Document Detail

Energy underreporting in African-American girls: a longitudinal analysis.
MedLine Citation:
PMID:  23181921     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The objective of this study was to determine the longitudinal prevalence and predictors of dietary underreporting in African-American preadolescent girls and the association of baseline dietary underreporting with changes in BMI over a 2-year period as part of the Girls health Enrichment Multi-site Studies (GEMS).
METHODS: Energy was summarized at baseline, 12 months, and 24 months and computed as a 3-day average of 24-hour dietary recalls. Physical activity was assessed by accelerometer, basal metabolic rate was estimated using the World Health Organization's prediction equation, and caloric underreporting was based on the Goldberg equation.
RESULTS: We classified 48% of the girls at baseline as underreporters; with underreporting increasing over time (61% at 12 months; 66% at 24 months). Intervention treatment assignment did not affect the prevalence of underreporting over time. The consistency of underreporting (or not) stayed stable over time. Across all three time points, a higher BMI predicted underreporting. Baseline dietary underreporting and baseline BMI were found to be the major predictors of change in BMI, whereas baseline dietary variables did not predict change in BMI.
CONCLUSIONS: Dietary underreporting was extremely common in this sample of AA preadolescent girls and predictive of change in BMI. Given the magnitude and consistency of dietary underreporting along with the fact that no dietary variables predicted change in BMI, measurement of dietary intake in preadolescents, even with sophisticated measurement methodologies, appears biased. The best use of dietary recalls may not be to estimate dietary intake but rather to determine underreporting.
Marion E Hare; Deborah Sherrill-Mittleman; Robert C Klesges; Jennifer Q Lanctot; Lisa M Klesges
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Childhood obesity (Print)     Volume:  8     ISSN:  2153-2176     ISO Abbreviation:  Child Obes     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-27     Completed Date:  2013-05-01     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  101542497     Medline TA:  Child Obes     Country:  United States    
Other Details:
Languages:  eng     Pagination:  551-60     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
African Americans*
Basal Metabolism
Body Mass Index
Diet Records*
Energy Intake*
Longitudinal Studies
Obesity / prevention & control*
Grant Support

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

Previous Document:  The role of motivation in understanding social contextual influences on physical activity in underse...
Next Document:  Characterizing dinner meals served and consumed by low-income preschool children.