Document Detail

A systematic review of the validity of dietary assessment methods in children when compared with the method of doubly labeled water.
MedLine Citation:
PMID:  20869489     Owner:  NLM     Status:  MEDLINE    
Measuring dietary intake in children enables the assessment of nutritional adequacy of individuals and groups and can provide information about nutrients, including energy, food, and eating habits. The aim of this review was to determine which dietary assessment method(s) provide a valid and accurate estimate of energy intake by comparison with the gold standard measure, doubly labeled water (DLW). English-language articles published between 1973 and 2009 and available from common nutrition databases were retrieved. Studies were included if the subjects were children birth to age 18 years and used the DLW technique to validate reported energy intake by any other dietary assessment method. The review identified 15 cross-sectional studies, with a variety of comparative dietary assessment methods. These included a total of 664 children, with the majority having <30 participants. The majority of dietary assessment method validation studies indicated a degree of misreporting, with only eight studies identifying this to a significant level (P<0.05) compared to DLW estimated energy intake. Under-reporting by food records varied from 19% to 41% (n=5 studies) with over-reporting most often associated with 24-hour recalls (7% to 11%, n=4), diet history (9% to 14%, n=3), and food frequency questionnaires (2% to 59%, n=2). This review suggested that the 24-hour multiple pass recall conducted over at least a 3-day period that includes weekdays and weekend days and uses parents as proxy reporters is the most accurate method to estimate total energy intake in children aged 4 to 11 years, compared to total energy expenditure measured by DLW. Weighed food records provided the best estimate for younger children aged 0.5 to 4 years, whereas the diet history provided better estimates for adolescents aged≥16 years. Further research is needed in this area to substantiate findings and improve estimates of total energy expenditure in children and adolescents.
Tracy L Burrows; Rebecca J Martin; Clare E Collins
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  110     ISSN:  1878-3570     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-10-06     Revised Date:  2011-09-21    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1501-10     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.
Nutrition and Dietetics, School of Health Sciences, Faculty of Health, University of Newcastle, Newcastle, New South Wales, Australia.
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MeSH Terms
Body Water / metabolism
Child Nutritional Physiological Phenomena / physiology*
Child, Preschool
Deuterium / diagnostic use
Diet Records
Diet Surveys*
Energy Intake*
Infant, Newborn
Mental Recall
Nutrition Assessment*
Oxygen Isotopes / diagnostic use
Self Disclosure
Reg. No./Substance:
0/Oxygen Isotopes; 7782-39-0/Deuterium
Comment In:
J Am Diet Assoc. 2011 Aug;111(8):1124-5; author's reply 1125-6   [PMID:  21802555 ]

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

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