scholarly journals 1372Food-network Analysis: The impact of change in food intake on other foods and energy intake

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Khalid Iqbal ◽  
Antonia Walter ◽  
Lukas Schwingshackl ◽  
Carolina Schwedhelm ◽  
Sven Knüppel ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Energy Intake ◽  
Simultaneous Increase ◽  
Processed Meat ◽  
White Bread ◽  
Food Groups ◽  
Whole Grain ◽  
Partial Correlations ◽  
The Impact ◽  
Prospective Investigation

Abstract Background Intake of most foods show correlations with other foods implying that change in the intake of one food affects the intake of other foods. However, it is unclear whether such relationships are quantitatively meaningful and should be considered when a change in dietary intake is suggested. Methods We used data from European Prospective Investigation into Cancer and Nutrition-Potsdam and the previously published pairwise partial correlations between 49 food groups and calculated the impact of modifications in three correlated food groups that are relevant for public health, i.e. whole grain bread, white bread and processed meat, on intakes of other foods and total energy. Results Increase in the quantities of whole grain bread by 25% resulted in lowered white bread quantities both in men (7%) and women (8%). A 25% decrease in quantity of white bread resulted in increased quantities of whole grain bread (10-11%) and decreased (6%) in processed meat. Lowering intake of processed meat by 25% resulted in lower intakes of refined bread in both sexes. A simultaneous increase of whole grain bread and decrease in white bread and processed meat amplified the desirable benefit by increasing intake of whole grain bread by 12 g in men and 16 g in women. Simultaneous modification of all three food groups resulted in an overall decrease of 212 Kcal in men and 121 Kcal in women. Conclusions In conclusion, this study could show that the interdependencies between the intakes of foods affect not only the implicated food of an intended change but the whole diet including energy intake. Key messages Food networks has the potential to identify optimum changes required to achieve desired modification in dietary intake.

scholarly journals Are our diets getting healthier and more sustainable? Insights from the European Prospective Investigation into Cancer and Nutrition – Netherlands (EPIC-NL) cohort

2019 ◽  
Vol 22 (16) ◽  
pp. 2931-2940
Author(s):  
Sander Biesbroek ◽  
WM Monique Verschuren ◽  
Jolanda MA Boer ◽  
Yvonne T van der Schouw ◽  
Ivonne Sluijs ◽  
...  
Keyword(s):  
Energy Intake ◽  
Ghg Emissions ◽  
Dietary Quality ◽  
Processed Meat ◽  
Food Groups ◽  
Men 2 ◽  
Healthy Diets ◽  
Red Meats ◽  
Dutch Cohort ◽  
Prospective Investigation

AbstractObjective:To identify differences in dietary quality, dietary greenhouse gas (GHG) emissions and food consumption over 20 years in a Dutch cohort.Design:Participants (n 8932) filled out an FFQ in 1993–1997 and in 2015. The Dutch Healthy Diet index 2015 (DHD15-index) score, GHG emissions and consumption of food groups (g/4184 kJ (1000 kcal)) were compared between the time points with paired t tests.Setting:The Netherlands.Participants:European Prospective Investigation into Cancer and Nutrition – Netherlands (EPIC-NL) cohort, aged 18–65 years at baseline.Results:Total energy intake decreased by –678 (95 % CI –4908, 3377) kJ/d (–162 (95 % CI –1173, 807) kcal/d) for men and –372 (95 % CI –3820, 3130) kJ/d (–89 (95 % CI –913, 748) kcal/d) for women. DHD15-index scores increased by 11 % (from 64·8 to 71·9 points) and 13 % (from 65·2 to 73·6 points) in men and women, respectively (P < 0·0001), mainly due to an increased (shell)fish and nuts/seeds/nut paste consumption. After energy intake adjustment, dietary-related GHG emissions increased by 5 % in men (2·48–2·61 kg CO2-eq/4184 kJ (1000 kcal), P < 0·0001) and were similar in women (0·4 %, 2·70–2·71 kg CO2-eq/4184 kJ (1000 kcal), P = 0·3930) due to the increased consumption of (shell)fish, nuts/seeds/nut paste, poultry and higher GHG-intensive red meats such as beef.Conclusions:This Dutch cohort analyses showed more healthy diets without mitigated GHG emissions over a 20-year period, at similar energy intakes. Higher consumption of (shell)fish and poultry was not yet at the expense of red and processed meat. Lower consumption of animal-based foods is needed to achieve healthier as well as environmentally friendly diets.

Associations between risk of malnutrition with dietary intake in people of older age: results from the HELIAD study

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Eirini Mamalaki ◽  
Costas A. Anastasiou ◽  
Meropi D. Kontogianni ◽  
Mary H. Kosmidis ◽  
Georgios M. Hadjigeorgiou ◽  
...  
Keyword(s):  
Older People ◽  
Dietary Intake ◽  
Mediterranean Diet ◽  
Energy Intake ◽  
Nutritional Risk ◽  
Age Group ◽  
Food Groups ◽  
The Mediterranean ◽  
Specific Food

AbstractIntroductionLife expectancy has increased leading to a concomitant increase in the population of older people. Malnutrition, a major problem in this age group, deteriorates their health and quality of life. The association between risk of malnutrition and dietary intake has not been investigated sufficiently. The aim of this study was to examine potential associations between risk of malnutrition and dietary intake in a representative cohort of adults ≥ 65 years old.Materials and methods1,831 older people (mean age 73.1 ± 5.9 years old) from the HELIAD study were included in the analyses. Risk of malnutrition was assessed with the “Determine your Nutritional Health” checklist. Total score of the questionnaire ranges from 1–21, with 0–2 indicating good nutritional status, 3–5 moderate nutritional risk and ≥ 6 high nutritional risk. Dietary intake was evaluated with a semi-quantitative food frequency questionnaire, validated for the Greek population, from which consumption of specific food groups (non-refined cereals, fruits, vegetables, legumes, fish, red meat, poultry, fish, dairy products, alcohol and sweets in servings/day) was estimated, as well as adherence to the Mediterranean diet, using a relevant a priori score.Results35.8% of the participants were well-nourished, 34.8% were at moderate nutritional risk and 29.4% were at high nutritional risk. Total energy intake did not differ between the groups (1,984 ± 500 kcal/day for those well-nourished, 1,995 ± 537 kcal/day for those at moderate nutritional risk and 1,934 ± 566 kcal/day for those at high nutritional risk, p = 0.140). Well-nourished older people consumed per day more portions of vegetables, fruits, legumes, poultry, sweets and fewer portions of alcohol compared to those at moderate and high risk (all p < 0.05). Furthermore, adherence to the Mediterranean diet differed significantly between the groups, i.e. those well-nourished had greater adherence to the Mediterranean Diet compared to the other groups (p < 0.001).DiscussionAlthough energy intake did not differ between the groups, there were significant differences in quality of their diet, as this was depicted in specific food group intake and adherence to a healthy dietary pattern. Thus, health experts should also consider diet quality when screening malnutrition in this vulnerable age group.

scholarly journals Dietary intake of different types and characteristics of processed meat which might be associated with cancer risk – results from the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC)

2006 ◽  
Vol 9 (4) ◽  
pp. 449-464 ◽  
Author(s):  
Jakob Linseisen ◽  
Sabine Rohrmann ◽  
Teresa Norat ◽  
Carlos A Gonzalez ◽  
Miren Dorronsoro Iraeta ◽  
...  
Keyword(s):  
Cancer Risk ◽  
Dietary Intake ◽  
Nutrient Content ◽  
Food Group ◽  
Cooking Methods ◽  
Processed Meat ◽  
Northern European ◽  
Average Intake ◽  
The Uk ◽  
Prospective Investigation

AbstractObjectiveThere is increasing evidence for a significant effect of processed meat (PM) intake on cancer risk. However, refined knowledge on how components of this heterogeneous food group are associated with cancer risk is still missing. Here, actual data on the intake of PM subcategories is given; within a food-based approach we considered preservation methods, cooking methods and nutrient content for stratification, in order to address most of the aetiologically relevant hypotheses.Design and settingStandardised computerised 24-hour diet recall interviews were collected within the framework of the European Prospective Investigation into Cancer and Nutrition (EPIC), a prospective cohort study in 27 centres across 10 European countries.SubjectsSubjects were 22 924 women and 13 031 men aged 35–74 years.ResultsExcept for the so-called ‘health-conscious’ cohort in the UK, energy-adjusted total PM intake ranged between 11.1 and 47.9 g day−1 in women and 18.8 and 88.5 g day−1 in men. Ham, salami-type sausages and heated sausages contributed most to the overall PM intake. The intake of cured (addition of nitrate/nitrite) PM was highest in the German, Dutch and northern European EPIC centres, with up to 68.8 g day−1 in men. The same was true for smoked PM (up to 51.8 g day−1). However, due to the different manufacturing practice, the highest average intake of NaNO2 through PM consumption was found for the Spanish centres (5.4 mg day−1 in men) as compared with German and British centres. Spanish centres also showed the highest intake of NaCl-rich types of PM; most cholesterol- and iron-rich PM was consumed in central and northern European centres. Possibly hazardous cooking methods were more often used for PM preparation in central and northern European centres.ConclusionsWe applied a food-based categorisation of PM that addresses aetiologically relevant mechanisms for cancer development and found distinct differences in dietary intake of these categories of PM across European cohorts. This predisposes EPIC to further investigate the role of PM in cancer aetiology.

scholarly journals Impacts of the 2008 Great Recession on dietary intake: a systematic review

2020 ◽  
Author(s):  
Rosemary H. Jenkins ◽  
Eszter P. Vamos ◽  
David Taylor-Robinson ◽  
Christopher Millett ◽  
Anthony A. Laverty
Keyword(s):  
Dietary Intake ◽  
Energy Intake ◽  
Great Recession ◽  
Meta Analysis ◽  
Grey Literature ◽  
Dietary Quality ◽  
Fruit And Vegetable ◽  
The Great Recession ◽  
Study Results ◽  
The Impact

Abstract Background: The 2008 Great Recession significantly impacted economies and individuals globally, with potential impacts on food systems and dietary intake. We systematically reviewed evidence on the impact of the Great Recession on children’s and adults’ dietary intake globally and whether disadvantaged individuals were disproportionately affected.Methods: We searched seven databases and relevant grey literature through June 2020. Longitudinal quantitative studies with the 2008 recession as the exposure and any measure of dietary intake (energy intake, dietary quality and food/macronutrient consumption) as outcomes were eligible for inclusion. Eligibility was independently assessed by two reviewers. The Newcastle Ottawa Scale was used for quality assessment. We undertook a random effects meta-analysis for changes in energy intake. Harvest plots were used to display and summarise study results for other outcomes. The study was registered with PROSPERO (CRD42019135864).Results: Forty-one studies including 2.6 million people met our inclusion criteria and were heterogenous in both methods and results. Ten studies reported energy intake, 11 dietary quality, 34 food intake, and 15 macronutrient consumption. The Great Recession was associated with a mean reduction of 39.9 calories per adult equivalent per day (95% Confidence Interval: -119.9, 40.2) in the meta-analysis of seven studies. We found reductions in dietary quality and small decreases in fruit and vegetable intake. We also found reductions in intake of meat and fish, fast food, sugary products, and soft drinks alongside an increase in the consumption of eggs and legumes. Impacts on macronutrients were inconclusive. Of 17 studies examining inequalities, 14 found that the Great Recession was associated with greater reductions in dietary intake and quality among more disadvantaged individuals. Only 4 studies investigated children’s intakes. Conclusions: The 2008 recession was associated with poorer dietary quality and decreased fruit and vegetable consumption, especially for more disadvantaged individuals. Implementing effective policies to mitigate adverse nutritional changes during the COVID pandemic and other major economic shocks should be prioritised.

scholarly journals Dietary Patterns Associated with Cardiometabolic Risk Factors for Puerto Ricans with and Without Type 2 Diabetes Living in Boston, Massachusetts (P18-063-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yanire Estrada Del Campo ◽  
Elizabeth Mayer-Davis ◽  
Alice Ammerman ◽  
Jamie Crandell ◽  
Katie Meyer ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Dietary Patterns ◽  
Cardiometabolic Risk ◽  
Puerto Ricans ◽  
Population Characteristics ◽  
Processed Meat ◽  
White Bread ◽  
Food Groups ◽  
Baked Goods

Abstract Objectives Our aim was to derive dietary patterns that are associated with cardiometabolic risk (CMR) and to quantify their prospective associations with 2-year changes in CMR factors for Puerto Ricans (PR) with and without Type 2 diabetes. Methods We used baseline data from the Boston Puerto Rican Health Study, a longitudinal epidemiological study of 45–75-year-old PR living in Boston. Those taking antilipemic medications were excluded. Dietary patterns were derived for participants with and without diabetes separately, using reduced rank regression with 37 food groups as predictors and 5 CMR factors as response variables. Simplified dietary pattern scores (DPscore) reflecting food groups with factor loadings > |0.20| were divided into tertiles to examine associations with population characteristics. We then used multivariable regression to quantify associations between continuous DPscores and changes in 5 individual CMR factors. Results For participants with diabetes, 13 food groups explained 64% of the DPscore variation, with positive loadings for pizza, Mexican food, vegetables, diet soft drinks/soda, sweetened beverages, meat, white bread, other grains or pasta, and processed meat; and negative loadings for reduced fat dairy, nuts and seeds, starchy vegetables, soups, and hot cereal. For participants without diabetes, 11 food groups explained 54% of the DPscore, including positive loadings for pizza, Mexican food, meat, white bread, solid fats, sweet baked goods, processed meat, and rice; and negative loadings for intake of nuts and seeds, hot cereal, poultry and water. In multivariable regressions, baseline DPscore was not significantly associated with 2-year change in CMR factors. Conclusions We identified population-specific foods that potentially contribute to excess CVD risk for PR with and without diabetes living in the US. Targeted dietary interventions should consider the specific foods identified in this research to improve CVD prevention. Funding Sources National Institute of Health, National Heart Blood and Lung Institute, National Institute on Aging.

scholarly journals Effect of birth of child in the household on changes over 7 years in dietary intake and weight of adults

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Caroline Méjean ◽  
Pascaline Rollet ◽  
Wendy Si Hassen ◽  
Christine Tichit ◽  
Aurélie Lampuré ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Repeated Measures ◽  
Fruits And Vegetables ◽  
Saturated Fatty Acids ◽  
Processed Meat ◽  
Life Transition ◽  
Dietary Intakes ◽  
First Child ◽  
The Impact

AbstractIntroductionOver the life course, transitions such as parenthood are described in sociological studies as periods of change in attitudes and health practices. The presence of children has been shown to modify adult dietary practices and daily timing of eating occasions, and that the arrival of a child in the household is perceived by parents to be related to changes in their dietary behaviors. Nevertheless, no epidemiological study has evaluated the impact by a longitudinal approach. The objective of our study was to assess the effect of the birth of a first child in a household on dietary intake and weight of adults over a 7-year follow-up period.Materials and MethodsThis study was conducted in 3955 adults included in the NutriNet-Santé cohort study between 2009 and 2010. At baseline and every year, dietary intakes were assessed using 24 h records. In this sample, 185 individuals experienced the birth of a first child in their household during the 7 years of follow-up. Changes in weight, assessed by self-administered questionnaire each year, were analyzed only in women (n = 115). Repeated measures of dietary intake and weight were analysed using mixed models adjusted for sex, age, education level and energy with random effects of time and period (before and after birth of the child) to assess changes following the life event.ResultsThe birth of a first child in the household was associated with a decrease in the score of adherence to French recommendations (PNNS score, β [95% CI] = -0.45 [-0.74; -0.16]), in intakes of fruits and vegetables, meat and processed meat, and vitamin C (respectively, β = -0.30 [-0.43; -0.17]); β = -0.20 [-0.32; -0.17]); β = -0.54 [0.88; -0.19])). The birth of a first child in the household was also associated with an increase in intakes of saturated fatty acids and sodium (respectively, β = 1.49 [0.51, 2.45]); β = 0.31 [0.20; 0.43])). The birth of a first child was associated with weight gain in women (β = 1.70 [1.07, 2.33]).ConclusionOur study has shown that the birth of a first child in the household was associated with rather unhealthy dietary changes. These results could be used to guide public health interventions by focusing on this specific life transition.

scholarly journals Labelling the salt content in foods: a useful tool in reducing sodium intake in Finland

2008 ◽  
Vol 11 (4) ◽  
pp. 335-340 ◽  
Author(s):  
Pirjo Pietinen ◽  
Liisa M Valsta ◽  
Tero Hirvonen ◽  
Harri Sinkko
Keyword(s):  
Salt Intake ◽  
Sodium Intake ◽  
Adult Population ◽  
Salt Content ◽  
Sodium Content ◽  
Food Composition ◽  
Processed Meat ◽  
Food Groups ◽  
Public Health Importance ◽  
The Impact

AbstractObjectiveTo estimate the impact of choosing food products labelled either as low or high in salt on salt intake in the Finnish adult population.Setting and subjectsThe National FINDIET 2002 survey with 48-hour recalls from 2007 subjects aged 25–64 years. Sodium intake was calculated based on the Fineli® food composition database including the sodium content of natural and processed foods as well as the salt content of recipes. The distribution of salt intake was calculated in different ways: the present situation; assuming that all breads, cheeses, processed meat and fish, breakfast cereals and fat spreads consumed would be either ‘lightly salted’ or ‘heavily salted’ based on the current labelling practice; and, in addition, assuming that all foods would be prepared with 50% less or more salt.ResultsExcluding underreporters, the mean salt intake would be reduced by 1.8 g in men and by 1.0 g in women if the entire population were to choose lightly salted products and further by 2.5 and 1.8 g, respectively, if also salt used in cooking were halved. Choosing heavily salted products would increase salt intake by 2.1 g in men and by 1.4 g in women. In the worst scenarios, salt intake would be further increased by 2.3 g in men and by 1.6 g in women.ConclusionsThese calculations show that the potential impact of labelling and giving consumers the possibility to choose products with less salt is of public health importance. In addition, strategies to reduce the salt content of all food groups are needed.

scholarly journals Whole-grain food consumption in Singaporean children aged 6–12 years

2016 ◽  
Vol 5 ◽  
Author(s):  
Jia En Neo ◽  
Saihah Binte Mohamed Salleh ◽  
Yun Xuan Toh ◽  
Kesslyn Yan Ling How ◽  
Mervin Tee ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dietary Intake ◽  
Food Consumption ◽  
Dietary Habits ◽  
Dairy Product ◽  
Whole Grains ◽  
Portion Size ◽  
Consumption Patterns ◽  
Food Groups ◽  
Whole Grain

AbstractPublic health bodies in many countries are attempting to increase population-wide habitual consumption of whole grains. Limited data on dietary habits exist in Singaporean children. The present study therefore aimed to assess whole grain consumption patterns in Singaporean children and compare these with dietary intake, physical activity and health parameters. Dietary intake (assessed by duplicate, multipass, 24-h food recalls), physical activity (by questionnaire) and anthropometric measurements were collected from a cross-section of 561 Singaporean children aged 6–12 years. Intake of whole grains was evaluated using estimates of portion size and international food composition data. Only 38·3 % of participants reported consuming whole grains during the dietary data collection days. Median intake of whole grains in consumers was 15·3 (interquartile range 5·4–34·8) g/d. The most commonly consumed whole-grain food groups were rice (29·5 %), wholemeal bread (28·9 %) and ready-to-eat breakfast cereals (18·8 %). A significantly lower proportion of Malay children (seven out of fifty-eight; P < 0·0001) consumed whole grains than children of other ethnicities. Only 6 % of all children consumed the amount of whole grains most commonly associated with improved health outcomes (48 g/d). There was no relationship between whole grain consumption patterns and BMI, waist circumference or physical activity but higher whole grain intake was associated with increased fruit, vegetable and dairy product consumption (P < 0·001). These findings demonstrate that consumption of whole grain foods is low at a population level and infrequent in Singaporean children. Future drives to increase whole-grain food consumption in this population are likely to require input from multiple stakeholders.

scholarly journals Longitudinal changes in dietary intake in Scottish women around the menopause: changes in dietary pattern result in minor changes in nutrient intake

2005 ◽  
Vol 8 (4) ◽  
pp. 409-416 ◽  
Author(s):  
Helen M Macdonald ◽  
Susan A New ◽  
David M Reid
Keyword(s):  
Dietary Intake ◽  
Energy Intake ◽  
Nutrient Intake ◽  
Hormone Replacement ◽  
Dietary Assessment ◽  
Menopausal Status ◽  
Marked Change ◽  
Low Energy ◽  
Processed Meat

AbstractObjectiveTo examine dietary change that has occurred over 5 to 6 years.SubjectsA cohort of Scottish women (n=898) with a mean age of 47.5 years (range 45–54 years) at baseline.DesignDietary intake was assessed by validated food-frequency questionnaire (FFQ) and analysed using the UK Composition of Foods database.ResultsSince the first dietary assessment, mean daily energy intake had decreased from 8.2±2.3 to 7.9±2.2 MJ. The degree of low energy reporting (defined as ratio of energy intake to basal metabolic rate >1.1) had increased from 18.7% at baseline to 25.6% at follow-up. Low energy reporters were significantly heavier than ‘normal’ energy reporters (mean weight at follow-up, 68.9±12.6 vs. 66.8±11.3 kg) and could be deliberately restricting intake rather than underreporting. Overall there were decreases in intakes of red meat, processed meat and cheese, but increases in poultry and non-oily fish consumption. Consumption of bread, biscuits and cakes had gone down and there was an increase in cereal and rice/pasta consumption. Intake of potatoes had decreased whereas fruit intake had increased. There were small but statistically significant differences in intakes for most nutrients (>8% change). Nutrient intakes at both visits were similar across menopausal status and usage groups of hormone replacement therapy. Modifications to the computer version of the McCance and Widdowson nutrient database, which differed from the published version, were noted. These changes altered the original baseline values for our study.ConclusionsThe menopause per se is not a period of marked change in nutrient intake. Caution is advised when using computer databases of food compositions for longitudinal studies.

scholarly journals Use of a Web-Based Dietary Assessment Tool (RiksmatenFlex) in Swedish Adolescents: Comparison and Validation Study (Preprint)

2018 ◽  
Author(s):  
Anna Karin Lindroos ◽  
Jessica Petrelius Sipinen ◽  
Cecilia Axelsson ◽  
Gisela Nyberg ◽  
Rikard Landberg ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Dietary Intake ◽  
Correlation Coefficient ◽  
Energy Intake ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Fruit And Vegetables ◽  
Spearman Correlation ◽  
Whole Grain ◽  
Web Based

BACKGROUND A Web-based dietary assessment tool—RiksmatenFlex—was developed for the national dietary survey of adolescents in Sweden. OBJECTIVE This study aimed to describe the Web-based method RiksmatenFlex and to test the validity of the reported dietary intake by comparing dietary intake with 24-hour dietary recalls (recall interviews), estimated energy expenditure, and biomarkers. METHODS Adolescents aged 11-12, 14-15, and 17-18 years were recruited through schools. In total, 78 students had complete dietary information and were included in the study. Diet was reported a few weeks apart with either RiksmatenFlexDiet (the day before and a random later day) or recall interviews (face-to-face, a random day later by phone) in a cross-over, randomized design. At a school visit, weight and height were measured and blood samples were drawn for biomarker analyses. Students wore an accelerometer for 7 days for physical activity measurements. Dietary intake captured by both dietary methods was compared, and energy intake captured by both methods was compared with the accelerometer-estimated energy expenditure (EEest). Intake of whole grain wheat and rye and fruit and vegetables by both methods was compared with alkylresorcinol and carotenoid concentrations in plasma, respectively. RESULTS The mean of the reported energy intake was 8.92 (SD 2.77) MJ by RiksmatenFlexDiet and 8.04 (SD 2.67) MJ by the recall interviews (<italic>P</italic>=.01). Intake of fruit and vegetables was 224 (169) g and 227 (150) g, and whole grain wheat and rye intake was 12.4 (SD 13.2) g and 12.0 (SD 13.1) g, respectively; the intakes of fruit and vegetables as well as whole grain wheat and rye did not differ between methods. Intraclass correlation coefficients ranged from 0.57 for protein and carbohydrates to 0.23 for vegetables. Energy intake by RiksmatenFlexDiet was overreported by 8% (<italic>P</italic>=.03) but not by the recall interviews (<italic>P</italic>=.53) compared with EEest. The Spearman correlation coefficient between reported energy intake and EEest was 0.34 (<italic>P</italic>=.008) for RiksmatenFlexDiet and 0.16 (<italic>P</italic>=.21) for the recall interviews. Spearman correlation coefficient between whole grain wheat and rye and plasma total alkylresorcinol homologs was 0.36 (<italic>P</italic>=.002) for RiksmatenFlexDiet and 0.29 (<italic>P</italic>=.02) for the recall interviews. Spearman correlations between intake of fruit and vegetables and plasma carotenoids were weak for both dietary tools. The strongest correlations were observed between fruit and vegetable intake and lutein/zeaxanthin for RiksmatenFlexDiet (0.46; <italic>P</italic>&lt;.001) and for recall interviews (0.28; <italic>P</italic>=.02). CONCLUSIONS RiksmatenFlexDiet provides information on energy, fruit, vegetables, and whole grain wheat and rye intake, which is comparable with intake obtained from recall interviews in Swedish adolescents. The results are promising for cost-effective dietary data collection in upcoming national dietary surveys and other studies in Sweden. Future research should focus on how, and if, new technological solutions could reduce dietary reporting biases.

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