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Validation with biological markers for food intake of a dietary assessment method used by Swedish women with three different with dietary preferences

Published online by Cambridge University Press:  01 September 1998

Gunnar Johansson ,
Agneta Åkesson ,
Marika Berglund ,
Barbro Nermell  and
Marie Vahter
Gunnar Johansson
Affiliation:
Institute of Environmental Medicine, Karolinska Institutet, Box 210, S-171 77 Stockholm, Sweden
Agneta Åkesson
Affiliation:
Institute of Environmental Medicine, Karolinska Institutet, Box 210, S-171 77 Stockholm, Sweden
Marika Berglund
Affiliation:
Institute of Environmental Medicine, Karolinska Institutet, Box 210, S-171 77 Stockholm, Sweden
Barbro Nermell
Affiliation:
Institute of Environmental Medicine, Karolinska Institutet, Box 210, S-171 77 Stockholm, Sweden
Marie Vahter*
Affiliation:
Institute of Environmental Medicine, Karolinska Institutet, Box 210, S-171 77 Stockholm, Sweden
*
*Corresponding author: E-mail marie.vahter@imm.ki.se
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Abstract

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Objectives:

To validate a dietary assessment method, a 4-day food record together with a duplicate portion technique, with biological markers for food intake.

Design:

Four days of duplicate portions were collected in parallel with food recording. A 24-h urine sample and the faeces corresponding to the food intake (using a coloured marker) were collected. Completeness of urine and faeces collections was assessed using para-aminobenzoic acid (PABA) in urine and cadmium in faeces, respectively. Biomarkers of food intake (energy, protein, fibre, sodium, potassium, calcium) were measured in urine and faeces.

Setting:

Swedish west coast.

Subjects:

Non-smoking Swedish women, 20–50 years of age, consuming a mixed diet (n=34), a mixed diet rich in shellfish (n=17) or a vegetarian/high-fibre diet (n=23).

Results:

The average ratio (food intake according to the dietary assessment methods/biological marker) for protein, sodium, potassium and calcium was 0.86. This indicates an underestimation of the food intake by approximately 15%. The ratio of stated fibre intake to biological marker was 1.20 for the mixed diet and the vegetarian diet group, indicating an overestimation by approximately 20%.

Conclusions:

The underestimation of the intake of protein, sodium, potassium and calcium by all three groups and the overestimation of the fibre intake by two groups indicate that underreporting is selective to certain nutrients and foods and to various groups of people. The two dependent dietary assessment methods were equally good in measuring protein intake, which indicates that the women recorded what they actually duplicated.

Keywords

ValidationDietary assessmentFood recordDuplicate dietBiomarkers of food intake
Type
Research Article
Information
Public Health Nutrition , Volume 1 , Issue 3 , September 1998 , pp. 199 - 206
Copyright
Copyright © The Nutrition Society 1998

References

1Committee on Diet and Health, Food and Nutrition Board, Commission on Life Sciences and National Research Council. Methodological considerations in evaluating the evidence. In: Diet and Health: Implications for Reducing Chronic Disease Risk. Washington DC: National Academy Press, 1989: 23–40.Google Scholar
2Hunter, D. Biochemical indicators of dietary intake. In: Nutritional Epidemiology, Willett, W, ed. New York: Oxford University Press, 1990: 143–216.Google Scholar
3Bingham, S. The dietary assessment of individuals. methods. accuracy, new techniques and recommendations. Nutr. Abstr. Rev. 1987; 57: 705–42.Google Scholar
4Berglund, M, Åkesson, A, Nermell, B, Vahter, M. Intestinal absorption of dietary cadmium in women depends on body iron stores and fiber intake. Environ. Health Perspect. 1994; 102: 1058–66.CrossRefGoogle ScholarPubMed
5Vahter, M, Berglund, M, Nermell, B. Åkesson, A. Bioavailability of cadmium from shellfish and mixed dirt in women. Toxicol. Appl. Pharmacol. 1996; 136: 332–41.CrossRefGoogle Scholar
6Bingham, S, Cummings, JH. The use of 4-aminobenzoic acid as a marker to validate the completeness of 24h urine collections in man. Clin. Sci. 1983; 64: 629–35.CrossRefGoogle Scholar
7Hare, R. Endogenous creatinine serum and urine. Proc. Soc. Exp. Biol. Med. 1950; 74: 148–51.CrossRefGoogle ScholarPubMed
8Johansson, G, Bingham, SA, Vahter, M. A method to compensate for incomplete 24-hour urine collections in nutritional epidemiological studies. Eur J. Clin. Nutr. (in press).Google Scholar
9Department of Health. Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects. London: HMSO, 1991.Google Scholar
10Bingham, S. Cummings, JH. Urine nitrogen as an independent validatory measure of dietary intake: a study of nitrogen balance in individuals consuming their normal diet. Am. J. Clin. Nutr. 1985; 42: 1276–89.CrossRefGoogle ScholarPubMed
11lsaksson, B. Urinary nitrogen output as a validity test in dietary surveys. Am. J. Clin. Nutr. 1980; 33: 4–5.CrossRefGoogle Scholar
12Fregly, MJ. Attempts to estimate sodium intake in humans. In: Horan, MJ, Blaustein, M, Dunbar, JB, Dachadorian, W, Kaplan, NB, Simopoulos, AP, eds. NIH Workshop on Nutrition and Hypertension. New York: Biomedical Information, 1985: 93–112.Google Scholar
13Johansson, G, Callmer, E, Gustafsson, J-Å. Validity of repeated dietary measurements in a dietary intervention study. Eur. J. Clin. Nutr. 1992; 46: 717–28.Google Scholar
14Bingham, S. Low-residue diets: a reappraisal of their meaning and content. J. Hum. Nutr. 1979; 33: 5–16.Google Scholar
15Jacobsen, AE, Newmark, HL, Bright-See, E, McKeown-Eyssen, G, Bruce, R. Biochemical changes as a result of increased fiber consumption. Nutr. Rep. Int. 1984; 30: 1049–59.Google Scholar
16Cummings, JH, Bingham, SA, Heaton, KW, Eastwood, MA. Fecal weight, colon cancer risk and dietary intake of non-starch polysaccharides (dietary fiber). Gastroenterology 1992; 103: 1783–9.CrossRefGoogle Scholar
17Wrick, KL, Robertson, JB, van Soest, PJ, et al. The influence of dietary fibre source on human intestinal transit and stool output. J. Nutr. 1983; 113: 1464–79.CrossRefGoogle ScholarPubMed
18Bingham, S, Wiggins, HS, Englyst, H, et al. Methods and validity of dietary assessments in four Scandinavian populations. Nutr. Cancer 1982; 4: 23–33.CrossRefGoogle ScholarPubMed
19Bro, S, Sandström, B, Heydorn, K. Intake of essential and toxic trace elements in a random sample of Danish men as determined by the duplicate portion sampling technique. J. Trace Elem. Electol. Health Dis. 1990; 4: 147–55.Google Scholar
20Isaksson, B. A critical evaluation of the duplicate-portion technique in dietary surveys. Eur. J. Clin. Nutr. 1993; 47: 457–60.Google ScholarPubMed
21Willet, W. Implications of total energy intake for epidemio-logical analyses. In: Willett, W, ed. Nutritional Epidemiology. Oxford: Oxford University Press, 1990: 245–71.Google Scholar
22Bingham, SA. The use of 24-h urine samples and energy expenditure to validate dietary assessments. Am. J. Clin. Nutr. 1994; 59(suppl): 227S–31S.CrossRefGoogle ScholarPubMed
23Black, AE, Jebb, SA, Bingham, SA. Validation of energy and protein intakes assessed by diet history and weighed records against energy expenditure and 24-h urinary nitrogen excretion. Proc. Nutr. Soc. 1991; 50: 108A.Google Scholar
24Black, AE, Bingham, SA, Johansson, G, Coward, WA. Validation of dietary intakes of protein and energy against 24 hour urinary N and DLW energy expenditure in middle-aged women, retired men and post-obese subjects: comparison with validation against presumed energy requirements. Eur. J. Clin. Nutr. 1997; 51: 405–13.CrossRefGoogle ScholarPubMed
25Schachter, J, Harper, PH, Radin, ME, Caggiula, AW, McDonald, RH, Diven, WF. Comparison of sodium and potassium intake with excretion. Hypertension 1980; 2: 695–9.CrossRefGoogle ScholarPubMed
26Cummings, JH, Hill, MJ, Jenkins, DJA, Pearson, JR, Wiggins, HS. Changes in fecal composition and colonic function due to cereal fibre. Am. J. Clin. Nutr. 1976; 29: 1468–73.CrossRefGoogle Scholar