Correlates of dietary energy misreporting among European adolescents

the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study

Silvia Bel-Serrat, Cristina Julián-Almárcegui, Marcela González-Gross, Theodora Mouratidou, Claudia Börnhorst, Evangelia Grammatikaki, Mathilde Kersting, Magdalena Cuenca-García, Frederic Gottrand, D. Molnár, Lena Hallström, Jean Dallongeville, Maria Plada, Romana Roccaldo, Kurt Widhalm, Luis A. Moreno, Yannis Manios, Stefaan De Henauw, Catherine Leclercq, Stefanie Vandevijvere & 3 others Sandrine Lioret, Bernard Gutin, Inge Huybrechts

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

This study examined the correlates of dietary energy under-reporting (UR) and over-reporting (OV) in European adolescents. Two self-administered computerised 24-h dietary recalls and physical activity data using accelerometry were collected from 1512 adolescents aged 12·5–17·5 years from eight European countries. Objective measurements of height and weight were obtained. BMI was categorised according to Cole/International Obesity Task Force (IOTF) cut-off points. Diet-related attitudes were assessed via self-administered questionnaires. Reported energy intake (EI) was compared with predicted total energy expenditure to identify UR and OV using individual physical activity objective measures. Associations between misreporting and covariates were examined by multilevel logistic regression analyses. Among all, 33·3 % of the adolescents were UR and 15·6 % were OV when considering mean EI. Overweight (OR 3·25; 95 % CI 2·01, 5·27) and obese (OR 4·31; 95 % CI 1·92, 9·65) adolescents had higher odds for UR, whereas underweight individuals were more likely to over-report (OR 1·67; 95 % CI 1·01, 2·76). Being content with their own figures (OR 0·61; 95 % CI 0·41, 0·89) decreased the odds for UR, whereas frequently skipping breakfast (OR 2·14; 95 % CI 1·53, 2·99) was linked with higher odds for UR. Those being worried about gaining weight (OR 0·55; 95 % CI 0·33, 0·92) were less likely to OV. Weight status and psychosocial weight-related factors were found to be the major correlates of misreporting. Misreporting may reflect socially desirable answers and low ability to report own dietary intakes, but also may reflect real under-eating in an attempt to lose weight or real over-eating to reflect higher intakes due to growth spurts. Factors influencing misreporting should be identified in youths to clarify or better understand diet–disease associations.

Original languageEnglish
Pages (from-to)1-14
Number of pages14
JournalBritish Journal of Nutrition
DOIs
Publication statusAccepted/In press - Feb 18 2016

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Weights and Measures
Energy Intake
Eating
Accelerometry
Exercise
Aptitude
Breakfast
Thinness
Advisory Committees
Energy Metabolism
Obesity
Logistic Models
Regression Analysis
Healthy Lifestyle
Diet
Growth

Keywords

  • Adolescence
  • Healthy Lifestyle in Europe by Nutrition in Adolescence study
  • Misreporting
  • Obesity
  • Under-reporting

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Bel-Serrat, S., Julián-Almárcegui, C., González-Gross, M., Mouratidou, T., Börnhorst, C., Grammatikaki, E., ... Huybrechts, I. (Accepted/In press). Correlates of dietary energy misreporting among European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. British Journal of Nutrition, 1-14. https://doi.org/10.1017/S0007114516000283

Correlates of dietary energy misreporting among European adolescents : the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. / Bel-Serrat, Silvia; Julián-Almárcegui, Cristina; González-Gross, Marcela; Mouratidou, Theodora; Börnhorst, Claudia; Grammatikaki, Evangelia; Kersting, Mathilde; Cuenca-García, Magdalena; Gottrand, Frederic; Molnár, D.; Hallström, Lena; Dallongeville, Jean; Plada, Maria; Roccaldo, Romana; Widhalm, Kurt; Moreno, Luis A.; Manios, Yannis; De Henauw, Stefaan; Leclercq, Catherine; Vandevijvere, Stefanie; Lioret, Sandrine; Gutin, Bernard; Huybrechts, Inge.

In: British Journal of Nutrition, 18.02.2016, p. 1-14.

Research output: Contribution to journalArticle

Bel-Serrat, S, Julián-Almárcegui, C, González-Gross, M, Mouratidou, T, Börnhorst, C, Grammatikaki, E, Kersting, M, Cuenca-García, M, Gottrand, F, Molnár, D, Hallström, L, Dallongeville, J, Plada, M, Roccaldo, R, Widhalm, K, Moreno, LA, Manios, Y, De Henauw, S, Leclercq, C, Vandevijvere, S, Lioret, S, Gutin, B & Huybrechts, I 2016, 'Correlates of dietary energy misreporting among European adolescents: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study', British Journal of Nutrition, pp. 1-14. https://doi.org/10.1017/S0007114516000283
Bel-Serrat, Silvia ; Julián-Almárcegui, Cristina ; González-Gross, Marcela ; Mouratidou, Theodora ; Börnhorst, Claudia ; Grammatikaki, Evangelia ; Kersting, Mathilde ; Cuenca-García, Magdalena ; Gottrand, Frederic ; Molnár, D. ; Hallström, Lena ; Dallongeville, Jean ; Plada, Maria ; Roccaldo, Romana ; Widhalm, Kurt ; Moreno, Luis A. ; Manios, Yannis ; De Henauw, Stefaan ; Leclercq, Catherine ; Vandevijvere, Stefanie ; Lioret, Sandrine ; Gutin, Bernard ; Huybrechts, Inge. / Correlates of dietary energy misreporting among European adolescents : the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. In: British Journal of Nutrition. 2016 ; pp. 1-14.
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abstract = "This study examined the correlates of dietary energy under-reporting (UR) and over-reporting (OV) in European adolescents. Two self-administered computerised 24-h dietary recalls and physical activity data using accelerometry were collected from 1512 adolescents aged 12·5–17·5 years from eight European countries. Objective measurements of height and weight were obtained. BMI was categorised according to Cole/International Obesity Task Force (IOTF) cut-off points. Diet-related attitudes were assessed via self-administered questionnaires. Reported energy intake (EI) was compared with predicted total energy expenditure to identify UR and OV using individual physical activity objective measures. Associations between misreporting and covariates were examined by multilevel logistic regression analyses. Among all, 33·3 {\%} of the adolescents were UR and 15·6 {\%} were OV when considering mean EI. Overweight (OR 3·25; 95 {\%} CI 2·01, 5·27) and obese (OR 4·31; 95 {\%} CI 1·92, 9·65) adolescents had higher odds for UR, whereas underweight individuals were more likely to over-report (OR 1·67; 95 {\%} CI 1·01, 2·76). Being content with their own figures (OR 0·61; 95 {\%} CI 0·41, 0·89) decreased the odds for UR, whereas frequently skipping breakfast (OR 2·14; 95 {\%} CI 1·53, 2·99) was linked with higher odds for UR. Those being worried about gaining weight (OR 0·55; 95 {\%} CI 0·33, 0·92) were less likely to OV. Weight status and psychosocial weight-related factors were found to be the major correlates of misreporting. Misreporting may reflect socially desirable answers and low ability to report own dietary intakes, but also may reflect real under-eating in an attempt to lose weight or real over-eating to reflect higher intakes due to growth spurts. Factors influencing misreporting should be identified in youths to clarify or better understand diet–disease associations.",
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