Misreporting of dietary energy intake obtained by 24 h recalls in older adults: a comparison of five previous methods using doubly labeled water

Author(s)

Batista, Lais Duarte ^[1] ; Grande de Franca, Natasha Aparecida ^{[1, 2]} ; Fontanelli, Mariane de Mello ^[1] ; Graciela Martinez-Arroyo, Angela ^[3] ; Fisberg, Regina Mara ^[1]

Affiliation

^[1] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo, SP - Brazil

^[2] Ctr Univ Rio Preto UNIRP, Sao Jose Do Rio Preto, SP - Brazil

^[3] Univ Valparaiso, Fac Pharm, Ctr Invest Comportamiento Alimentario, Sch Nutr & Dietet, Valparaiso - Chile

• Document type: Journal article
• Source: European Journal of Clinical Nutrition; AUG 2021.
• Web of Science Citations: 0

Abstract

BACKGROUND/OBJECTIVE: To test five different methods to detect misreporting in comparison to doubly labeled water in a sample of older adults. SUBJECTS/METHODS: A cross-sectional study with thirty-eight Brazilian community-dwelling older adults aged 60-84 years, who had their total energy expenditure measured by doubly labeled water (TEEDLW). Dietary data were collected by two 24 h recalls. Misreporting was compared with estimates obtained by the methods proposed by: Goldberg et al. {[}1, 2], Black {[}3], McCrory et al. {[}4], Huang et al {[}5], and Rennie et al {[}6]. Bland-Altman plots with 95% limits of agreement were constructed to assess the agreement between rEI and TEEDLW. Weighted kappa coefficients, sensitivity and specificity analyses, and area under the receiving operator characteristic curve (AUC) were used to test the performance of each method. RESULTS: The prevalence of under-reporters (UR) and over-reporters (OR) obtained by the reference (DLW) were 57.9% (n = 22) and 5.3% (n = 2), respectively. Black {[}3] presented the worst agreement and McCrory et al. {[}4] the best one to accurately classify individuals in the three categories of energy reporting. McCrory et al. {[}4] had the best performance in the sensitivity and specificity analyses detecting UR and plausible reporters. CONCLUSIONS: There was a high prevalence of misreporting, especially underreporting, in this sample of community-dwelling Brazilian older adults. The study showed a wide variation in the accuracy of predictive methods to handle misreporting, with none of the equations showing outstanding agreement with the reference. When DLW is not available, a valid method should be chosen to address energy intake reporting. (AU)

• FAPESP's process: 18/01991-4 - Implausibility in self-report of energy dietary intake in the population of São Paulo: comparison of consumption data and energy expenditure by means of a biological marker
• Grantee: Lais Duarte Batista
• Support Opportunities: Scholarships in Brazil - Master
• FAPESP's process: 17/05125-7 - Lifestyle, biochemical and genetic markers as cardiometabolic risk factors: Health Survey in São Paulo City
• Grantee: Regina Mara Fisberg
• Support Opportunities: Research Projects - Thematic Grants