Nutr Res Pract.  2007 Sep;1(3):231-236.

Underreporting of dietary intake by body mass index in premenopausal women participating in the Healthy Women Study

• Park HA
• Lee JS
• Kuller LH

Abstract

Underreporting patterns by the level of obesity have not been fully assessed yet. The purpose of this study was to examine the differential underreporting patterns on cardiovascular risk factor, macronutrient, and food group intakes by the level of Body Mass Index (BMI). We analyzed cross-sectional baseline nutritional survey data from the population-based longitudinal study, the Healthy Women Study (HWS) cohort. Study subjects included 538 healthy premenopausal women participating in the HWS. Nutrient and food group intakes were assessed by the one-day 24-hour dietary recall and a semi-quantitative food frequency questionnaire, respectively. The ratio of reported energy intake (EI) to estimated basal metabolic rate (BMR) was used as a measure of relative energy reporting status and categorized into tertiles. Overweight group (BMI> or =25kg/m2) had a higher ratio of EI to BMR (EI/BMR) than normal weight group (BMI<25kg/m2). Normal weight and overweight groups showed similar patterns in cardiovascular risk factors, nutrient intake, and food group intake by the EI/BMR. Fat and saturated fat intakes as a nutrient density were positively associated with the EI/BMR. Proportion of women who reported higher consumption (> or =4 times/wk) of sugar/candy, cream and red meat groups was greater in higher tertiles of the EI/BMR in both BMI groups. Our findings suggest similar patterns of underreporting of cardiovascular risk factors, and macronutrient and food group intakes in both normal and overweight women.

Keyword

Underreporting; body mass index; nutrient intake; food group intake; cardiovascular risk factor

MeSH Terms

Basal Metabolism
Body Mass Index*
Cohort Studies
Energy Intake
Female
Humans
Longitudinal Studies
Meat
Nutrition Surveys
Obesity
Overweight
Surveys and Questionnaires
Risk Factors

Reference

1. Anderson GL, Manson J, Wallace R, Lund B, Hall D, Davis S. Implementation of the Women's Health Initiative study design. Ann Epidemiol. 2003. 13:S5–S17.

2. Black AE, Goldberg GR, Jebb SA, Livingstone MB, Cole TJ, Prentice AM. Critical evaluation of energy intake data using fundamental principles of energy physiology: 2. Evaluating the results of published surveys. Eur J Clin Nutr. 1991. 45:583–599.

3. Black AE. The sensitivity and specificity of the Goldberg cut-off for EI:BMR for identifying diet reports of poor validity. Eur J Clin Nutr. 2000. 54:395–404.

4. Dolecek TA, Stamler J, Caggiula AW, Tillotson JL, Buzzard IM. Methods of dietary and nutritional assessment and intervention and other methods in the Multiple Risk Factor Intervention Trial. Am J Clin Nutr. 1997. 65:196S–210S.

5. FAO/WHO/UNU. Energy and Protein Requirements. 1985. Geneva. Switzerland: World Health Organization;(Report of a Joint FAO/WHO/UNU Experts Consultation. Technical Report Series No 724).

6. Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA. Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr. 1991. 45:569–581.

7. Goris AH, Westerterp-Plantenga MS, Westerterp KR. Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake. Am J Clin Nutr. 2000. 71:130–134.

8. Horton ES. Introduction: an overview of the assessment and regulation of energy balance in humans. Am J Clin Nutr. 1983. 38:972–977.

9. Human Nutrition Information Service. US Department of Agriculture. Composition of Foods. Agricultural Handbook 8-1 to 8-18. 1976-87. Hyattsville MD. USA:

10. Kant AK. Nature of dietary reporting by adults in the third National Health and Nutrition Examination Survey, 1988-1994. J Am Coll Nutr. 2002. 21:315–327.

11. Keys A, Parlin RW. Serum cholesterol response to changes in dietary lipids. Am J Clin Nutr. 1966. 19:175–181.

12. Kretsch MJ, Fong AK, Green MW. Behavioral and body size correlates of energy intake underreporting by obese and normal-weight women. J Am Diet Assoc. 1999. 99:300–306.

13. Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E. Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med. 1992. 327:1893–1898.

14. Livingstone MB, Black AE. Markers of the validity of reported energy intake. J Nutr. 2003. 133:895S–920S.

15. Marr JW, Heady JA. Within- and between-person variation in dietary surveys: number of days needed to classify individuals. Hum Nutr Appl Nutr. 1986. 40:347–364.

16. Matthews KA, Meilahn E, Kuller LH, Kelsey SF, Caggiula AW, Wing RR. Menopause and risk factors for coronary heart disease. N Engl J Med. 1989. 321:641–646.

17. McCrory MA, Hajduk CL, Roberts SB. Procedures for screening out inaccurate reports of dietary energy intake. Public Health Nutr. 2002. 5:873–882.

18. Nelson M, Black AE, Morris JA, Cole TJ. Between- and within-subject variation in nutrient intake from infancy to old age: estimating the number of days required to rank dietary intakes with desired precision. Am J Clin Nutr. 1989. 50:155–167.

19. Paffenbarger RS Jr., Wing AL, Hyde RT. Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol. 1978. 108:161–175.

20. Pomerleau J, Ostbye T, Bright-See E. Potential underreporting of energy intake in the Ontario Health Survey and its relationship with nutrient and food intakes. Eur J Epidemiol. 1999. 15:553–557.

21. Prentice AM, Black AE, Coward WA, Davies HL, Goldberg GR, Murgatroyd PR. High levels of energy expenditure in obese women. Br Med J (Clin Res Ed). 1986. 292:983–987.

22. Prentice RL. Measurement error and results from analytic epidemiology: dietary fat and breast cancer. J Natl Cancer Inst. 1996. 88:1738–1747.

23. Schofield WN. Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr. 1985. 39:5–41.

24. Stallone DD, Brunner EJ, Bingham SA, Marmot MG. Dietary assessment in Whitehall II: the influence of reporting bias on apparent socioeconomic variation in nutrient intakes. Eur J Clin Nutr. 1997. 51:815–825.

25. Sutton-Tyrrell K, Kuller LH, Matthews KA, Holubkov R, Patel A, Edmundowicz D. Subclinical atherosclerosis in multiple vascular beds: an index of atherosclerotic burden evaluated in postmenopausal women. Atherosclerosis. 2002. 160:407–416.

26. Voss S, Kroke A, Klipstein-Grobusch K, Boeing H. European Prospective Investigation into Cancer and Nutrition. Is macronutrient composition of dietary intake data affected by underreporting? Results from the EPIC-Potsdam Study. Eur J Clin Nutr. 1998. 52:119–126.