Original Communication

European Journal of Clinical Nutrition (2005) 59, 989–995. doi:10.1038/sj.ejcn.1602200 published online 29 June 2005

An easy-to-use semiquantitative food record validated for energy intake by using doubly labelled water technique

Guarantor: C Koebnick.

Contributors: IH, CK, AF, KW and GD designed the food record. CK, ALG, KW, AH and CL contributed to the design of the study. KW, GD, UT conducted the study. CK, KW, PL, ALG and UT were responsible for the data management, statistical analysis and interpretation of the data. FT, GD, HM contributed to the analysis of the DLW samples. CK, AH, GD, KW, ALG and UT performed the literature research. All authors contributed to the data collection and writing of the manuscript. HJFZ is the principal investigator and contributed to all parts of the study.

C Koebnick1, K Wagner1, F Thielecke1, G Dieter1, A Höhne1, A Franke1, A L Garcia1, H Meyer2, I Hoffmann3, P Leitzmann3, U Trippo1 and H J F Zunft1,4

  1. 1Dietary Fibre and the Metabolic Syndrome Group, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
  2. 2Isotope Laboratory of the Alfred Wegener Institute for Polar and Marine Research, Potsdam, Germany
  3. 3Institute of Nutritional Science, University of Giessen, Giessen, Germany
  4. 4Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany

Correspondence: C Koebnick, Dietary Fibre and the Metabolic Syndrome Group, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, Nuthetal D-14558, Germany. koebnick@mail.dife.de

Received 18 June 2004; Revised 14 January 2005; Accepted 24 March 2005; Published online 29 June 2005.

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Abstract

Background:

 

Estimating dietary intake is important for both epidemiological and clinical studies, but often lacks accuracy.

Objective:

 

To investigate the accuracy and validity of energy intake estimated by an easy-to-use semiquantitative food record (EISQFR) compared to total energy expenditure (TEE) estimated by doubly labelled water technique (EEDLW).

Design:

 

TEE was measured in 29 nonobese subjects using the doubly labelled water method over a period of 14 days. Within this period, subjects reported their food consumption by a newly developed semiquantitative food record for 4 consecutive days. Energy intake was calculated using the German Food Code and Nutrition Data Base BLS II.3.

Results:

 

A good correlation was observed between EISQFR and EEDLW (r=0.685, P<0.001). The mean difference between EISQFR and EEDLW was -1.7plusminus2.6 MJ/day (-14plusminus21%, P=0.002). An underestimation of EISQFR <10% was observed in nine subjects (31%), of 10–20% in six subjects (21%), and of >20% in nine subjects (31%). In five subjects (17%), an overestimation of EISQFR was observed.

Conclusions:

 

The easy-to-use semiquantitative food record provided good estimates of EI in free-living and nonobese adults without prior detailed verbal instructions. The presented food record has limitations regarding accuracy at the individual level.

Keywords:

semiquantitative food record, energy intake, doubly labelled water, energy expenditure, dietary assessment

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