Abstract
There is a growing body of research supporting adjunctive dietary interventions to improve depressive symptoms. Quantifying the level of dietary intake reporting accuracy is important when assessing dietary intervention efficacy. The current study assesses dietary intake reporting accuracy among children and adolescents clinically diagnosed with depression. Forty-six participants (87.0% female) with clinically diagnosed depression were included in this analysis with a mean age of 15.04 ± 1.52 years. The reporting accuracy of energy intake was determined using a single dietary recall and the McCrory equations. Thirty (64.8%) participants were categorized as plausible reporters, 16 (35.2%) as under-reporters and none were over-reporters. Mean energy estimates were misreported by −1192.618 ± 817.87 kcal and were proportional to caloric intake. The only covariate significantly associated with misreporting was obesity/overweight. Misreporting was not associated with depressive symptom burden. Depressive symptomology was not associated with under-reporting, indicating that adolescents with clinically diagnosed depression are able to report dietary intake at accuracy levels comparable to adolescents in community samples.
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The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Altun A, Brown H, Szoeke C, Goodwill AM. The Mediterranean dietary pattern and depression risk: a systematic review. Neurol, Psychiatry Brain Res. 2019;33:1–10.
Goldberg G, Black A, Jebb S, Cole T, Murgatroyd P, Coward W, et al. Critical evaluation of energy intake data using fundamental principles of energy physiology:1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr. 1991;45:569–81.
Korczak DJ, Perruzza S, Chandrapalan M, Cost K, Cleverley K, Birken CS, et al. The association of diet and depression: an analysis of dietary measures in depressed, non-depressed, and healthy youth, Nutr Neurosci. 2021;1–8. https://doi.org/10.1080/1028415X.2021.1918981. Online ahead of print.
Institute of Medicine, Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids, National Academy Press Washington, DC, 2005.
Banna JC, McCrory MA, Fialkowski MK, Boushey C. Examining plausibility of self-reported energy intake data: considerations for method selection. Front Nutr. 2017;4:45.
Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8:135–60.
Jessri M, Lou WY, L’Abbe MR. Evaluation of different methods to handle misreporting in obesity research: evidence from the Canadian national nutrition survey. Br J Nutr. 2016;115:147–59.
Maffeis C, Schutz Y, Fornari E, Marigliano M, Tomasselli F, Tommasi M, et al. Bias in food intake reporting in children and adolescents with type 1 diabetes: the role of body size, age and gender. Pediatr Diabetes. 2017;18:213–21.
Huang TTK, Howarth NC, Lin BH, Roberts SB, McCrory MA. Energy intake and meal portions: associations with BMI percentile in US children. Obes Res. 2004;12:1875–85.
McGrath EP, Repetti RL. A longitudinal study of children’s depressive symptoms, self-perceptions, and cognitive distortions about the self. J Abnorm Psychol. 2002;111:77.
Breslau J, Gilman SE, Stein BD, Ruder T, Gmelin T, Miller E. Sex differences in recent first-onset depression in an epidemiological sample of adolescents. Transl Psychiatry. 2017;7:e1139.
Acknowledgements
The authors would like to acknowledge the participants of the study; Reva Schachter and Marlena Colasanto who were part of the initial protocol development and assisted with data collection; and Stephanie Perruzza, Arij Alarachi and Alicia Segovia who helped with data collection. This work was supported by Brain and Behavior Research Foundation: [grant number 26400]; Canadian Institute of Health Research: [grant number 409491]. Susan C Campisi is supported in part by the SickKids RestraComp Postdoctoral Award and by the Canadian Institutes of Health Research (CIHR) grant number 409491.
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SCC conceptualized the study design and analysis plan, conducted the analysis, wrote and revised all drafts of the manuscript. KTC assisted with the analysis plan and reviewed the manuscript. DJK provided senior supervision for all aspects of the study. All authors assisted in data interpretation, critically reviewed and approved the final manuscript.
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Informed consent/assent was obtained for all participants. Written informed consent was obtained from all participants >12 years of age. Written assent was obtained from children who are <12 years old, or not able to consent for themselves, as well as parental consent. Ethics approval was granted by the Research Ethics Board at SickKids Hospital, Toronto Canada #1000054479.
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Campisi, S.C., Cost, K.T. & Korczak, D.J. Food intake reporting bias among adolescents with depression. Eur J Clin Nutr 76, 904–906 (2022). https://doi.org/10.1038/s41430-021-01035-9
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DOI: https://doi.org/10.1038/s41430-021-01035-9