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Bias in diet assessment methods - Consequences of collinearity and measurement errors on power and observed relative risks

Elmståhl, Sölve LU and Gullberg, Bo LU (1997) In International Journal of Epidemiology 26(5). p.1071-1079
Abstract

Background. If several risk factors for disease are considered in a regression model and these factors are affected by measurement errors, the observed relative risk will be attenuated. In nutritional epidemiology, several nutrient variables show strong correlation, described as collinearity. The observed relative risk will then depend not only on the validity of the chosen diet assessment method but also on collinearity between variables in the model. Methods. The validity of different diet assessment methods are compared. The correlation coefficients between common nutrients and foods are given using data from the Malmo Food Study. Intake of nutrients and foods were assessed with a modified diet history method, combining a 2-week food... (More)

Background. If several risk factors for disease are considered in a regression model and these factors are affected by measurement errors, the observed relative risk will be attenuated. In nutritional epidemiology, several nutrient variables show strong correlation, described as collinearity. The observed relative risk will then depend not only on the validity of the chosen diet assessment method but also on collinearity between variables in the model. Methods. The validity of different diet assessment methods are compared. The correlation coefficients between common nutrients and foods are given using data from the Malmo Food Study. Intake of nutrients and foods were assessed with a modified diet history method, combining a 2-week food record for beverages and lunch/dinner meals and a food frequency questionnaire for other foods. The study population comprised 165 men and women aged 50-65 years. A multivariate logistic regression model is used to illustrate the effect of collinearity on observed relative risk (RRo). Results. A moderate to high correlation between risk factors will substantially influence RRo even when using diet assessment methods with high validity. Methods with low validity might even give inverse RRo. Conclusion. It is stressed that caution must be exercised and only a selected number of variables should be included in the model, especially when they are highly intercorrelated, since RRo might be severely biased.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Diet, Epidemiological methods, Nutritional epidemiology
in
International Journal of Epidemiology
volume
26
issue
5
pages
9 pages
publisher
Oxford University Press
external identifiers
  • pmid:9363530
  • scopus:1842296913
ISSN
0300-5771
DOI
10.1093/ije/26.5.1071
language
English
LU publication?
yes
id
24c38db0-12a8-4065-981e-1cb89bcd507b
date added to LUP
2019-06-19 11:28:46
date last changed
2024-03-19 13:36:19
@article{24c38db0-12a8-4065-981e-1cb89bcd507b,
  abstract     = {{<p>Background. If several risk factors for disease are considered in a regression model and these factors are affected by measurement errors, the observed relative risk will be attenuated. In nutritional epidemiology, several nutrient variables show strong correlation, described as collinearity. The observed relative risk will then depend not only on the validity of the chosen diet assessment method but also on collinearity between variables in the model. Methods. The validity of different diet assessment methods are compared. The correlation coefficients between common nutrients and foods are given using data from the Malmo Food Study. Intake of nutrients and foods were assessed with a modified diet history method, combining a 2-week food record for beverages and lunch/dinner meals and a food frequency questionnaire for other foods. The study population comprised 165 men and women aged 50-65 years. A multivariate logistic regression model is used to illustrate the effect of collinearity on observed relative risk (RRo). Results. A moderate to high correlation between risk factors will substantially influence RRo even when using diet assessment methods with high validity. Methods with low validity might even give inverse RRo. Conclusion. It is stressed that caution must be exercised and only a selected number of variables should be included in the model, especially when they are highly intercorrelated, since RRo might be severely biased.</p>}},
  author       = {{Elmståhl, Sölve and Gullberg, Bo}},
  issn         = {{0300-5771}},
  keywords     = {{Diet; Epidemiological methods; Nutritional epidemiology}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{5}},
  pages        = {{1071--1079}},
  publisher    = {{Oxford University Press}},
  series       = {{International Journal of Epidemiology}},
  title        = {{Bias in diet assessment methods - Consequences of collinearity and measurement errors on power and observed relative risks}},
  url          = {{http://dx.doi.org/10.1093/ije/26.5.1071}},
  doi          = {{10.1093/ije/26.5.1071}},
  volume       = {{26}},
  year         = {{1997}},
}