Abstract
Objective: To validate a diet history (DH).
Design: Energy intake (EI) estimated by a diet history (DH) was validated against total energy expenditure (TEE) measured by doubly labeled water (DLW) (n=12) used as reference, by heart rate monitoring (HR) and by an activity diary (AD).
Setting: Department of Geriatric Medicine, Göteborg University, Vasa Hospital, Gothenburg, Sweden.
Subjects: 20 healthy free-living elderly subjects (73 years) from the gerontological and geriatric population studies, Gothenburg, Sweden (H70).
Results: Mean value for EI was 9.02 (s.d. 2.30), for TEE by HR was 9.66 (s.d. 2.25) MJ/d, and for TEE by AD was 9.40 (s.d. 2.08) MJ/d. In the 12 individuals measured with DLW, EI was 8.62 (s.d. 2.06), TEE by DLW was 9.90 (s.d. 1.43) MJ/d, TEE by HR was 8.94 (s.d. 1.96) MJ/d, and TEE by AD was 9.24 (s.d. 2.15) MJ/d. Mean difference between DH and DLW was 1.28 (s.d. 2.17) MJ (NS) and the DH/DLW ratio was 0.88. Four subjects were identified as under-reporters and one as an over-reporter.
Conclusion: The DH slightly underestimated EI compared to the HR, but was in concordance with the AD. Compared to DLW, DH underestimated EI by 12%. On group level, the DH method gave comparable values to HR and AD. The DH was not valid for ranking of individuals. Compared to DLW, the HR method seemed to perform somewhat better than the AD for detection of under- and over-reporters.
Sponsorship: Supported by grants from the Dr Félix Neubergh Foundation, the Elsa and Eivind K:son Sylvan Foundation, the Hjalmar Svensson Foundation, the Swedish Council for Planning and Coordination of Research (A 9-14-5), the Swedish Medical Research Council (B93-27X-10429-01), the Wilhelm and Martina Lundgren Foundation, and the Swedish Nutrition Foundation.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Rothenberg, E., Bosaeus, I., Lernfelt, B. et al. Energy intake and expenditure: Validation of a diet history by heart rate monitoring, activity diary and doubly labeled water. Eur J Clin Nutr 52, 832–838 (1998). https://doi.org/10.1038/sj.ejcn.1600655
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ejcn.1600655
Keywords
This article is cited by
-
Time trends in nutrient intake and dietary patterns among five birth cohorts of 70-year-olds examined 1971–2016: results from the Gothenburg H70 birth cohort studies, Sweden
Nutrition Journal (2019)
-
A systematic literature review of reviews on techniques for physical activity measurement in adults: a DEDIPAC study
International Journal of Behavioral Nutrition and Physical Activity (2018)
-
Dairy product intake and mortality in a cohort of 70-year-old Swedes: a contribution to the Nordic diet discussion
European Journal of Nutrition (2018)
-
Assessment of energy intake in women with chronic obstructive pulmonary disease: A doubly labeled water method study
The journal of nutrition, health & aging (2015)
-
Does the Mediterranean diet predict longevity in the elderly? A Swedish perspective
AGE (2011)