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Validation of energy intake by 24-hour multiple pass recall: comparison with total energy expenditure in children aged 5–7 years

Published online by Cambridge University Press:  08 March 2007

Colette Montgomery ,
John J. Reilly ,
Diane M. Jackson ,
Louise A. Kelly ,
Christine Slater ,
James Y. Paton  and
Stan Grant
Colette Montgomery
Affiliation:
University of Glasgow Division of Developmental Medicine, Yorkhill Hospital, Glasgow, G3 8SJ, UK
John J. Reilly*
Affiliation:
University of Glasgow Division of Developmental Medicine, Yorkhill Hospital, Glasgow, G3 8SJ, UK
Diane M. Jackson
Affiliation:
Division of Energy Balance and Obesity, Rowett Research Institute, Greenburn Road, Bucksburn, Aberdeen, AB21 9SB, UK
Louise A. Kelly
Affiliation:
University of Glasgow Division of Developmental Medicine, Yorkhill Hospital, Glasgow, G3 8SJ, UK
Christine Slater
Affiliation:
University of Glasgow Division of Developmental Medicine, Yorkhill Hospital, Glasgow, G3 8SJ, UK
James Y. Paton
Affiliation:
University of Glasgow Division of Developmental Medicine, Yorkhill Hospital, Glasgow, G3 8SJ, UK
Stan Grant
Affiliation:
Faculty of Biological and Life Sciences, West Medical Building, University of Glasgow, Glasgow, G12 8QQ, UK
*
*Corresponding author: Dr John J. Reilly, fax +44 (0)141 201 9275, email [email protected]
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Abstract

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Accurate measurement of energy intake (EI) is essential in studies of energy balance in all age groups. Reported values for EI can be validated against total energy expenditure (TEE) measured using doubly labelled water (DLW). Our previous work has indicated that the use of the standardized 24 h multiple pass recall (24 h MPR) method produces slight overestimates of EI in pre-school children which are inaccurate at individual level but acceptable at group level. To extend this work, the current study validated EI by 24 h MPR against TEE by DLW in sixty-three (thirty-two boys) school-aged children (median age 6 years). In both boys and girls, reported EI was higher than TEE, although this difference was only significant in the girls (median difference 420 kJ/d, P=0·05). On analysis of agreement between TEE and EI, the group bias was an overestimation of EI by 250 kJ/d with wide limits of agreement (−2880, 2380 kJ/d). EI was over-reported relative to TEE by 7 % and 0·9 % in girls and boys, respectively. The bias in the current study was lower than in our previous study of pre-school children, suggesting that estimates of EI become less inaccurate as children age. However, the current study suggests that the 24 h MPR is inaccurate at the individual level.

Keywords

Diet recordsObesityChild nutritionEnergy expenditureDoubly labelled water method
Type
Research Article
Information
British Journal of Nutrition , Volume 93 , Issue 5 , May 2005 , pp. 671 - 676
Copyright
Copyright © The Nutrition Society 2005

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