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Accepted manuscript

The association of cognitive task scores with energy intake measurement error from technology-assisted 24 hr recalls

Published online by Cambridge University Press:  03 March 2025

Clare Whitton
Affiliation:
Curtin School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth 6845, WA, Australia Curtin Medical Research Institute, Curtin University, Kent Street, GPO Box U1987, Perth 6845, Australia School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup WA 6027, Australia
Barbara A Mullan
Affiliation:
Curtin School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth 6845, WA, Australia Enable Institute, Curtin University, Kent Street, GPO Box U1987, Perth 6845, Australia
Satvinder S Dhaliwal
Affiliation:
Curtin Medical Research Institute, Curtin University, Kent Street, GPO Box U1987, Perth 6845, Australia Obstetrics & Gynaecology Academic Clinical Program, Duke-NUS Medical School, National University of Singapore, 8 College Rd, 169857, Singapore Health & Social Sciences, Singapore Institute of Technology, 1 Punggol Coast Road, Singapore 828608 Office of the Provost, Singapore University of Social Sciences, 463 Clementi Road, Singapore 599494
Richard Norman
Affiliation:
Curtin School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth 6845, WA, Australia Enable Institute, Curtin University, Kent Street, GPO Box U1987, Perth 6845, Australia
Carol J Boushey
Affiliation:
Epidemiology Program, University of Hawaii Cancer Center, Honolulu, HI, USA
Clare E Collins
Affiliation:
School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, Australia Food and Nutrition Research Program, Hunter Medical Research Institute, New Lambton Heights, Newcastle, Australia
Megan E Rollo
Affiliation:
Curtin School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth 6845, WA, Australia School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, Australia
Deborah A Kerr*
Affiliation:
Curtin School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth 6845, WA, Australia Curtin Medical Research Institute, Curtin University, Kent Street, GPO Box U1987, Perth 6845, Australia
*
Corresponding author: Deborah Kerr, Curtin School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth 6845, Australia d.kerr@curtin.edu.au
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Abstract

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Measurement error undermines the accuracy of dietary intake data. The 24-hour dietary recall (24HR) is the standard data collection method in nutrition surveillance. Several neurocognitive processes underpin the act of recall, and individuals differ in their performance of these processes. This study aimed to investigate whether variation in neurocognitive processes, measured using four cognitive tasks, was associated with variation in measurement error of 24HRs. Participants (n 139) completed the Trail Making Test, the Wisconsin Card Sorting Test, the Visual Digit Span, and the Vividness of Visual Imagery questionnaire. During a controlled feeding study, participants completed three technology-assisted 24HR; the Automated Self-Administered Dietary Assessment Tool (ASA24), Intake24, and an Interviewer-Administered Image-Assisted 24HR (IA-24HR) one week apart. Percentage error between reported and true energy intakes was calculated. Using linear regression, the association between cognitive task scores and absolute percentage error in estimated energy intake was assessed. Longer time spent completing the Trail Making Test, an indicator of visual attention and executive functioning, was associated with greater error in energy intake estimation using ASA24 (B 0.13, 95% CI 0.04, 0.21) and Intake24 (B 0.10, 95% CI 0.02, 0.19). Regression models explained 13.6% (ASA24) and 15.8% (Intake24) of the variance in energy estimation error. No cognitive task scores were associated with error using IA-24HR. This study demonstrates that variation between individuals in neurocognitive processes explains some of the variation in 24HR error. Further investigation into the role of neurocognitive processes in 24HR and their role in the reliability of dietary intake data is warranted.

Type
Research Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society