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Severe underreporting of energy intake in normal weight subjects: use of an appropriate standard and relation to restrained eating

  • I Asbeck (a1), M Mast (a1), A Bierwag (a1), J Westenhöfer (a2), KJ Acheson (a3) and MJ Müller (a1)...
Abstract
AbstractObjective:

To assess the influence of different standards and restrained eating on underreporting in healthy, non-obese, weight-stable young subjects.

Design and subjects:

Eighty-three young adults (20–38 years, 55 women, 28 men) were assessed under weight-stable conditions with a 7-day dietary record and the three-factor eating questionnaire by Stunkard and Messick. Resting energy expenditure (REE; indirect calorimetry) plus data derived from physical activity records (PA) (Standard 1) or REE times an activity factor (AF) (Standard 2) was used as standard for total energy expenditure (TEE). For comparison, doubly labelled water (DLW) was used to measure TEE in a subgroup of subjects.

Results:

There was an association between self-reported energy intake and Standard 2 (r = 0.72) but not with Standard 1. When compared with DLW both calculated standards were inaccurate, but Standard 2 avoided high levels of overreporting. Using Standard 2 to identify ‘severe’ underreporting (SU; as defined by a deviation of energy intake (EI) and TEE of >20%), SU was seen in 37% of all subjects. It was more frequently found in women than in men (49% of women, 14.3% of men, P < 0.05). Underreporting subjects had a reduced EI (P < 0.01) but there were no significant differences in nutritional status (body weight and height, body mass index, fat mass and fat-free mass), energy expenditure and the proportion of energy from macronutrients between normal and underreporting subjects. However, high restraint was associated with a higher degree of underreporting in the total group, whereas disinhibition had an influence only in men.

Conclusions:

A high prevalence of SU is seen in non-obese subjects. Characteristics of eating behaviour (restraint and disinhibition) were associated with underreporting but seemed to have a different influence in men and women.

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Corresponding author
*Corresponding author: Email mmueller@nutrfoodsc.uni-kiel.de
References
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1Körtzinger I, Bierwag A, Mast M, Müller MJ. Dietary underreporting: validity of dietary measurements of energy intake using a 7-day dietary record and a diet history in non-obese subjects. Ann. Nutr. Metab. 1997; 41: 3744.
2Heitmann BL. The influence of fatness, weight change, slimming history and other lifestyle variables on diet reporting in Danish men and women aged 35–65 years. Int. J. Obes. 1993; 17: 329–36.
3Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E, Weisel H, Heshka S, Matthews DE, Heymsfield SB. Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N.Engl. J. Med. 1992; 327: 1893–8.
4Livingstone BE, Prentice AM, Coward WA, Ceesay SM, Strain JJ, McKenna PG, Nevin GB, Barker ME, Hicker RJ. Simultaneous measurement of free-living energy expenditure by doubly labelled water method and heart-rate monitoring. Am. J. Clin. Nutr. 1990; 52: 5965.
5Hulten B, Bengtsson C, Isaksson B. Some errors inherent in a longitudinal dietary survey revealed by the urine nitrogen test. Eur. J. Clin. Nutr. 1990; 44: 169–74.
6Prentice AM, Black AE, Coward WA, Davies HL, Goldberg GR, Murgatroyd PR, Ashford J, Sawyer M, Whitehead RG. High levels of energy expenditure in obese women. Br. Med. J. 1986; 292: 983–92.
7Schoeller DA. How accurate is self-reported dietary intake? Nutr. Rev. 1990; 48: 373–9.
8Singh J, Prentice AM, Diaz E, Coward WA, Ashford J, Sawyer M, Whitehead RG. Energy expenditure of Gambian women during peak agricultural activity measured by the doubly-labelled water method. Br. J. Nutr. 1989; 62: 315–29.
9Mertz W, Tsui JC, Judd JT, Reiser S, Hallfrisch J, Morris ER, Steele PD, Lashley E. What are people really eating? The relation between energy intake derived from estimated diet records and intake determined to maintain body weight. Am. J. Clin. Nutr. 1991; 54: 291–5.
10Westerterp KR, Saris WHM, van Es M, ten Hoor F. Use of doubly labeled water technique in humans during heavy sustained exercise. J. Appl. Physiol. 1986; 61: 2162–7.
11Haggarty P, McGaw BA, Maughan RJ, Fenn C. Energy expenditure of elite female athletes measured by the doubly-labelled water method. Proc. Nutr. Soc. 1988; 47: 35A.
12Poppitt SD, Swann D, Black AE, Prentice AM. Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. Int. J. Obes. 1998; 22: 303–11.
13Riumallo JA, Schoeller DA, Barrera G, Gattas V, Uauy R. Energy expenditure in underweight free-living adults: impact of energy supplementation as determined by doubly-labeled water and indirect calorimetry. Am. J. Clin. Nutr. 1989; 49: 239–46.
14Bandini LG, Schoeller DA, Dietz WH. Energy expenditure in obese and nonobese adolescents. Pediatr. Res. 1990; 27: 198203.
15Prentice AM, Coward WA, Davies HL, Murgatroyd PR, Black AE, Goldberg GR, Ashford J, Sawyer M, Whitehead RG. Unexpectedly low levels of energy expenditure in healthy women. Lancet 1985; 22: 1419–22.
16Livingstone MBE, Prentice AM, Strain JJ, Coward WA, Black AE, Barker ME, McKenna PG, Whitehead RG. Accuracy of weighed dietary records in studies of diet and health. Br. Med. J. 1990; 300: 708–12.
17de Castro JM. The relationship of cognitive restraint to the spontaneous food and fluid intake of free-living humans. Physiol. Behav. 1985; 57: 287–95.
18Bingham SA, Cassidy A, Cole TJ, Welch A, Runswick SA, Black AE, Thurnham D, Bates C, Khaw KT, Key T, Day NE. Validation of weighed records and other methods of dietary assessment using the 24h urine nitrogen technique and other biological markers. Br. J. Nutr. 1995; 73: 531–50.
19Black AE, Jebb SA, Bingham SA, Runswick SA, Poppitt SD. The validation of energy and protein intakes by doubly labelled water and 24-h urinary nitrogen excretion in post-obese subjects. J. Hum. Nutr. Diet. 1995; 8: 5164.
20Price GM, Paul AA, Cole TJ, Wadsworth MEJ. Characteristics of the low energy reporters in a longitudinal national dietary survey. Br. J. Nutr. 1997; 77: 833–51.
21Cameron ME, van Staveren WA, eds. Manual on Methodology for Food Consumption Studies. Oxford: Oxford University Press, 1988.
22Müller MJ, vz Mühlen A, Lautz HU, Schmidt FW, Daiber M, Hürter P. Energy expenditure in children with type I diabetes: evidence for increased thermogenesis. Br. Med. J. 1989; 299: 487–91.
23Schofield EC, Dallosso HM, James WPT. Energy cost of physical activity classified in alphabetical order. In: James WPT, Schofield EC, eds. Human Energy Requirements. A Manual for Planners and Nutritionists. Oxford: University Press, 1990;133–5.
24FAO/WHO/UNU. Energy and Protein Requirements. Report of a Joint FAO/WHO/UNU Consultation. WHO Technical Report Series 724. Geneva: World Health Organization (WHO), 1985.
25Schoeller D, Coward A. Isotope fractionation corrections. In: Prentice A, ed. The Doubly-Labelled Water Method for Measuring Energy Expenditure. A Consensus Report by the IDECG Working Group, 1990; 90110.
26Jiang ZQ, Yan Q, Su YX, Acheson KJ, Thelin A, Piguet-Welsch C, Ritz P, Ho ZC. Energy expenditure of Chinese infants in Guangdong province, south China, determined with use of doubly labelled water method. Am. J. Clin. Nutr. 1998; 67: 1256–64.
27Elia M. Converting carbon dioxide production to energy expenditure. In: Prentice A, ed. The Doubly-Labelled Water Method for Measuring Energy Expenditure. A Consensus Report by the IDECG Working Group, 1990;193211.
28Pudel V, Westenhöfer J. Fragebogen zum Eβverhalten: Handanweisung. Göttingen: Hogrefe, 1989.
29Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J. Psychosomatic Res. 1985; 29: 7183.
30Murgatroyd PR, Shetty PS, Prentice AM. Techniques for the measurement of human energy expenditure. Int. J. Obes. 1993; 17: 549–68.
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