority of studies (n9) used biomarkers for validation and among these, five included iodine obtaining a CC of 0·47. The FFQ was seen as a valid method for assessing mineral intake, particularly for Ca and, to a lower extent, for iodine and Zn. Se and Fe showed only acceptable correlations. The present review provides new insights regarding the characteristics that assessment methods for dietary mineral intakes should fulfil.

scholarly journals Dietary assessment methods for micronutrient intake in infants, children and adolescents: a systematic review

2009 ◽  
Vol 102 (S1) ◽  
pp. S87-S117 ◽  
Author(s):  
Adriana Ortiz-Andrellucchi ◽  
Patricia Henríquez-Sánchez ◽  
Almudena Sánchez-Villegas ◽  
Luis Peña-Quintana ◽  
Michelle Mendez ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Children And Adolescents ◽  
Validation Studies ◽  
Dietary Assessment ◽  
Correlation Coefficients ◽  
Reference Method ◽  
Serum Levels ◽  
Short Term ◽  
Dietary Assessment Methods

A systematic literature search identified studies validating the methodology used for measuring the usual dietary intake in infants, children and adolescents. The quality of each validation study selected was assessed using a European micronutrient Recommendations Aligned-developed scoring system. The validation studies were categorised according to whether the study used a reference method that reflected short-term intake ( < 7 d), long-term intake ( ≥ 7 d) or used biomarkers. A correlation coefficient for each nutrient was calculated from the mean of the correlation coefficients from each study weighted by the quality of the study. Thirty-two articles were included in the present review: validation studies from infants (1–23 months); child preschool (2–5 years); children (6–12 years); adolescents (13–18 years). Validation of FFQ studies in infants and preschool children using a reference method that reflected short-term intake showed good correlations for niacin, thiamin, vitamins B6, D, C, E, riboflavin, Ca, K, Mg, Fe and Zn (with correlations ranging from 0·55 for vitamin E to 0·69 for niacin).Regarding the reference method reflecting short-term intake in children and adolescents, good correlations were seen only for vitamin C (r 0·61) and Ca (r 0·51). Using serum levels of micronutrient demonstrated that the 3 d weighed dietary records was superior to the FFQ as a tool to validate micronutrient intakes. Including supplement users generally improved the correlations between micronutrient intakes estimated by any of the dietary intake methods and respective biochemical indices.

scholarly journals Dietary assessment methods on n-3 fatty acid intake: a systematic review

2009 ◽  
Vol 102 (S1) ◽  
pp. S56-S63 ◽  
Author(s):  
Nina C. Øverby ◽  
Lluis Serra-Majem ◽  
Lene Frost Andersen
Keyword(s):  
Fatty Acid ◽  
Dietary Intake ◽  
Dietary Assessment ◽  
Subcutaneous Fat ◽  
Correlation Coefficients ◽  
Reference Method ◽  
Assessment Methods ◽  
Dietary History ◽  
Dietary Assessment Methods

In order to assess nutritional adequacy, valid estimates of nutrient intake are required. Specifically, the EURopean micronutrient RECommendations Aligned (EURRECA) Network of Excellence needs clear guidelines for assessing the validity of reported micronutrient intakes and n-3 fatty acid (FA) intakes. The aim of the present study was to review the validity of methods used to measure the usual n-3 FA intake of a population. A systematic literature search was conducted for studies validating the methodology used for measuring the dietary intake of n-3 FA. The quality of the validation studies and the quality of the different dietary assessment methods were assessed using scoring systems developed by EURRECA. Fourteen papers, describing twenty studies, were identified for inclusion. According to the score system developed by EURRECA, all the studies were ranked as average, except two that were ranked as poor. The correlation coefficients between FA in subcutaneous fat and dietary intake of n-3 FA from four FFQ, one weighed record and one 24-h recall ranged between 0·40 and 0·60. Correlations between intake of n-3 FA from five FFQ, one dietary history and three weighed records and blood lipids were similar to the ones observed for subcutaneous fat. The summarised quality of the n-3 FA estimates derived from the FFQ was judged as good or acceptable according to the EURRECA scoring system. The literature describes subcutaneous fat as the best reference method, and the studies where this was used had moderate correlation coefficients and no dietary intake method was superior to any other.

scholarly journals Uses and limitations of statistical accounting for random error correlations, in the validation of dietary questionnaire assessments

2002 ◽  
Vol 5 (6a) ◽  
pp. 969-976 ◽  
Author(s):  
Rudolf Kaaks ◽  
Pietro Ferrari ◽  
Antonio Ciampi ◽  
Martyn Plummer ◽  
Elio Riboli
Keyword(s):  
Random Error ◽  
Statistical Models ◽  
Validation Studies ◽  
Dietary Assessment ◽  
Nutritional Epidemiology ◽  
Random Errors ◽  
Doubly Labelled Water ◽  
Dietary Assessment Methods ◽  
Simultaneous Comparisons ◽  
Replicate Measurements

AbstractObjective:To examine statistical models that account for correlation between random errors of different dietary assessment methods, in dietary validation studies.Setting:In nutritional epidemiology, sub-studies on the accuracy of the dietary questionnaire measurements are used to correct for biases in relative risk estimates induced by dietary assessment errors. Generally, such validation studies are based on the comparison of questionnaire measurements (Q) with food consumption records or 24-hour diet recalls (R). In recent years, the statistical analysis of such studies has been formalised more in terms of statistical models. This made the need of crucial model assumptions more explicit. One key assumption is that random errors must be uncorrelated between measurements Q and R, as well as between replicate measurements R1 and R2 within the same individual. These assumptions may not hold in practice, however. Therefore, more complex statistical models have been proposed to validate measurements Q by simultaneous comparisons with measurements R plus a biomarker M, accounting for correlations between the random errors of Q and R.Conclusions:The more complex models accounting for random error correlations may work only for validation studies that include markers of diet based on physiological knowledge about the quantitative recovery, e.g. in urine, of specific elements such as nitrogen or potassium, or stable isotopes administered to the study subjects (e.g. the doubly labelled water method for assessment of energy expenditure). This type of marker, however, eliminates the problem of correlation of random errors between Q and R by simply taking the place of R, thus rendering complex statistical models unnecessary.

scholarly journals Comparison of dietary assessment methods in nutritional epidemiology: weighed records v. 24 h recalls, food-frequency questionnaires and estimated-diet records

1994 ◽  
Vol 72 (4) ◽  
pp. 619-643 ◽  
Author(s):  
S. A. Bingham ◽  
C. Gill ◽  
A. Welch ◽  
K. Day ◽  
A. Cassidy ◽  
...  
Keyword(s):  
Dietary Assessment ◽  
Assessment Methods ◽  
Portion Size ◽  
Nutritional Epidemiology ◽  
Food Diary ◽  
Individual Values ◽  
Food Frequency ◽  
Dietary Assessment Methods ◽  
Diet Records ◽  
Habitual Diet

Women (n 160) aged 50 to 65 years were asked to weigh their food for 4 d on four occasions over the period of 1 year, using the PETRA (Portable Electronic Tape Recorded Automatic) scales. Throughout the year, they were asked to complete seven other dietary assessment methods: a simple 24 h recall, a structured 24 h recall with portion size assessments using photographs, two food-frequency questionnaires, a 7 d estimated record or open-ended food diary, a structured food-frequency (menu) record, and a structured food-frequency (menu) record with portion sizes assessed using photographs. Comparisons between the average of the 16 d weighed records and the first presentation of each method indicated that food-frequency questionnaires were not appreciably better at placing individuals in the distribution of habitual diet than 24 h recalls, due partly to inaccuracies in the estimation of frequency of food consumption. With a 7 d estimated record or open-ended food diary, however, individual values of nutrients were most closely associated with those obtained from 16 d weighed records, and there were no significant differences in average food or nutrient intakes.

scholarly journals BMI was found to be a consistent determinant related to misreporting of energy, protein and potassium intake using self-report and duplicate portion methods

2016 ◽  
Vol 20 (4) ◽  
pp. 598-607 ◽  
Author(s):  
Laura Trijsburg ◽  
Anouk Geelen ◽  
Peter CH Hollman ◽  
Paul JM Hulshof ◽  
Edith JM Feskens ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Linear Regression ◽  
Dietary Intake ◽  
Dietary Assessment ◽  
Linear Regression Analysis ◽  
Assessment Methods ◽  
Self Report ◽  
Doubly Labelled Water ◽  
Dietary Assessment Methods ◽  
Duplicate Portion

AbstractObjectiveAs misreporting, mostly under-reporting, of dietary intake is a generally known problem in nutritional research, we aimed to analyse the association between selected determinants and the extent of misreporting by the duplicate portion method (DP), 24 h recall (24hR) and FFQ by linear regression analysis using the biomarker values as unbiased estimates.DesignFor each individual, two DP, two 24hR, two FFQ and two 24 h urinary biomarkers were collected within 1·5 years. Also, for sixty-nine individuals one or two doubly labelled water measurements were obtained. The associations of basic determinants (BMI, gender, age and level of education) with misreporting of energy, protein and K intake of the DP, 24hR and FFQ were evaluated using linear regression analysis. Additionally, associations between other determinants, such as physical activity and smoking habits, and misreporting were investigated.SettingThe Netherlands.SubjectsOne hundred and ninety-seven individuals aged 20–70 years.ResultsHigher BMI was associated with under-reporting of dietary intake assessed by the different dietary assessment methods for energy, protein and K, except for K by DP. Men tended to under-report protein by the DP, FFQ and 24hR, and persons of older age under-reported K but only by the 24hR and FFQ. When adjusted for the basic determinants, the other determinants did not show a consistent association with misreporting of energy or nutrients and by the different dietary assessment methods.ConclusionsAs BMI was the only consistent determinant of misreporting, we conclude that BMI should always be taken into account when assessing and correcting dietary intake.

scholarly journals Comparison of Nutrient Estimates Based on Food Volume versus Weight: Implications for Dietary Assessment Methods

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 973 ◽  
Author(s):  
Emma Partridge ◽  
Marian Neuhouser ◽  
Kara Breymeyer ◽  
Jeannette Schenk
Keyword(s):  
Dietary Intake ◽  
Dietary Assessment ◽  
Nutrient Content ◽  
The United States ◽  
Assessment Methods ◽  
Food Type ◽  
United States Department ◽  
Macronutrient Content ◽  
Dietary Assessment Methods ◽  
Volume Estimates

Novel technology-based dietary assessment methods use volume estimates of foods to assess dietary intake. However, the nutrient content of standard databases is based on food weight. The goal of this study is to evaluate the accuracy of the United States Department of Agriculture National Nutrient Database for Standard Reference (USDA-SR) estimates of volume and the corresponding macronutrient content of the foods. The weights of 35 individual food volumes were measured (on trial) and compared to the USDA-SR-determined weight for the food volume. Macronutrient content corresponding to the trial weight and the USDA-SR weight for the food volume (USDA) were determined using the USDA-SR, and the differences were calculated. There were statistically significant differences between the USDA and trial weights for 80% of foods measured. Calorie estimates by USDA weight were significantly lower than that of trial weight for 54% of foods but were significantly greater for 26% of foods. Differences in macronutrient estimates by trial and USDA weight varied by food type. These findings suggest that nutrient databases based on food weight may not provide accurate estimates of dietary intake when assessed using food volumes. Further development of image-assisted dietary assessment methods which measure food volumes will necessitate evaluation of the accuracy of the processes used to convert weight to volume in nutrient databases.

scholarly journals New mobile methods for dietary assessment: review of image-assisted and image-based dietary assessment methods

2016 ◽  
Vol 76 (3) ◽  
pp. 283-294 ◽  
Author(s):  
C. J. Boushey ◽  
M. Spoden ◽  
F. M. Zhu ◽  
E. J. Delp ◽  
D. A. Kerr
Keyword(s):  
Dietary Intake ◽  
Dietary Assessment ◽  
Assessment Methods ◽  
Portion Size ◽  
Mobile Technologies ◽  
Handheld Devices ◽  
Food Record ◽  
Dietary Assessment Methods ◽  
Wide Range ◽  
High Level

For nutrition practitioners and researchers, assessing dietary intake of children and adults with a high level of accuracy continues to be a challenge. Developments in mobile technologies have created a role for images in the assessment of dietary intake. The objective of this review was to examine peer-reviewed published papers covering development, evaluation and/or validation of image-assisted or image-based dietary assessment methods from December 2013 to January 2016. Images taken with handheld devices or wearable cameras have been used to assist traditional dietary assessment methods for portion size estimations made by dietitians (image-assisted methods). Image-assisted approaches can supplement either dietary records or 24-h dietary recalls. In recent years, image-based approaches integrating application technology for mobile devices have been developed (image-based methods). Image-based approaches aim at capturing all eating occasions by images as the primary record of dietary intake, and therefore follow the methodology of food records. The present paper reviews several image-assisted and image-based methods, their benefits and challenges; followed by details on an image-based mobile food record. Mobile technology offers a wide range of feasible options for dietary assessment, which are easier to incorporate into daily routines. The presented studies illustrate that image-assisted methods can improve the accuracy of conventional dietary assessment methods by adding eating occasion detail via pictures captured by an individual (dynamic images). All of the studies reduced underreporting with the help of images compared with results with traditional assessment methods. Studies with larger sample sizes are needed to better delineate attributes with regards to age of user, degree of error and cost.

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