Validity of 24-h recalls in (pre-)school aged children: Comparison of proxy-reported energy intakes with measured energy expenditure.

  • C. Bornhorst
  • , S. Bel Serrat
  • , I. Pigeot
  • , I. Huybrechts
  • , C. Ottavaere
  • , I. Sioen
  • , S. De Henauw
  • , T. Mouratidou
  • , M.I. Mesana
  • , K. Westerterp
  • , K. Bammann
  • , L. Lissner
  • , G. Eiben
  • , V. Pala
  • , M. Rayson
  • , V. Krogh
  • , L.A. Moreno*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

163 Downloads (Pure)

Abstract

Background & aims: Little is known about the validity of repeated 24-h dietary recalls (24-HDR) as a measure of total energy intake (El) in young children. This study aimed to evaluate the validity of proxy-reported El by comparison with total energy expenditure (TEE) measured by the doubly labeled water (DLW) technique.

Methods: The agreement between El and TEE was investigated in 36 (47.2% boys) children aged 4-10 years from Belgium and Spain using subgroup analyses and Bland-Altman plots. Low-energy-reporters (LER), adequate-energy-reporters (AER) and high-energy-reporters (HER) were defined from the ratio of El over TEE by application of age- and sex-specific cut-off values.

Results: There was good agreement between means of El (1500 kcal/day) and TEE (1523 kcal/day) at group level though in single children, i.e. at the individual level, large differences were observed. Almost perfect agreement between El and TEE was observed in thin/normal weight children (EI: 1511 kcal/day; TEE: 1513 kcal/day). Even in overweight/obese children the mean difference between El and TEE was only 86 kcal/day. Among the participants, 28(78%) were classified as AER, five (14%) as HER and three (8%) as LER.

Conclusion: Two proxy-reported 24-HDRs were found to be a valid instrument to assess El on group level but not on the individual level. 

Original languageEnglish
Pages (from-to)79-84
Number of pages6
JournalClinical Nutrition
Volume33
Issue number1
DOIs
Publication statusPublished - Feb 2014

Keywords

  • Child
  • Doubly labeled water
  • Energy expenditure
  • Energy intake
  • DOUBLY-LABELED WATER
  • BODY-COMPOSITION
  • SUBJECT VARIATION
  • BETWEEN-SUBJECT
  • VALIDATION
  • ADOLESCENTS
  • CHILDHOOD
  • INFANCY
  • OBESITY
  • HUMANS

Fingerprint

Dive into the research topics of 'Validity of 24-h recalls in (pre-)school aged children: Comparison of proxy-reported energy intakes with measured energy expenditure.'. Together they form a unique fingerprint.

Cite this