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Validation of a dietary record routine in geriatric patients using doubly labelled water

Persson, M. ; Elmståhl, S. LU and Westerterp, K. R. (2000) In European Journal of Clinical Nutrition 54(10). p.789-796
Abstract

Objective: To validate a 7-day estimated dietary record routine with standardized portion sizes and household measuring in a clinical setting with the doubly labelled water (DLW) method as the reference method. Design: Energy expenditure was measured with deuterium (2H) and oxygen-18 (18O), and water loss was estimated by 2H dilution as part of the DLW measurements. Energy and water intake was measured with a 7 day dietary record. Setting: Five nursing home wards in Sweden. Subjects: Thirty-one geriatric patients with a mean age of 86y. Inclusion criteria were stable body weight, defined as a maximum change of ± 4% during the last 4 months of ± 2% during the last 2 months and without any acute illness.... (More)

Objective: To validate a 7-day estimated dietary record routine with standardized portion sizes and household measuring in a clinical setting with the doubly labelled water (DLW) method as the reference method. Design: Energy expenditure was measured with deuterium (2H) and oxygen-18 (18O), and water loss was estimated by 2H dilution as part of the DLW measurements. Energy and water intake was measured with a 7 day dietary record. Setting: Five nursing home wards in Sweden. Subjects: Thirty-one geriatric patients with a mean age of 86y. Inclusion criteria were stable body weight, defined as a maximum change of ± 4% during the last 4 months of ± 2% during the last 2 months and without any acute illness. Results: The mean daily energy intake was 7.2 MJ (1727 kcal) and the mean daily energy expenditure was 6.7 MJ (1595 kcal). The mean daily water intake was 1787 ml and mean daily water loss assessed by labelled water was 1774 ml. Using the dietary record routine, the staff overestimated the patients' energy intake by 8% and water intake from food and beverages by < 1% compared to DLW. Conclusion: The 7 day dietary record routine based on standardized portion sizes and household measuring seems to be a valid method for assessing the intake of energy and fluids by geriatric patients.

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publication status
published
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in
European Journal of Clinical Nutrition
volume
54
issue
10
pages
8 pages
publisher
Nature Publishing Group
external identifiers
  • scopus:0033754844
  • pmid:11083488
ISSN
0954-3007
DOI
10.1038/sj.ejcn.1601092
language
English
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yes
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ca2aaa2f-f46c-43f1-9077-4d6b779a2836
date added to LUP
2019-06-19 10:57:48
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2021-06-16 05:01:40
@article{ca2aaa2f-f46c-43f1-9077-4d6b779a2836,
  abstract     = {<p>Objective: To validate a 7-day estimated dietary record routine with standardized portion sizes and household measuring in a clinical setting with the doubly labelled water (DLW) method as the reference method. Design: Energy expenditure was measured with deuterium (<sup>2</sup>H) and oxygen-18 (<sup>18</sup>O), and water loss was estimated by <sup>2</sup>H dilution as part of the DLW measurements. Energy and water intake was measured with a 7 day dietary record. Setting: Five nursing home wards in Sweden. Subjects: Thirty-one geriatric patients with a mean age of 86y. Inclusion criteria were stable body weight, defined as a maximum change of ± 4% during the last 4 months of ± 2% during the last 2 months and without any acute illness. Results: The mean daily energy intake was 7.2 MJ (1727 kcal) and the mean daily energy expenditure was 6.7 MJ (1595 kcal). The mean daily water intake was 1787 ml and mean daily water loss assessed by labelled water was 1774 ml. Using the dietary record routine, the staff overestimated the patients' energy intake by 8% and water intake from food and beverages by &lt; 1% compared to DLW. Conclusion: The 7 day dietary record routine based on standardized portion sizes and household measuring seems to be a valid method for assessing the intake of energy and fluids by geriatric patients.</p>},
  author       = {Persson, M. and Elmståhl, S. and Westerterp, K. R.},
  issn         = {0954-3007},
  language     = {eng},
  month        = {11},
  number       = {10},
  pages        = {789--796},
  publisher    = {Nature Publishing Group},
  series       = {European Journal of Clinical Nutrition},
  title        = {Validation of a dietary record routine in geriatric patients using doubly labelled water},
  url          = {http://dx.doi.org/10.1038/sj.ejcn.1601092},
  doi          = {10.1038/sj.ejcn.1601092},
  volume       = {54},
  year         = {2000},
}