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  • Original Article
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Maternal Nutrition, Infants and Children

Validation of a pre-coded food record for infants and young children

Abstract

Background/Objectives:

To assess the validity of a 7-day pre-coded food record (PFR) method in 9-month-old infants against metabolizable energy intake (MEDLW) measured by doubly labeled water (DLW); additionally to compare PFR with a 7-day weighed food record (WFR) in 9-month-old infants and 36-month-old children.

Subjects/Methods:

The study population consisted of 36 infants (age: 9.03±0.2 months) and 36 young children (age: 36.1±0.3 months) enrolled in a cross-over design of 7 consecutive days PFR vs 7 consecutive days WFR. Children were randomly assigned to one method during week 1, crossing over to the alternative method in week 2. Total energy expenditure (TEE) and MEDLW were obtained in the 9-month-old infants using the DLW technique for 7 days while recording with PFR.

Results:

For the 9-month-old group, PFR showed a mean bias of +726 kJ/day, equivalent to 24%, (P<0.0001) compared with MEDLW (n=29). Using WFR as the reference in this group no between-method differences were found for energy, fat and carbohydrate. Energy intake in the 36-month-old children was 12% higher in the PFR vs WFR (P<0.0001), and protein plus total fat intake were overestimated with the PFR (P=0.008, P<0.0001, respectively).

Conclusions:

The study indicates that the PFR may be a valuable tool for measuring energy, energy-yielding nutrients and foods in groups of 9-month-olds infants and 36-month-olds young children.

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References

  • Ainslie P, Reilly T, Westerterp K (2003). Estimating human energy expenditure: a review of techniques with particular reference to doubly labelled water. Sports Med 33, 683–698.

    Article  Google Scholar 

  • Andersen LF, Lande B, Trygg K, Hay G (2004). Validation of a semi-quantitative food-frequency questionnaire used among 2-year-old Norwegian children. Public Health Nutr 7, 757–764.

    Article  CAS  Google Scholar 

  • Bandini LG, Cyr H, Must A, Dietz WH (1997). Validity of reported energy intake in preadolescent girls. Am J Clin Nutr 65, 1138S–1141S.

    Article  CAS  Google Scholar 

  • Berenson GS (2002). Childhood risk factors predict adult risk associated with subclinical cardiovascular disease. The Bogalusa heart study. Am J Cardiol 90, 3L–7L.

    Article  Google Scholar 

  • Biltoft-Jensen A, Matthiessen J, Rasmussen LB, Fagt S, Groth MV, Hels O (2009). Validation of the Danish 7-day pre-coded food diary among adults: energy intake v. energy expenditure and recording length. Br J Nutr 102, 1838–1846.

    Article  CAS  Google Scholar 

  • Bland JM, Altman DG (1986). Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1, 307–310.

    Article  CAS  Google Scholar 

  • Burrows TL, Martin RJ, Collins CE (2010). A systematic review of the validity of dietary assessment methods in children when compared with the method of doubly labeled water. J Am Diet Assoc 110, 1501–1510.

    Article  Google Scholar 

  • Butte NF, Wong WW, Hopkinson JM, Heinz CJ, Mehta NR, Smith EO (2000). Energy requirements derived from total energy expenditure and energy deposition during the first 2 y of life. Am J Clin Nutr 72, 1558–1569.

    Article  CAS  Google Scholar 

  • Champagne CM, Baker NB, DeLany JP, Harsha DW, Bray GA (1998). Assessment of energy intake underreporting by doubly labeled water and observations on reported nutrient intakes in children. J Am Diet Assoc 98, 426–433.

    Article  CAS  Google Scholar 

  • Davies PS, Coward WA, Gregory J, White A, Mills A (1994). Total energy expenditure and energy intake in the pre-school child: a comparison. Br J Nutr 72, 13–20.

    Article  CAS  Google Scholar 

  • Davies PS, Day JM, Lucas A (1991). Energy expenditure in early infancy and later body fatness. Int J Obes 15, 727–731.

    CAS  PubMed  Google Scholar 

  • Davies PS, Wells JC, Hinds A, Day JM, Laidlaw A (1997). Total energy expenditure in 9 month and 12 month infants. Eur J Clin Nutr 51, 249–252.

    Article  CAS  Google Scholar 

  • Gibson RS (1990). Principles of Nutritional Assessment. Oxford University Press: New York, USA.

    Google Scholar 

  • Guo SS, Wu W, Chumlea WC, Roche AF (2002). Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr 76, 653–658.

    Article  CAS  Google Scholar 

  • IAEA. Assessment of Body Composition and Total Energy Expenditure in Humans Using Stable Isotope Techniques, (2009): International Atomic Energy Agency: Vienna.

  • Jiang Z, Yan Q, Su Y, Acheson KJ, Thelin A, Piguet-Welsch C et al. (1998). Energy expenditure of Chinese infants in Guangdong Province, south China, determined with use of the doubly labeled water method. Am J Clin Nutr 67, 1256–1264.

    Article  CAS  Google Scholar 

  • Jones PJ, Winthrop AL, Schoeller DA, Swyer PR, Smith J, Filler RM et al. (1987). Validation of doubly labeled water for assessing energy expenditure in infants. Pediatr Res 21, 242–246.

    Article  CAS  Google Scholar 

  • Lanigan JA, Wells JC, Lawson MS, Cole TJ, Lucas A (2004). Number of days needed to assess energy and nutrient intake in infants and young children between 6 months and 2 years of age. Eur J Clin Nutr 58, 745–750.

    Article  CAS  Google Scholar 

  • Lenth RV (2006) Java Applets for Power and Sample Size (Computer software), Retrieved 1 December 2006, from http://www.stat.uiowa.edu/~rlenth/Power.

  • Lyhne N, Fagt S, Groth MV, Hartkopp HB, Møller A, Ovesen L et al. (1996). The Danish National Survey of Dietary Habits (in Danish). The Danish Food Administration: Søborg.

    Google Scholar 

  • Nordic Council of Ministers (2004). Nordic Nutrition Recommendations 2004. Integrating Nutrition and Physical Activity. Nordic Council of Ministers: Copenhagen.

  • Pedersen AN, Fagt S, Groth MV, Christensen T, Biltoft-Jensen A, Matthiessen J et al. Dietary habits in Denmark 2003-2008, Main results. (2010), Søborg, Denmark, DTU Fødevareinstituttet.

  • Roberts SB, Coward WA, Schlingenseipen KH, Nohria V, Lucas A (1986). Comparison of the doubly labeled water (2H2(18)O) method with indirect calorimetry and a nutrient-balance study for simultaneous determination of energy expenditure, water intake, and metabolizable energy intake in preterm infants. Am J Clin Nutr 44, 315–322.

    Article  CAS  Google Scholar 

  • Singh R, Martin BR, Hickey Y, Teegarden D, Campbell WW, Craig BA et al. (2009). Comparison of self-reported, measured, metabolizable energy intake with total energy expenditure in overweight teens. Am J Clin Nutr 89, 1744–1750.

    Article  CAS  Google Scholar 

  • Tennefors C, Coward WA, Hernell O, Wright A, Forsum E (2003). Total energy expenditure and physical activity level in healthy young Swedish children 9 or 14 months of age 1. Eur J Clin Nutr 57, 647–653.

    Article  CAS  Google Scholar 

  • Torun B, Davies PS, Livingstone MB, Paolisso M, Sackett R, Spurr GB (1996). Energy requirements and dietary energy recommendations for children and adolescents 1 to 18 years old. Eur J Clin Nutr 50 (Suppl 1), S37–S80.

    PubMed  Google Scholar 

  • Trolle E, Ege M, Hermansen B, Haraldsdottir J, Michaelsen KF : Development of a reliable method for the assessment of the diet of infants and young children, Food Congress 2002, Future Food - A Scientific Perspective. (2002).

  • Vasquez-Velasquez L (1988). Energy expenditure and physical activity of malnourished Gambian infants. Proc Nutr Soc 47, 233–239.

    Article  CAS  Google Scholar 

  • World Health Organization DoN. WHO Anthro 2005. Retrieved 1 March 2010, from http://www.who.int/childgrowth/software/en/ (2010), Geneva, Switzerland.

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Acknowledgements

We gratefully acknowledge the contribution of all the families and children who participated in the study and Majken Ege for help during data collection. The work was supported by grants from the Danish Directorate for Food, Fisheries and Agri Business.

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Correspondence to U H Gondolf.

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Gondolf, U., Tetens, I., Hills, A. et al. Validation of a pre-coded food record for infants and young children. Eur J Clin Nutr 66, 91–96 (2012). https://doi.org/10.1038/ejcn.2011.133

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