Association between energy intake under‐reporting and previous professional nutritional counselling in low‐income women with obesity: A cross‐sectional study

Abstract

It is unclear if individuals who have previously been counselled by nutrition professionals are more prone to subsequently under‐report their energy intake. This study aimed to determine whether there is an association between energy intake under‐reporting and previous professional nutritional counselling for weight control in low‐income women with obesity. This is a cross‐sectional study. Adult women (19–44 years old in Brazil) with obesity, living in a household classified as the lowest economic strata, were included. Energy intake (EI) was identified using 24‐h food records (for three non‐consecutive days, including a weekend day. Total energy expenditure (TEE) was assessed using indirect calorimetry and triaxial accelerometers. Individuals with EI:TEE ratio below 0.65 were considered as under‐reporters. Participants were also asked if they had been previously counselled by a nutrition professional for their obesity treatment. Association was calculated using a multivariable model, adjusted for age, bodyweight, height, education and body fat. The sample consisted of 58 women, with a mean age of 33 years and a body mass index of 32.51 kg/m2. Among total participants, 20 (34.5%) women had undergone previous professional nutritional counselling, and 21 (36.2%) under‐reported their EI. Women who had already had some counselling with a nutrition professional had a higher adjusted prevalence of under‐reporting their EI [adjusted prevalence ratio: 2.58; 95% CI (1.27; 5.25), p = 0.008]. Low‐income women with obesity who had undergone previous professional nutritional counselling for weight loss showed a higher prevalence of under‐reporting their EI.

How to Measure Adherence to a Mediterranean Diet in Dental Studies: Is a Short Adherence Screener Enough? A Comparative Analysis

“…In general, energy (and therefore nutrient intake) seems to be underestimated by both the 24dr and the FFQ. This underestimation has been shown in validation studies using the double-labeled water technique [ 45 , 46 , 47 ] and in comparisons of estimated sodium intake and sodium excretion in 24-h urine samples [ 48 ]. Furthermore, underestimation seems to be more pronounced with increasing BMI, especially at BMI values ≥30 [ 47 , 49 ].…”

“…This underestimation has been shown in validation studies using the double-labeled water technique [ 45 , 46 , 47 ] and in comparisons of estimated sodium intake and sodium excretion in 24-h urine samples [ 48 ]. Furthermore, underestimation seems to be more pronounced with increasing BMI, especially at BMI values ≥30 [ 47 , 49 ]. We additionally compared the two methods regarding their ability to produce matching results when the estimated T 2 nutrient intake was tested for statistically significant differences.…”

Underreporting of energy intake is not associated with the reported consumption of NOVA‐classified food groups in socially vulnerable women

“…There are several studies associating sociodemographic and biological characteristics of the individuals with the level of EI underreporting, with underreporting being more frequent in women and populations with excess weight, while overreporting is greater in groups with low or normal weight (Braam et al, 1998; Previdelli et al, 2019). Lower levels of education (Garriguet, 2008), as well as low‐income levels (Kye et al, 2014), and previous nutritional counselling (Praxedes et al, 2021) have also been associated with underreporting of EI. Studies reporting the macronutrient dietary profile of underreporters usually show that carbohydrate‐rich foods tend to be less reported (Kobe et al, 2012).…”