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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

Nybacka, Sanna ; Bertéus Forslund, Heléne ; Wirfält, Elisabet LU ; Larsson, Ingrid ; Ericson, Ulrika LU ; Warensjö Lemming, Eva ; Bergström, Göran ; Hedblad, Bo LU ; Winkvist, Anna and Lindroos, Anna Karin (2016) In Journal of Nutritional Science 5.
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... (More)

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 < 0·05) and 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.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Diet assessment, Doubly labelled water, FFQ, Food records, Nutrition epidemiology, Validation, Web-based methods
in
Journal of Nutritional Science
volume
5
article number
e39
publisher
Cambridge University Press
external identifiers
  • scopus:84989814802
  • pmid:27752306
  • wos:000384823100001
ISSN
2048-6790
DOI
10.1017/jns.2016.29
language
English
LU publication?
yes
id
4e6939a1-e3d5-462e-81f5-70021531ae7a
date added to LUP
2016-10-21 09:48:33
date last changed
2025-01-12 13:37:02
@article{4e6939a1-e3d5-462e-81f5-70021531ae7a,
  abstract     = {{<p>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 (TEE<sub>DLW</sub>), 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. TEE<sub>DLW</sub> was measured in a subsample (n 40). Compared with TEE<sub>DLW</sub>, 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 TEE<sub>DLW</sub> was r 0·4 for the Riksmaten method (P &lt; 0·05) and 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.</p>}},
  author       = {{Nybacka, Sanna and Bertéus Forslund, Heléne and Wirfält, Elisabet and Larsson, Ingrid and Ericson, Ulrika and Warensjö Lemming, Eva and Bergström, Göran and Hedblad, Bo and Winkvist, Anna and Lindroos, Anna Karin}},
  issn         = {{2048-6790}},
  keywords     = {{Diet assessment; Doubly labelled water; FFQ; Food records; Nutrition epidemiology; Validation; Web-based methods}},
  language     = {{eng}},
  month        = {{10}},
  publisher    = {{Cambridge University Press}},
  series       = {{Journal of Nutritional Science}},
  title        = {{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}},
  url          = {{http://dx.doi.org/10.1017/jns.2016.29}},
  doi          = {{10.1017/jns.2016.29}},
  volume       = {{5}},
  year         = {{2016}},
}