Validation of estimates of energy intake by weighed dietary record and diet history in children and adolescents

M. Barbara E. Livingstone, Andrew M. Prentice, W. Andrew Coward, John J. Strain, Alison E. Black, Pater S.W. Davies, Clodagh M. Stewart, P. Gerald McKenna, Roger G. Whitehead

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Abstract

Energy intakes assessed by 7-d weighed dietary records (EI-WDRs) and did histories (El-DHs) were compared with concurrent estimates of total energy expenditure (TEE) by the doubly labeled water method in 78 subjects aged 3-18 y. EI-WDRs were not obtained from the 3- and 5-y-old subjects. EI-WDRs in the 7- and 9-y-old children were 108 ± 25% (n = 12) und 97 ± 15% (n = 12), respectively, of corresponding TEE values showing good agreement. However in the 12-, 15-, and 18-y-old subjects EI-WDR averaged 89 ± 12% (n = 12), 78±18% (n = 12), and 73 ± 25% (n = 10), respectively, of corresponding TEE values. The difference was ≥ 20% in 13 adolescents. Mean EI-DHs were 114 ± 19% (3 y), 111 ± 19% (5 y), 111 ± 23% (7 y), 106 ± 9% (9 y), 114 ± 17% (12 y), 101 ± 21% (15 y), and 98 ± 21% (18 y) of TEE estimates. Differences were significant in the 3-, 9-, and 12-y-old subjects. Results suggest that 7-d EI-WDRs tend to underestimate food intake of adolescents. Al-though EI-DHs were biased towards overestimation in most age groups and individual measurements lacked precision, EI-DHs were more representative of habitual intake than were EI-WDRs.

Original languageEnglish
Pages (from-to)29-35
Number of pages7
JournalAmerican Journal of Clinical Nutrition
Volume56
Issue number1
DOIs
Publication statusPublished - Jan 1 1992

Keywords

  • Adolescents
  • Children
  • Diet history
  • Doubly labeled water
  • Energy expenditure
  • Energy intake
  • Weighed dietary record

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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    Livingstone, M. B. E., Prentice, A. M., Andrew Coward, W., Strain, J. J., Black, A. E., Davies, P. S. W., Stewart, C. M., Gerald McKenna, P., & Whitehead, R. G. (1992). Validation of estimates of energy intake by weighed dietary record and diet history in children and adolescents. American Journal of Clinical Nutrition, 56(1), 29-35. https://doi.org/10.1093/ajcn/56.1.29