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Community-specific modifications are essential for objective assessment of maternal dietary intake – Pune Maternal Nutrition Study

  • S Rao (a1), AN Kanade (a1), SR Joshi (a1) and CS Yajnik (a2)
Abstract
AbstractObjective

To introduce community-specific modifications in the conventional 24 h recall method for objectively estimating maternal dietary intake and validate it with a reference method.

Design

A modified 24 h recall method was developed with the visit of trained local girls at the subject’s home to weigh portion sizes at each mealtime over the 24 h recall period. This was validated with the reference method in which weighed records of the foods consumed were obtained and their laboratory analysis was done to obtain nutrient intakes.

Setting

Rural areas located 40–50 km from Pune City, India.

Subjects

Forty-one pregnant women participated willingly.

Results

The estimates of intake obtained from the reference method were comparable to those obtained from the modified 24 h recall method for energy (7795 (sd 1841) kJ (1863 (sd 440) kcal) v. 7615 (sd 1824) kJ (1820 (sd 436) kcal), respectively), protein (48·6 (sd 12·9) g v. 45·3 (sd 12·6) g, respectively) and fat (35·3 (sd 16·6) g v. 36·0 (sd 14·2) g, respectively). Significant correlation was observed between the estimates obtained by the two methods for energy (0·75, P < 0·001), protein (0·71, P < 0·001) and fat (0·56, P < 0·001) and differences in nutrient intake did not reveal any systematic bias. When compared with the reference method, the modified method showed >80 % sensitivity and specificity for identifying inadequate maternal energy intakes.

Conclusions

Simple modifications to conventional methods backed by understanding of community specifics and nutritional peculiarities are of immense importance in obtaining objective estimates of daily nutritional intakes of individuals in free-living populations. The approach would be adaptable in similar settings in other developing countries.

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Copyright
Corresponding author
*Corresponding author: Email raoari@yahoo.com
References
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1.Barrett-Connor E (1991) Nutrition epidemiology: how do we know what they ate? Am J Clin Nutr 54, Suppl., s182s187.
2.Beaton GH, Milner J, McGuire V, Feather TE & Little JA (1983) Source of variation in 24-hr dietary recall data: implications for nutrition study design and interpretation of carbohydrate sources, vitamins and minerals. Am J Clin Nutr 37, 986995.
3.McGee D, Rohdas G, Hankin J, Yano K & Tillotson J (1982) Within person variability of nutrient intake in a group of Hawaiian men of Japanese ancestry. Am J Clin Nutr 36, 657663.
4.Borrelli R, Cole TJ, DiBiase G & Contaldo F (1989) Some statistical considerations on dietary assessment methods. Eur J Clin Nutr 43, 453463.
5.Bingham SA (1987) The dietary assessment of individuals; methods, accuracy, new techniques and recommendations. Nutr Abstr Rev (Ser A) 57, 705742.
6.Gopalan C, Rama Sastri BV & Balasubramanian SC (1994) Nutritive Value of Indian Foods. Hyderabad: National Institute of Nutrition, Indian Council of Medical Research.
7.Raghuramulu N, Madhavan K & Kalyanasundaram S (1983) A Manual of Laboratory Techniques. Hyderabad: National Institute of Nutrition, Indian Council of Medical Research.
8.Bland JM & Altman DG (1986) Statistical methods for assessing agreements between two methods of clinical measurement. Lancet i, 307310.
9.Indian Council of Medical Research (1987) Recommended Dietary Intakes for Indians. Hyderabad: Indian Council of Medical Research.
10.Bellach B (1993) Remarks on the use of Pearson’s correlation coefficient and other association measures in assessing validity and reliability of dietary assessment methods. Eur J Clin Nutr 47, Suppl., s42s45.
11.Susser M (1991) Maternal weight gain, infant birth weight and diet: causal consequences. Am J Clin Nutr 53, 13841396.
12.Bingham SA (1991) Limitations of various methods for collecting dietary intake data. Ann Nutr Metab 35, 117127.
13.Chanpagne CM, Boudreau MD, Wozniak PJ & Howat PM (1994) Evaluation of food record and length of food record vs 24-hr recall in dietary assessment of energy intake. Am J Clin Nutr 59, s286 (abstr).
14.Korvetti RL & Knuts LR (1985) Validity of 24-hr dietary recall. J Am Diet Assoc 85, 14371442.
15.Bull NL, Wheeler EE & Gatenby SJ (1991) A combination of method of dietary survey – report of a field trial. J Hum Nutr Diet 4, 207217.
16.Gibson RS (1990) Validity in dietary assessment: a review. J Can Diet Assoc 51, 275280.
17.Rao S, Yajnik CS, Kanade AN, Fall CHD, Margetts BM, Jackson AA, Shier R, Joshi SR, Rege S & Lubree H (2001) Intake of micronutrient-rich foods in rural Indian mothers and size of their babies at birth (Pune Maternal Nutrition Study). J Nutr 131, 12171224.
18.Rawtani L & Varma M (1989) A study of nutritional status and food practices of the pregnant and lactating women residing in selected desert areas of Jodhpur. Indian J Nutr Diet 26, 304310.
19.Vijayalaxmi P & Lakshmi RN (1985) Reproductive performance of expectant mothers. Indian J Nutr Diet 22, 3641.
20.Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA & Prentice AM (1991) 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 45, 569581.
21.Food and Agriculture Organization of the United Nations/World Health Organization/United Nations University (1985) Energy and Protein Requirements. Expert Consultation Report. WHO Technical Report Series no. 724. Geneva: WHO.
22.Piers LS & Shetty PS (1993) Basal metabolic rates of Indian women. Eur J Clin Nutr 47, 586591.
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Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
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