Cognition and Differences in Self-Report and Biochemical Measurement of Dietary Intake: Food For Thought

Abstract The limitations of self-report measures of dietary intake are well known. Novel, technology-based measures of dietary intake may provide a more accurate, less burdensome alternative to existing tools. The first objective of this study was to compare participant burden for two technology-based measures of dietary intake among school-age children: the Automated-Self Administered 24-hour Dietary Assessment Tool-2018 (ASA24-2018) and the Remote Food Photography Method (RFPM). The second objective was to compare reported energy intake for each method to the Estimated Energy Requirement for each child, as a benchmark for actual intake. Forty parent-child dyads participated in 2, 3-day dietary assessments: a parent proxy-reported version of the ASA24 and the RFPM. A parent survey was subsequently administered to compare satisfaction, ease of use and burden with each method. A linear mixed model examined differences in total daily energy intake (TDEI) between assessments, and between each assessment method and the EER. Reported energy intake was 379 kcal higher with the ASA24 than the RFPM (p=0.0002). Reported energy intake with the ASA24 was 231 kcal higher than the EER (p = 0.008). Reported energy intake with the RFPM did not differ significantly from the EER (difference in predicted means = −148 kcal, p = 0.09). Median satisfaction and ease of use scores were 5 out of 6 for both methods. A higher proportion of parents reported that the ASA24 was more time consuming than the RFPM (74.4% vs. 25.6%, p = 0.002). Utilization of both methods is warranted given their high satisfaction among parents.

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Effects of peer influence on dietary intake and physical activity in schoolchildren

Public Health Nutrition ◽

10.1017/s1368980009991315 ◽

2009 ◽

Vol 13 (3) ◽

pp. 376-383 ◽

Cited By ~ 34

Author(s):

Tara Finnerty ◽

Sue Reeves ◽

Jaqueline Dabinett ◽

Yvonne M Jeanes ◽

Claus Vögele

Keyword(s):

Physical Activity ◽

Dietary Intake ◽

Peer Influence ◽

Age Groups ◽

Saturated Fat ◽

Self Report ◽

Activity Levels ◽

Anthropometric Measures ◽

Cross Sectional ◽

Physical Activity Levels

AbstractObjectiveTo investigate the dietary intake and physical activity of boys and girls aged 9–13 years, and the influence of peers on these behaviours.DesignCross-sectional study.SettingNine primary and secondary schools in south-west London.SubjectsA total of 315 children wore sealed pedometers, provided self-report measures of dietary intake and answered a questionnaire relating to peer influence. Anthropometric measures of height and weight were also obtained.ResultsObese children had the lowest reported energy intakes and the lowest step counts per day. Boys took significantly more steps per day than girls, however girls were closer to achieving their recommended cut-offs for physical activity. Girls had lower energy intakes per day and lower BMI Z-scores than boys, however both genders, across all age groups, had higher than recommended intakes of saturated fat. There were significant associations between peer influence and physical activity levels but not between peer influence and dietary intake.ConclusionsLow energy intake and physical activity levels but high saturated fat intakes among boys and girls across all age groups highlight the importance of promoting both physical activity and healthy food choices. The finding that peers have a significant effect on physical activity levels but not on dietary intake offers an important approach for the design of health promotion interventions and obesity prevention programmes. Such designs may be particularly beneficial for obese youth, since the low physical activity levels found could be a major contributing factor to the maintenance of the condition.

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The development and evaluation of a novel computer program to assess previous-day dietary and physical activity behaviours in school children: The Synchronised Nutrition and Activity ProgramTM (SNAPTM)

British Journal Of Nutrition ◽

10.1017/s0007114507862428 ◽

2008 ◽

Vol 99 (6) ◽

pp. 1266-1274 ◽

Cited By ~ 55

Author(s):

Helen J. Moore ◽

Louisa J. Ells ◽

Sally A. McLure ◽

Sean Crooks ◽

David Cumbor ◽

...

Keyword(s):

Physical Activity ◽

Energy Balance ◽

Dietary Intake ◽

Vigorous Physical Activity ◽

Population Level ◽

Mean Difference ◽

Self Report ◽

Substantial Contribution ◽

Activity Levels ◽

Food Groups

Self-report recall questionnaires used to measure physical activity and dietary intake in children can be labour intensive and monotonous and tend to focus on either dietary intake or physical activity. The web-based software, Synchronised Nutrition and Activity ProgramTM (SNAPTM), was developed to produce a novel, simple, quick and engaging method of assessing energy balance-related behaviours at a population level, combining principles from new and existing 24 h recall methodologies, set within a user-friendly interface. Dietary intake was measured using counts for twenty-one food groups and physical activity levels were measured in min of moderate to vigorous physical activity (MVPA). A combination of the mean difference between methods, type II regression and non-parametric limits of agreement techniques were used to examine the accuracy and precision of SNAPTM. Method comparison analyses demonstrated a good agreement for both dietary intake and physical activity behaviours. For dietary variables, accuracy of SNAPTM (mean difference) was within ± 1 count for the majority of food groups. The proportion of the sample with between-method agreement within ± 1 count ranged from 0·40 to 0·99. For min of MVPA, there was no substantial fixed or proportional bias, and a mean difference between methods (SNAPTM – accelerometry) of − 9 min. SNAPTM provides a quick, accurate, low-burden, cost-effective and engaging method of assessing energy balance behaviours at a population level. Tools such as SNAPTM, which exploit the popularity, privacy and engagement of the computer interface, and linkages with other datasets, could make a substantial contribution to future public health monitoring and research.

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Profiles for Identifying Problematic Dietary Habits in a Sample of Recreational Spanish Cyclists and Triathletes

10.21203/rs.3.rs-243840/v1 ◽

2021 ◽

Author(s):

José J. Muros ◽

Emily Knox ◽

Daniel Hinojosa-Nogueira ◽

José Á. Rufián-Henares ◽

Mikel Zabala

Keyword(s):

Dietary Intake ◽

Dietary Habits ◽

Nutritional Supplementation ◽

Self Report ◽

P Value ◽

Dietary Habit ◽

Sufficient Information ◽

Nutritional Interventions ◽

Total Fat ◽

And Gender

Abstract Background There is a lack of sufficient information on the dietary intake and nutritional supplementation of recreational endurance athletes throughout the year. The present observational study sought to assess the dietary intake and nutritional supplementation habits of recreational cyclists and triathletes from Spain. Methods 4,037 cyclists and triathletes completed self-report measures. Nutritional profiles were developed and differences were examined according to sporting discipline and gender. Differences between groups were compared using the Mann-Whitney U or chi-squared test. Next, micro- and macro-nutrients were grouped according to whether or not guideline intake amounts were met. The clustering of dietary habits was then examined via K-means cluster analysis. Results Triathletes took more supplements than cyclists (X2 = 36.489; p value = .000) and females took more supplements than males (X2 = 5.920; p value = .017). Females and triathletes reported greater protein and CHO consumption than males and cyclists, respectively. Triathletes also reported a higher consumption of total fat, MUFA, PUFA, EPA, DHA and fibre. Females and triathletes tended to consume more vitamins and minerals than males and cyclists, respectively. Two main dietary habit clusters emerged which may be used to inform nutritional interventions targeting recreational athletes not meeting nutritional requirements. Conclusions There is an imbalance in the main nutrients making up the diet of recreational Spanish athletes, characterised by insufficient CHO and excessive protein.

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A Comparison of Mean-Based and Quantile Regression Methods for Analyzing Self-Report Dietary Intake Data

Journal of Probability and Statistics ◽

10.1155/2019/9750538 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Michelle L. Vidoni ◽

Belinda M. Reininger ◽

MinJae Lee

Keyword(s):

Health Behavior ◽

Dietary Intake ◽

Quantile Regression ◽

Unobserved Heterogeneity ◽

Study Groups ◽

Behavior Intervention ◽

Self Report ◽

Unhealthy Eating ◽

Health Behavior Intervention ◽

The Impact

In mean-based approaches to dietary data analysis, it is possible for potentially important associations at the tails of the intake distribution, where inadequacy or excess is greatest, to be obscured due to unobserved heterogeneity. Participants in the upper or lower tails of dietary intake data will potentially have the greatest change in their behavior when presented with a health behavior intervention; thus, alternative statistical methods to modeling these relationships are needed to fully describe the impact of the intervention. Using data from Tu Salud ¡Si Cuenta! (Your Health Matters!) at Home Intervention, we aimed to compare traditional mean-based regression to quantile regression for describing the impact of a health behavior intervention on healthy and unhealthy eating indices. The mean-based regression model identified no differences in dietary intake between intervention and standard care groups. In contrast, the quantile regression indicated a nonconstant relationship between the unhealthy eating index and study groups at the upper tail of the unhealthy eating index distribution. The traditional mean-based linear regression was unable to fully describe the intervention effect on healthy and unhealthy eating, resulting in a limited understanding of the association.

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

Public Health Nutrition ◽

10.1017/s1368980016002743 ◽

2016 ◽

Vol 20 (4) ◽

pp. 598-607 ◽

Cited By ~ 23

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.

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Measurement of dietary intake in children

Proceedings of The Nutrition Society ◽

10.1017/s0029665100000318 ◽

2000 ◽

Vol 59 (2) ◽

pp. 279-293 ◽

Cited By ~ 465

Author(s):

M. B. E. Livingstone ◽

P. J. Robson

Keyword(s):

Food Intake ◽

Dietary Intake ◽

Energy Intake ◽

Cognitive Abilities ◽

Weight Status ◽

Survey Methods ◽

Self Report ◽

Survey Method ◽

Distribution Analysis ◽

Dietary Survey

When children and adolescents are the target population in dietary surveys many different respondent and observer considerations surface. The cognitive abilities required to self-report food intake include an adequately developed concept of time, a good memory and attention span, and a knowledge of the names of foods. From the age of 8 years there is a rapid increase in the ability of children to self-report food intake. However, while cognitive abilities should be fully developed by adolescence, issues of motivation and body image may hinder willingness to report. Ten validation studies of energy intake data have demonstrated that mis-reporting, usually in the direction of under-reporting, is likely. Patterns of under-reporting vary with age, and are influenced by weight status and the dietary survey method used. Furthermore, evidence for the existence of subject-specific responding in dietary assessment challenges the assumption that repeated measurements of dietary intake will eventually obtain valid data. Unfortunately, the ability to detect mis-reporters, by comparison with presumed energy requirements, is limited unless detailed activity information is available to allow the energy intake of each subject to be evaluated individually. In addition, high variability in nutrient intakes implies that, if intakes are valid, prolonged dietary recording will be required to rank children correctly for distribution analysis. Future research should focus on refining dietary survey methods to make them more sensitive to different ages and cognitive abilities. The development of improved techniques for identification of mis-reporters and investigation of the issue of differential reporting of foods should also be given priority.

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Social Desirability Bias in Dietary Self-Report May Compromise the Validity of Dietary Intake Measures

International Journal of Epidemiology ◽

10.1093/ije/24.2.389 ◽

1995 ◽

Vol 24 (2) ◽

pp. 389-398 ◽

Cited By ~ 492

Author(s):

JAMES R HEBERT ◽

LYNN CLEMOW ◽

LORI PBERT ◽

IRA S OCKENE ◽

JUDITH K OCKENE

Keyword(s):

Dietary Intake ◽

Social Desirability ◽

Self Report ◽

Social Desirability Bias

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Low dietary intake of magnesium is associated with increased externalising behaviours in adolescents

Public Health Nutrition ◽

10.1017/s1368980014002432 ◽

2014 ◽

Vol 18 (10) ◽

pp. 1824-1830 ◽

Cited By ~ 10

Author(s):

Lucinda J Black ◽

Karina L Allen ◽

Peter Jacoby ◽

Gina S Trapp ◽

Caroline M Gallagher ◽

...

Keyword(s):

Mental Health ◽

Dietary Intake ◽

Family Income ◽

Mental Health Problems ◽

Health Problems ◽

Self Report ◽

Behaviour Problems ◽

Dietary Intakes ◽

Prevention And Treatment ◽

Externalising Behaviours

AbstractObjectiveAdequate Zn and Mg intakes may be beneficial for the prevention and treatment of mental health problems, such as depression, anxiety and attention-deficit hyperactivity disorder. We aimed to investigate the prospective association between dietary intakes of Zn and Mg and internalising and externalising behaviour problems in a population-based cohort of adolescents.DesignProspective analysis (general linear mixed models) of dietary intakes of Zn and Mg assessed using a validated FFQ and mental health symptoms assessed using the Youth Self-Report (YSR), adjusting for sex, physical activity, family income, supplement status, dietary misreporting, BMI, family functioning and energy intake.SettingWestern Australian Pregnancy Cohort (Raine) Study.SubjectsAdolescents (n 684) at the 14- and 17-year follow-ups.ResultsHigher dietary intake of Mg (per sd increase) was significantly associated with reduced externalising behaviours (β=−1·45; 95 % CI −2·40, −0·50; P=0·003). There was a trend towards reduced externalising behaviours with higher Zn intake (per sd increase; β=−0·73; 95 % CI −1·57, 0·10; P=0·085).ConclusionsThe study shows an association between higher dietary Mg intake and reduced externalising behaviour problems in adolescents. We observed a similar trend, although not statistically significant, for Zn intake. Randomised controlled trials are necessary to determine any benefit of micronutrient supplementation in the prevention and treatment of mental health problems in adolescents.

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