Comparison of estimated energy intake from 2 x 24-hour recalls and a seven-day food record with objective measurements of energy expenditure in children

Berit W. Rothausen; Jeppe Matthiessen; Margit V. Groth; Per B. Brockhoff; Lene F. Andersen; Ellen Trolle

doi:10.3402/fnr.v56i0.12221

Berit W. Rothausen Division of Nutrition, National Food Institute, Technical University of Denmark
Jeppe Matthiessen Division of Nutrition, National Food Institute, Technical University of Denmark
Margit V. Groth Division of Nutrition, National Food Institute, Technical University of Denmark
Per B. Brockhoff Department of Informatics and Mathematical Modeling, Technical University of Denmark
Lene F. Andersen Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo
Ellen Trolle Division of Nutrition, National Food Institute, Technical University of Denmark

DOI: https://doi.org/10.3402/fnr.v56i0.12221

Keywords: Human nutrition, Nutrition epidemiplogy

Abstract

Objective: The objective of the present study was to evaluate energy intake (EI) estimated from two nonconsecutive 24-hour recalls (24-HDRs) and a pre-coded seven-day food record (7-dFR) against objective measurements of energy expenditure (EE) in children. Design: A total of 67 7-8 year-olds and 64 12-13 year-olds completed the 2 X 24-HDRs, the 7-dFR, and wore ActiReg^® (PreMed AS, Oslo, Norway), a combined position and motion recording instrument, during the same seven days as the 7-dFR was filled in. Results: In the 7-8 year-olds, EI from the 2 X 24-HDRs (EI_{2 X 24-HDR}) was overestimated with 3% compared to EE (not significantly different), while EI from the 7-dFR (EI_7-dFR) was underestimated with 7% compared to EE (P =0.001). In the 12-13 year-olds, the corresponding figures was underestimation by 10% with the 2 X 24-HDRs (P <0.001) and by 20% with the 7-dFR (P <0.001). For both age groups combined, the 95% limits of agreement were -4.38 and 3.52 MJ/d for the 2 X 24-HDRs, and -5.90 and 2.94 MJ/d for the 7-dFR. Pearson correlation coefficients between EI and EE were 0.51 for EI_{2 X 24-HDR} and 0.29 for EI7-dFR, respectively. The proportion classified in the same or adjacent quartiles was 76% for EI2 X 24-HDR and 73% for EI7-dFR in the 7-8 year-olds, and 83% for EI_{2 X 24-HDR} and 70% for EI_7-dFR in the 12-13 year-olds. Conclusion: Misreporting of EI seemed modest with both the 2 X 24-HDRs and the 7-dFR in the 7-8 year-olds when compared to EE measured with ActiReg^® . Under-reporting appeared to be more evident in the 12-13 year-olds, especially with the 7-dFR. Compared to measurements of EE, the 2 X 24-HDRs seemed to perform slightly better than the 7-dFR in terms of ranking of individuals according to EI.

Keywords: dietary assessment; EFCOVAL; ActiReg^®

(Published: 15 February 2012)

Citation: Food & Nutrition Research 2012. 56: 12221 - DOI: 10.3402/fnr.v56i0.12221

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