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Accuracy of food intake reporting in obese subjects with metabolic risk factors

Published online by Cambridge University Press:  08 March 2007

Mette Svendsen  and
Serena Tonstad
Mette Svendsen*
Affiliation:
Ullevål University HospitalDepartment of Preventive Cardiology, N-0047 OsloNorway
Serena Tonstad
Affiliation:
Ullevål University HospitalDepartment of Preventive Cardiology, N-0047 OsloNorway
*
*Corresponding author: fax +47 22 11 99 75, email mette.svendsen@uus.no
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Abstract

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The aim of the present study was to determine the accuracy of reported energy intake according to a food-frequency questionnaire (FFQ) and dietary records (DR) in obese subjects with metabolic syndrome risk factors. Subjects were twenty-three men and twenty-seven women with mean BMI of 35·7 (range 30·5–43·8) kg/m2 who participated in a dietary interview based on a FFQ and completed weighed DR. Total energy expenditure was measured with the doubly labelled water method. Total energy expenditure, measured RMR and physical activity level did not differ between under-reporters (50% of the sample) and non-under-reporters. Under-reporters had lower median intake of sweets, desserts and snacks than non-under-reporters (100 V.. 161g/d (P=0·0008) and 61 V.. 128g/d (P.=0·0002) according to the FFQ and DR, respectively). The DR also showed lower energy density (6·7 (sd 1·3) V 7·9 (sd 1·6) kJ/g; P=0·0064), lower intake of sugary drinks (0 V. 167g/d; P=0·0063) and higher scores for dietary restraint (9·0 (sd 5·0) V. 6·1 (sd 3·5); P=0·0285) in under-reporters. Energy density was associated with accuracy according to the FFQ (Spearman's rank correlation coefficient (RS) 0·406; P=0·0034) and the DR (RS 0·537; P<0·0001). In multivariate analysis, consumption of bread and sweets, desserts and snacks measured by the FFQ was positively associated with accuracy (I2adjusted 0·46 (95% CI 0·32, 0·70)). According to the DR, consumption of sweets, desserts and snacks was also associated with accuracy, as was dietary restraint (inversely) (I2adjusted 0·67 (95% CI 0·54, 0·83)). In obese subjects with metabolic risk factors, intake of sweets, desserts and snacks, bread and dietary restraint were determinants of reporting accuracy.

Keywords

Energy intakeUnder-reportingEating behaviourDoubly labelled water
Type
Research Article
Information
British Journal of Nutrition , Volume 95 , Issue 3 , March 2006 , pp. 640 - 649
Copyright
Copyright © The Nutrition Society 2006

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