Abstract
Objectives:
To describe the use of dietary assessment methods in a cohort study.
Subjects:
The Avon Longitudinal Study of Parents and Children (ALSPAC) based in Bristol, UK, a cohort of children born in 1991/1992 and their parents.
Methods and Results:
Data were collected about maternal and paternal diet, breastfeeding, weaning and childhood diet by both food frequency questionnaire (FFQ) and unweighed diet records (children only). Other questionnaires have covered socioeconomic background and eating behaviours. Nutrient and food group intakes were calculated from both FFQ and diet records. These were used singly and in combination to assess the contribution of diet to various growth and development outcomes in the children and in relation to socioeconomic position and other behaviours. Both methods provided important contributions to knowledge and have enhanced each other, allowing the development of the assessment instruments as experience in their use was gained. Statistical analysis methods such as the use of dietary patterns to summarize the diet were explored.
Conclusions:
Longitudinal cohort studies are greatly enhanced if dietary assessment methods are built into their design. The use of more than one method of dietary assessment can increase the scientific usefulness of a study.
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References
ALSPAC website. http://www.bristol.ac.uk/alspac/.
Bingham S, Welch A, Cassidy A, Runswick S (1991). The use of 24 h urine nitrogen to detect bias in the reported habitual food intake of individuals assessed from weighed dietary records. Proc Nutr Soc 50, 32A.
Chan W, Brown J, Buss DH (1994). Miscellaneous foods. Supplement to McCance & Widdowson's the Composition of Foods. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Chan W, Brown J, Church SM, Buss DH (1996). Meat products and dishes. Supplement to McCance & Widdowson's the Composition of Foods. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Chan W, Brown J, Lee SM, Buss DH (1995). Meat, poultry and game. Supplement to McCance and Widdowson's the Composition of Foods. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Cowin I, Emond A, Emmett P, the ALSPAC Study Team (2001). Association between composition of the diet and haemoglobin and ferritin levels in 18-month-old children. Eur J Clin Nutr 55, 278–286.
Coulthard H, Harris G, Emmett P (2009). Delayed introduction of lumpy foods to children during the complementary feeding period affects child's food acceptance and feeding at 7 years of age. Mat Child Nutr 5, 75–85.
Emmett PM, North K, Noble SM, the ALSPAC Study Team (2000). Types of drinks consumed by infants at 4 and 8 months of age: a descriptive study. Pub Health Nutr 3, 211–217.
Food Standards Agency website. http://www.eatwell.gov.uk/healthydiet/nutritionessentials/fishandshellfish.
Glynn L, Emmett P, Rogers I, ALSPAC Study Team (2005). Food and nutrient intakes of a population sample of 7-year-old children in the south-west of England in 1999/2000—what difference does gender make? J Hum Nutr Diet 18, 7–19.
Golding J, Pembrey M, Jones R, the ALSPAC Study Team (2001). The avon longitudinal study of parents and children I study methodology. Paed Perinatal Epi 15, 74–87.
Gregory J, Lowe S (2000). National Diet and Nutrition Survey: young people aged 4–18 years. Vol. 1, Report of the diet and nutrition survey. The Stationery Office: London.
Gregory JR, Collins DL, Davies PSW, Hughes JM, Clarke PC (1995). The Diet and Nutrition Survey: children aged 1½–4½ years. Vol. 1, Report of the diet and nutrition survey. The Stationery Office: London.
Holland B, Brown J, Buss DH (1993). Fish and fish products. The Third Supplement to McCance & Widdowson's the Composition of Foods, 5th edn. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Holland B, Unwin ID, Buss DH (1988). Cereals and cereal products. The Third Supplement to McCance & Widdowson's the Composition of Foods, 4th edn. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Holland B, Unwin ID, Buss DH (1989). Milk products and eggs. The Fourth Supplement to McCance & Widdowson's the Composition of Foods, 5th edn. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Holland B, Unwin ID, Buss DH (1991b). Vegetables, herbs and spices. The Fifth Supplement to McCance & Widdowson's the Composition of Foods, 5th edn. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Holland B, Unwin ID, Buss DH (1992a). Fruit and nuts. The First Supplement to McCance & Widdowson's the Composition of Foods, 5th edn. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Holland B, Welch AA, Buss DH (1992b). Vegetable dishes. The Second Supplement to McCance & Widdowson's the Composition of Foods, 5th edn. The Royal Society of Chemistry and the Ministry of Agriculture Fisheries and Food: London.
Holland B, Welch AA, Unwin ID, Buss DH, Paul AA, Southgate DAT (1991a). McCance & Widdowson's the composition of foods, 5th edn. The Stationery Office: London.
Johnson L, Mander AP, Jones LR, Emmett PM, Jebb SA (2007). A prospective analysis of dietary energy density at age 5 and 7 years and fatness at 9 years among UK children. Int J Obes 32, 586–593.
Ministry of Agriculture Fisheries and Food (1993). Food Portion Sizes. 2nd edn. The Stationery Office: London.
North K, Emmett PM, Noble SM, the ALSPAC Study Team (2000). Types of drinks consumed by infants at 4 and 8 months of age: sociodemographic variations. J Hum Nutr Dietet 13, 71–82.
Northstone K, Emmett P, Nethersole F, ALSPAC Study Team (2001). The effect of age of introduction to lumpy solids on foods eaten and reported feeding difficulties at 6 and 15 months. J Hum Nutr Diet 14, 43–54.
Northstone K, Emmett PM, ALSPAC Study Team (2005). Multivariate analysis of diet in children at four and seven years of age and associations with socio-demographic characteristics. Eur J Clin Nutr 59, 751–760.
Ong KK, Emmett PM, Noble S, Ness A, Dunger D, ALSPAC Study Team (2006). Dietary energy intake at the age of 4 months predicts postnatal weight gain and childhood body mass index. Pediatrics 117, e503–e508.
Pontin D, Emmett P, Steer C, Emond A, ALSPAC Study Team (2007). Patterns of breastfeeding in a UK longitudinal cohort study. Mat Child Nutr 3, 2–9.
Poppitt SD, Swann D, Black AE, Prentice AM (1998). Assessment of selective under-reporting of food intake by both obese and nonobese women in a metabolic facility. Int J Obes Relat Metab Disord 22, 303–311.
Price GM, Paul AA, Key FB, Harter AC, Cole TJ, Day KC et al. (1995). Measurement of diet in a large national survey: Comparison of computerised and manual coding of records in household measures. J Hum Nutr Diet 8, 417–428.
Rogers I, Emmett P, ALSPAC Study Team (2003). The effect of maternal smoking status, educational levels and age on food and nutrient intakes in preschool children. Eur J Clin Nutr 57, 854–864.
Rogers IS, Emmett PM, Baker D, Golding J, the ALSPAC Study Team (1998b). Financial difficulties, smoking habits, composition of the diet and birthweight in a population of pregnant women in the South West of England. Eur J Clin Nutr 52, 251–260.
Rogers IS, Emmett PM, the ALSPAC Study Team (1998a). Diet during pregnancy in a population of pregnant women in South West England. Eur J Clin Nutr 52, 246–250.
Rogers IS, Gunnell D, Emmett PM, Glynn LR, Dunger DB, Holly JM, ALSPAC Study Team (2005). Cross-sectional associations of diet and IGF levels in 7–8 year old children. Cancer Epidemiol, Biomarkers Prev 14, 204–212.
Rogers IS, Ness AR, Hebditch K, Jones LR, Emmett PM (2007). The quality of food eaten in English primary schools: school dinners versus packed lunches. Eur J Clin Nutr 61, 856–864.
Willett WC (1998). Nutritional Epidemiology, 2nd edn. Oxford University press: New York.
Williams C, Birch EE, Emmett P, North K, the ALSPAC Study Team (2001). Stereoacuity at 3.5 years of age in children born full-term is associated with prenatal and postnatal dietary factors; a report from a population based cohort study. Am J Clin Nutr 73, 316–322.
World Health Organization/Food and Agriculture Organization (2003). Diet, nutrition and the prevention of chronic diseases—report of a Joint WHO/FAO Expert Consultation. World Health Organization: Geneva.
Wrieden WL, Longbottom PJ, Adamson AJ, Ogston SA, Payne A, Haleem MA et al. (2008). Estimation of typical food portion sizes for children of different ages in Great Britain. Br J Nutr 99, 1344–1353.
Acknowledgements
We are extremely grateful to all the families who took part in these studies, the midwives for their help in recruiting them, and the whole ALSPAC team, which includes interviewers, computer and laboratory technicians, clerical workers, research scientists, volunteers, managers, receptionists and nurses. The Nutrition team has made a particular contribution to this work, especially Dr Imogen Rogers and Mrs Louise Jones. Professor Jean Golding had the foresight to make dietary assessment an integral part of ALSPAC. The UK Medical Research Council, the Wellcome Trust and the University of Bristol provide core support for ALSPAC. This publication was the work of the author who will serve as the guarantor for the contents of this paper.
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Emmett, P. Dietary assessment in the Avon Longitudinal Study of Parents and Children. Eur J Clin Nutr 63 (Suppl 1), S38–S44 (2009). https://doi.org/10.1038/ejcn.2008.63
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DOI: https://doi.org/10.1038/ejcn.2008.63
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