1. Comparison of a web-based food record tool and a food-frequency questionnaire and objective validation using the doubly labelled water technique in a Swedish middle-aged population
- Author
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Elisabet Wirfält, Ulrika Ericson, Göran Bergström, Bo Hedblad, Anna Winkvist, Heléne Bertéus Forslund, Ingrid Larsson, Sanna Nybacka, Anna Karin Lindroos, and Eva Warensjö Lemming
- Subjects
0301 basic medicine ,Endocrinology, Diabetes and Metabolism ,Population ,Nutrition epidemiology ,030209 endocrinology & metabolism ,FFQ ,SCAPIS, Swedish CArdioPulmonary bioImage Study ,03 medical and health sciences ,Polyunsaturated fat ,0302 clinical medicine ,Total energy expenditure ,Environmental health ,Validation ,TEEDLW, total energy expenditure measured with the doubly labelled water technique ,Medicine ,Food science ,education ,education.field_of_study ,030109 nutrition & dietetics ,Nutrition and Dietetics ,DLW, doubly labelled water ,business.industry ,Nutritional epidemiology ,Food records ,EI, energy intake ,Food frequency questionnaire ,Aged population ,Food record ,Diet assessment ,TEE, total energy expenditure ,Web-based methods ,Doubly labelled water ,business ,Food Science ,Relative validity ,Research Article - Abstract
Two web-based dietary assessment tools have been developed for use in large-scale studies: the Riksmaten method (4-d food record) and MiniMeal-Q (food-frequency method). The aim of the present study was to examine the ability of these methods to capture energy intake against objectively measured total energy expenditure (TEE) with the doubly labelled water technique (TEEDLW), and to compare reported energy and macronutrient intake. This study was conducted within the pilot study of the Swedish CArdioPulmonary bioImage Study (SCAPIS), which included 1111 randomly selected men and women aged 50–64 years from the Gothenburg general population. Of these, 200 were enrolled in the SCAPIS diet substudy. TEEDLW was measured in a subsample (n 40). Compared with TEEDLW, both methods underestimated energy intake: −2·5 (sd 2·9) MJ with the Riksmaten method; −2·3 (sd 3·6) MJ with MiniMeal-Q. Mean reporting accuracy was 80 and 82 %, respectively. The correlation between reported energy intake and TEEDLW was r 0·4 for the Riksmaten method (P r 0·28 (non-significant) for MiniMeal-Q. Women reported similar average intake of energy and macronutrients in both methods whereas men reported higher intakes with the Riksmaten method. Energy-adjusted correlations ranged from 0·14 (polyunsaturated fat) to 0·77 (alcohol). Bland–Altman plots showed acceptable agreement for energy and energy-adjusted protein and carbohydrate intake, whereas the agreement for fat intake was poorer. According to energy intake data, both methods displayed similar precision on energy intake reporting. However, MiniMeal-Q was less successful in ranking individuals than the Riksmaten method. The development of methods to achieve limited under-reporting is a major challenge for future research.
- Published
- 2016