Characterizing energy intake misreporting and its effects on intake estimations, in the Portuguese adult population

Magalhães, Vânia; Severo, Milton; Torres, Duarte; Ramos, Elisabete; Lopes, Carla

doi:10.1017/s1368980019002465

Cited by 12 publications

(8 citation statements)

References 41 publications

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“…Please note that this correction is probably insufficient inasmuch average energy intake, as determined by doubly labelled water studies are presumably quite higher [33]. Generally speaking, under-reporting and imperfect methods to manage under-reporting have been shown to affect estimates of nutrient intake, with overestimation of the prevalence of protein inadequacy [34].…”

Section: Overall Protein Adequacy In Vegetarian Dietsmentioning

confidence: 99%

Dietary Protein and Amino Acids in Vegetarian Diets—A Review

2019

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While animal products are rich in protein, the adequacy of dietary protein intake from vegetarian/vegan diets has long been controversial. In this review, we examine the protein and amino acid intakes from vegetarian diets followed by adults in western countries and gather information in terms of adequacy for protein and amino acids requirements, using indirect and direct data to estimate nutritional status. We point out that protein-rich foods, such as traditional legumes, nuts and seeds, are sufficient to achieve full protein adequacy in adults consuming vegetarian/vegan diets, while the question of any amino acid deficiency has been substantially overstated. Our review addresses the adequacy in changes to protein patterns in people newly transitioning to vegetarian diets. We also specifically address this in older adults, where the issues linked to the protein adequacy of vegetarian diets are more complex. This contrasts with the situation in children where there are no specific concerns regarding protein adequacy because of their very high energy requirements compared to those of protein. Given the growing shifts in recommendations from nutrition health professionals for people to transition to more plant-based, whole-food diets, additional scientific evidence-based communications confirming the protein adequacy of vegetarian and vegan diets is warranted.

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Section: Overall Protein Adequacy In Vegetarian Dietsmentioning

confidence: 99%

Dietary Protein and Amino Acids in Vegetarian Diets—A Review

2019

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“…Energy under-reporting is an important challenge in nutrition epidemiology as it affects the estimation of EI and consequently of other nutrients, which then may lead to a mis-estimation of nutrient inadequacy and bias in the associations between diet and diseases. Given that key characteristics of under-reporters are being women, younger age, and having non-favorable self-reported health perception status ( 14 ), the focus of this study was on characterizing energy-adjusted nutrient intakes in energy under-reporters by sex, age, and mental health state. This would enable quantification of the problem, identification of key nutrient intakes that are impacted, and help to identify strategies of how energy under-reporting may be mitigated in future studies.…”

Section: Methodsmentioning

confidence: 99%

“…In another study that examined individuals with mood disorders, it was found that food energy under-reporting was associated with diet quality, a history of weight change after taking psychiatric medication, and female sex ( 12 ). Depending on the type of regression models analyzed, women with probable major depressive episodes ( 13 ) or individuals with prior depression diagnosis ( 14 ) may have increased odds of food energy under-reporting. Further research is needed about those who report poor mental health, not necessarily those with a diagnosed condition, as this state of mind, which can impact overall functioning, is more common among different populations ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

Lower Energy-Adjusted Nutrient Intakes Occur Among Food Energy Under-Reporters With Poor Mental Health

2022

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BackgroundFood energy under-reporting is differentially distributed among populations. Currently, little is known about how mental health state may affect energy-adjusted nutrient intakes among food energy under-reporters.MethodsStratified analysis of energy-adjusted nutrient intake by mental health (poor vs. good) and age/sex was conducted using data from Canadian Community Health Survey (CCHS) respondents (14–70 years; n = 8,233) who were deemed as under-reporters based on Goldberg's cutoffs.ResultsMost were experiencing good mental health (95.2%). Among those reporting poor mental health, significantly lower energy-adjusted nutrient intakes tended to be found for fiber, protein, vitamins A, B2, B3, B6, B9, B12, C, and D, and calcium, potassium, and zinc (probability measures (p) < 0.05). For women (51–70 years), all micronutrient intakes, except iron, were significantly lower among those reporting poor mental health (p < 0.05). For men (31–50 years), B vitamin and most mineral intakes, except sodium, were significantly lower among those reporting poor mental health (p < 0.05). Among women (31–50 years) who reported poor mental health, higher energy-adjusted intakes were reported for vitamin B9 and phosphorus (p < 0.05).ConclusionsAmong food energy under-reporters, poor mental health tends to lower the report of specific energy-adjusted nutrient intakes that include ones critical for mental health. Future research is needed to discern if these differences may be attributed to deviations in the accurate reports of food intakes, measurement errors, or mental health states.

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“…Despite continued calls for research to better understand the psychosocial correlates of underreporting and differential reporting, there has been no substantial new work in this area over the past decade. Studies continue to focus on characterizing underreporters and describing associations, rather than delving into psychological processes and interaction of influencing factors [8,10,[12][13][14][36][37][38][39]. No studies were identified over the last 5 years that included interviews, focus groups, or other qualitative measures to better understand the psychosocial factors underlying underreporting of dietary intake among people with obesity.…”

Section: Why Do People Underreport Dietary Intake?mentioning

confidence: 99%

Underreporting of Dietary Intake: Key Issues for Weight Management Clinicians

Connor

2020

Curr Cardiovasc Risk Rep

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Purpose of Review Underreporting of dietary intake is common in obesity treatment programs. Accurate reporting through daily food diaries is essential for organizing and personalizing treatment. This review explores key concerns for clinicians, summarizes the state of research on causes of underreporting and ways to promote consistency and accuracy, and identifies areas of need for future research. Recent Findings Dietary underreporting is a cross-cultural phenomenon, and obesity is the most consistent correlate. The association with BMI may be mediated by factors like socioeconomic status, gender, and body image. People with obesityparticularly women-tend to underreport high energy foods and those considered socially undesirable. Underreporting may be due to conscious or unconscious processes and is also influenced by literacy issues and the features of reporting tools. Perceived social pressure plays a role in underreporting, as does inconvenience of reporting. Web-and smartphone-based reporting options offer alternatives to paper-based reporting, but are prone to the same underreporting issues and may not accurately capture energy and micronutrient content. Some evidence indicates frequency and consistency of reporting are more important for weight loss than accuracy. Summary Dietary underreporting remains a major issue in weight management for obesity. The majority of studies are descriptive, identifying associations but not incorporating psychometric tests or qualitative methods like interviews or focus groups to explore underlying issues. Multidisciplinary research is needed to better understand why people underreport and inform strategies to improve quality and consistency of reporting and aid patients with obesity in adhering to dietary goals.

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Characterizing energy intake misreporting and its effects on intake estimations, in the Portuguese adult population

Cited by 12 publications

References 41 publications

Dietary Protein and Amino Acids in Vegetarian Diets—A Review

Dietary Protein and Amino Acids in Vegetarian Diets—A Review

Lower Energy-Adjusted Nutrient Intakes Occur Among Food Energy Under-Reporters With Poor Mental Health

Underreporting of Dietary Intake: Key Issues for Weight Management Clinicians

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