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Underreporting of energy intake is less common among pregnant women in Indonesia

Published online by Cambridge University Press:  02 January 2007

Anna Winkvist ,
Viveka Persson  and
T Ninuk S Hartini
Anna Winkvist*
Affiliation:
Epidemiology, Department of Public Health and Clinical Medicine, Umeå University, SE-901 85 Umeå, Sweden
Viveka Persson
Affiliation:
Epidemiology, Department of Public Health and Clinical Medicine, Umeå University, SE-901 85 Umeå, Sweden Section for International Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Sweden
T Ninuk S Hartini
Affiliation:
Epidemiology, Department of Public Health and Clinical Medicine, Umeå University, SE-901 85 Umeå, Sweden Nutrition Academy, Ministry of Health, Yogyakarta, Indonesia Community Health and Nutrition Research Laboratory, Faculty of Medicine, University of Gadjah Mada, Yogyakarta, Indonesia
*
*Corresponding author: Email anna.winkvist@epiph.umu.se
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Abstract

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Objectives:

To evaluate the ratio of reported energy intake to basal metabolic rate (EI/BMR) among pregnant Indonesian women, as well as identifying risk factors for being an underreporter.

Design:

Longitudinal study of dietary intake, using six repeated 24-hour diet recalls each trimester. Basal metabolic rate was estimated from body weight and physical activity from occupation. The lower 95% confidence interval for plausible EI/BMR was calculated and the proportion of underreporters estimated. Risk factors for being an underreporter were assessed in multivariate logistic regression analyses.

Setting:

Purworejo District, central Java, Indonesia.

Subjects:

Pregnant women (n = 490).

Results:

For the three trimesters, EI/BMR ratio was 1.33±0.48, 1.53±0.43 and 1.52±0.40 (mean±standard deviation), respectively. The proportion of underreporters was 29.7%, 16.2% and 17.6%. Characteristics significantly associated with underreporting in at least one trimester included high body mass index and low education.

Conclusions:

Levels of underreporting were low among the pregnant Indonesian women during the second and third trimesters. The low EI/BMR ratio during the first trimester likely reflects a true low intake due to nausea, rather than underreporting. Risk factors for being an underreporter included those known from developed countries, i.e. obesity and low education.

Keywords

Diet recallPregnancyUnderreportingIndonesia
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 4 , August 2002 , pp. 523 - 529
Copyright
Copyright © CABI Publishing 2002

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