Document Detail

Accuracy of dietary recall using the USDA five-step multiple-pass method in men: an observational validation study.
MedLine Citation:
PMID:  15054345     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This observational validation study was conducted under controlled conditions to test the accuracy of dietary recall in normal weight, overweight, and obese men using the USDA five-step multiple-pass method for dietary recall. DESIGN: Cross-sectional analysis of actual and recalled intake of food during 1 day. SUBJECTS/SETTING: Forty-two men ranging in age from 21 to 65 years and in body mass index from 21 to 39 kg/m(2) who lived in the metropolitan Washington DC area were studied. INTERVENTION: The subjects selected and consumed all meals and snacks, for 1 day, from a wide variety of foods provided at a human study facility. MAIN OUTCOME MEASURES: Actual and recalled energy, protein, carbohydrate, and fat intakes were determined by direct observation and by a 24-hour dietary recall, respectively. Dietary recall was determined via telephone administration of the USDA five-step multiple-pass method the following day. STATISTICAL ANALYSES PERFORMED: Analysis of variance and covariance tested the overall accuracy of recall and the effect of body mass index on dietary recall. Bland-Altman plots were used to assess bias in recall of food intake. RESULTS: In this population of men, there were no significant differences between actual and recalled intakes of energy (3,294+/-111 and 3,541+/-124 kcal/day), protein (117+/-5 and 126+/-5 g/day), carbohydrate (414+/-16 and 449+/-16 g/day), or fat (136+/-7 and 146+/-8 g/day), respectively. Accuracy of recall was not related to body mass index in that the obese men recalled food intake as accurately as the nonobese men. The energy intake of these men was significantly correlated (r=0.57, P<.05) with their estimated energy requirements. Significant interindividual variation in accuracy of recall was found. CONCLUSIONS: Under controlled conditions, the USDA five-step multiple-pass method can accurately assess intakes of energy, protein, carbohydrate, and fat in a population of men regardless of their body mass index. Researchers and clinical dietitians need to continue to examine factors that influence underreporting and overreporting of food intake by the multiple-pass 24-hour recall method.
Joan M Conway; Linda A Ingwersen; Alanna J Moshfegh
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  104     ISSN:  0002-8223     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-03-31     Completed Date:  2004-05-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  595-603     Citation Subset:  AIM; IM    
Diet and Human Performance Laboratory, Beltsville Human Nutrition Research Center, US Department of Agriculture, Agricultureal Research Service, MD 20705, USA.
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MeSH Terms
Analysis of Variance
Body Composition
Body Constitution
Body Mass Index
Cross-Sectional Studies
Diet Surveys
Dietary Carbohydrates / administration & dosage
Dietary Fats / administration & dosage
Dietary Proteins / administration & dosage
Eating / psychology*
Energy Intake*
Mental Recall*
Middle Aged
Nutrition Assessment
Obesity / psychology*
Reproducibility of Results
Sensitivity and Specificity
United States
United States Department of Agriculture
Reg. No./Substance:
0/Dietary Carbohydrates; 0/Dietary Fats; 0/Dietary Proteins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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