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Calorie intake misreporting by diet record and food frequency questionnaire compared to doubly labeled water among postmenopausal women

Abstract

Objective:

We assessed the extent of energy misreporting from the use of a self-administered 7-day diet record (7-DDR) and a widely used food frequency questionnaire (FFQ) compared to total energy expenditure from doubly labeled water (DLW) in a group of postmenopausal women.

Design:

At baseline, 65 healthy postmenopausal women were instructed to fill out the National Cancer Institute's (NCI) FFQ and a 7-DDR. Average total energy expenditure using the DLW method was also performed at baseline.

Results:

On average, the women underestimated total energy intake compared to total energy expenditure assessed from DLW by 37% on the 7-DDR and 42% on the FFQ.

Conclusions:

These findings suggest that the interpretation of findings from the 7-DDR- and FFQ-based energy-disease association studies in postmenopausal women needs further evaluation.

Sponsorship:

This research was supported (in part) by the Intramural Program of the NIH (National Cancer Institute).

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References

  • Baer D, Judd J, Clevidence B, Muesing R, Cambell W, Brown E et al. (2002). Moderate alcohol consumption lowers risk factors for cardiovascular disease in postmenopausal women fed a controlled diet. Am J Clin Nutr 75, 593–599.

    Article  CAS  Google Scholar 

  • Black A, Bingham S, Johansson G, Coward W (1997). Validation of dietary intakes of protein and energy against 24 h urinary N and DLW energy expenditure in middle-aged women, retired men and post-obese subjects: comparisons with validation against presumed energy requirements. Eur J Clin Nutr 51, 405–413.

    Article  CAS  Google Scholar 

  • Black A, Welch A, Bingham S (2000). Validation of dietary intakes measured by diet history against 24 h urinary nitrogen excretion and energy expenditure measured by the doubly labeled water method in middle-aged women. Br J Nutr 83, 341–354.

    Article  CAS  Google Scholar 

  • Dorgan J, Baer D, Albert P, Judd J, Brown E, Corle D et al. (2001). Serum hormones and the alcohol-breast cancer association in postmenopausal women. J Natl Cancer Inst 93, 710–715.

    Article  CAS  Google Scholar 

  • Dorman J, Steenkiste A, Foley T, Strotmeyer E, Burke J, Kuller L et al. (2001). Menopause in type 1 diabetic women: is it premature. Diabetes 50, 1857–1862.

    Article  CAS  Google Scholar 

  • Edwards B, Howe H, Ries L, Thun M, Rosenberg H, Yancik R et al. (2002). Annual report to the nation on the status of cancer, 1973–1999, featuring implications of aging on US cancer burden. Cancer 94, 2766–2792.

    Article  Google Scholar 

  • Eichner S, Lloyd K, Timpe E (2003). Comparing therapies for postmenopausal osteoporosis prevention and treatment. Ann Pharmacother 37, 711–724.

    Article  CAS  Google Scholar 

  • Gorodeski G (1994). Impact of the menopause on the epidemiology and risk factors of coronary artery heart disease in women. Exp Gerontol 29, 357–375.

    Article  CAS  Google Scholar 

  • Hill R, Davies P (2001). The validity of self-reported energy intake as determined using doubly labeled water technique. Br J Nutr 85, 415–430.

    Article  CAS  Google Scholar 

  • Hill R, Davies P (2002). Energy intake and energy expenditure in elite lightweight female rowers. Med Sci Sports Exerc 34, 1823–1829.

    Article  Google Scholar 

  • Kroke A, Klipstein-Grobusch K, Voss S, Moseneder J, Thielecke F, Noack R et al. (1999). Validation of a self-administered food-frequency questionnaire adminstered in the European Prospective Investigation into Cancer and Nutrition (EPIC) Study: comparison of energy, protein, and macronutrient intakes estimated with the doubly labeled water, urinary nitrogen, and repeated 24-h dietary recall methods. Am J Clin Nutr 70, 439–447.

    Article  CAS  Google Scholar 

  • Racette S, Schoeller D, Luke A, Shay K, Hnilicka J, Kushner R (1994). Relative dilution spaces of 2H- and 18O-labeled water in humans. Am J Physiol 267, E585–590.

    CAS  Google Scholar 

  • Seale J, Conway J, Canary J (1993). Seven-day validation of doubly labeled water method using indirect calorimetry. J Appl Physiol 74, 402–409.

    Article  CAS  Google Scholar 

  • Seale J, Miles C, Bodwell C (1989). Sensitivity of methods for calculating energy expenditure by use of doubly labeled water. J Appl Physiol 66, 644–653.

    Article  CAS  Google Scholar 

  • Seale J, Rumpler W (1997). Comparison of energy expenditure measurements by diet records, energy intake balance, doubly labeled water and room calorimetry. Eur J Clin Nutr 51, 856–863.

    Article  CAS  Google Scholar 

  • Seale J, Rumpler W, Conway J, Miles C (1990). Comparison of doubly labeled water, intake balance, and direct- and indirect-calorimetry methods for measuring energy expenditure in adult men. Am J Clin Nutr 52, 66–71.

    Article  CAS  Google Scholar 

  • Subar A, Kipnis V, Troiano R, Midthune D, Schoeller D, Bingham S et al. (2003). Using intake biomarkers to evaluate the extent of dietary misreporting in a large sample of adults: The OPEN study. Am J Epidemiol 158, 1–13.

    Article  Google Scholar 

  • Subar A, Thompson F, Kipnis V, Midthune D, Hurwitz P, McNutt S et al. (2001). Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: The Eating at America's Table Study. Am J Epidemiol 154, 1089–1099.

    Article  CAS  Google Scholar 

  • Trabulsi J, Schoeller D (2001). Evaluation of dietary assessment instruments against doubly labeled water, a biomarker of habitual energy intake. Am J Physiol Endocrinol Metab 281, E891–899.

    Article  CAS  Google Scholar 

  • Weber J, Reid P, Greaves K, DeLany J, Stanford V, Going S et al. (2001). Validity of self-reported energy intake in lean and obese young women, using two nutrient databases, compared with total energy expenditure assessed by doubly labeled water. Eur J Clin Nutr 55, 940–950.

    Article  CAS  Google Scholar 

  • Willett W, Stampfer MJ (1996). Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 124, 17–27.

    Article  Google Scholar 

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Acknowledgements

This research was supported [in part] by the Intramural Program of the NIH [National Cancer Institute].

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Correspondence to S Mahabir.

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Guarantor: S Mahabir.

Contributors: SM wrote the manuscript. SM and CG carried out the data analysis. PRT, DJB, WC, TJH, BC, AS, and DA were involved in the design and implementation of the study. All authors contributed in the discussion and interpretation of the results, and in drafting and editing the manuscript. No conflicts of interest are declared.

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Mahabir, S., Baer, D., Giffen, C. et al. Calorie intake misreporting by diet record and food frequency questionnaire compared to doubly labeled water among postmenopausal women. Eur J Clin Nutr 60, 561–565 (2006). https://doi.org/10.1038/sj.ejcn.1602359

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