Document Detail


Community-specific modifications are essential for objective assessment of maternal dietary intake--Pune Maternal Nutrition Study.
MedLine Citation:
PMID:  19105869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To introduce community-specific modifications in the conventional 24 h recall method for objectively estimating maternal dietary intake and validate it with a reference method. DESIGN: A modified 24 h recall method was developed with the visit of trained local girls at the subject's home to weigh portion sizes at each mealtime over the 24 h recall period. This was validated with the reference method in which weighed records of the foods consumed were obtained and their laboratory analysis was done to obtain nutrient intakes. SETTING: Rural areas located 40-50 km from Pune City, India. SUBJECTS: Forty-one pregnant women participated willingly. RESULTS: The estimates of intake obtained from the reference method were comparable to those obtained from the modified 24 h recall method for energy (7795 (sd 1841) kJ (1863 (sd 440) kcal) v. 7615 (sd 1824) kJ (1820 (sd 436) kcal), respectively), protein (48.6 (sd 12.9) g v. 45.3 (sd 12.6) g, respectively) and fat (35.3 (sd 16.6) g v. 36.0 (sd 14.2) g, respectively). Significant correlation was observed between the estimates obtained by the two methods for energy (0.75, P < 0.001), protein (0.71, P < 0.001) and fat (0.56, P < 0.001) and differences in nutrient intake did not reveal any systematic bias. When compared with the reference method, the modified method showed >80% sensitivity and specificity for identifying inadequate maternal energy intakes. CONCLUSIONS: Simple modifications to conventional methods backed by understanding of community specifics and nutritional peculiarities are of immense importance in obtaining objective estimates of daily nutritional intakes of individuals in free-living populations. The approach would be adaptable in similar settings in other developing countries.
Authors:
S Rao; A N Kanade; S R Joshi; C S Yajnik
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Validation Studies     Date:  2008-12-24
Journal Detail:
Title:  Public health nutrition     Volume:  12     ISSN:  1475-2727     ISO Abbreviation:  Public Health Nutr     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-06     Completed Date:  2009-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  1470-6     Citation Subset:  IM    
Affiliation:
Biometry and Nutrition Group, Agharkar Research Institute, G.G. Agarkar Road, Pune 411 004, India. raoari@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Community Health Aides*
Diet Records
Diet Surveys*
Dietary Fats / administration & dosage
Dietary Proteins / administration & dosage
Energy Intake
Female
Humans
India
Malnutrition / diagnosis*
Maternal Nutritional Physiological Phenomena / physiology
Mental Recall*
Nutrition Assessment*
Nutritional Requirements
Pilot Projects
Pregnancy
Prospective Studies
Questionnaires / standards*
Rural Population
Sensitivity and Specificity
Grant Support
ID/Acronym/Agency:
//Medical Research Council; //Wellcome Trust
Chemical
Reg. No./Substance:
0/Dietary Fats; 0/Dietary Proteins

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


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