Document Detail


Use of accelerometer data in prediction equations for capturing implausible dietary intakes in adolescents.
MedLine Citation:
PMID:  20881064     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Reporting errors have been quantified in epidemiologic studies by comparing reported intakes with predicted energy requirements (pERs). Several studies lacking measures of physical activity level (PAL) assigned low-active levels to obtain pERs.
OBJECTIVE: We applied objective physical activity measures to current methods to quantify dietary reporting errors and compared associations with anthropometric and dietary variables among plausible and implausible reporters.
DESIGN: This study included 2868 adolescents with an average age of 13 y. Three-day dietary records, accelerometers, and dual-energy X-ray absorptiometry were used to assess diet, activity, and body composition, respectively. Three variations of physical activity coefficients were used: 1) assigning low physical activity coefficients (PA(low)), 2) calculating PAL values (PA(PAL)), and 3) applying minutes of moderate-to-vigorous physical activity (PA(MVPA)).
RESULTS: Of the total participants, 51.5%, 51.8%, and 37.1% of the PA(low), PA(PAL), and PA(MVPA) groups, respectively, were classified as underreporters, and 40.8%, 37.9%, and 42.4% of the respective groups were classified as plausible reporters. Underreporters had a higher body mass index, body fat, and waist circumference than did plausible reporters (P < 0.001 for all). Overreporters had a lower weight and body fat than did plausible reporters (P < 0.001 for all). Underreporters reported lower dairy and calcium intakes than did plausible reporters; the results were attenuated with adjustment for total energy.
CONCLUSION: Accounting for objective physical activity measures to quantify reporting errors resulted in different and potentially more reasonable proportions of implausible reporters.
Authors:
Sabrina E Noel; Calum Mattocks; Pauline Emmett; Chris J Riddoch; Andrew R Ness; P K Newby
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-09-29
Journal Detail:
Title:  The American journal of clinical nutrition     Volume:  92     ISSN:  1938-3207     ISO Abbreviation:  Am. J. Clin. Nutr.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2010-12-23     Revised Date:  2011-12-21    
Medline Journal Info:
Nlm Unique ID:  0376027     Medline TA:  Am J Clin Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1436-45     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA. sabrina.noel@bmc.org
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MeSH Terms
Descriptor/Qualifier:
Absorptiometry, Photon
Adipose Tissue
Adolescent
Bias (Epidemiology)*
Body Composition*
Body Weight
Calcium, Dietary / administration & dosage*
Dairy Products
Diet*
Diet Records
Exercise*
Female
Humans
Male
Motor Activity
Obesity / etiology*
Physical Exertion
Research Design
Self Report*
Grant Support
ID/Acronym/Agency:
R01 HL071248-01A/HL/NHLBI NIH HHS; //Wellcome Trust
Chemical
Reg. No./Substance:
0/Calcium, Dietary

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


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