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Measuring energy, macro and micronutrient intake in UK children and adolescents: a comparison of validated dietary assessment tools.
Bush, Linda A; Hutchinson, Jayne; Hooson, Jozef; Warthon-Medina, Marisol; Hancock, Neil; Greathead, Katharine; Knowles, Bethany; Vargas-Garcia, Elisa J; Gibson, Lauren E; Margetts, Barrie; Robinson, Sian; Ness, Andy; Alwan, Nisreen A; Wark, Petra A; Roe, Mark; Finglas, Paul; Steer, Toni; Page, Polly; Johnson, Laura; Roberts, Katharine; Amoutzopoulos, Birdem; Greenwood, Darren C; Cade, Janet E.
Affiliation
  • Bush LA; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Hutchinson J; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Hooson J; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Warthon-Medina M; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Hancock N; 2Quadram Institute Bioscience, Norwich, NR4 7UA UK.
  • Greathead K; 3EuroFIR AISBL, 40 Rue Washington, 1050 Brussels, Belgium.
  • Knowles B; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Vargas-Garcia EJ; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Gibson LE; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Margetts B; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Robinson S; 1Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LS2, 9JT, Leeds, UK.
  • Ness A; School of Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD UK.
  • Alwan NA; 5NIHR Newcastle Biomedical Research Centre, Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University, Newcastle upon Tyne, UK.
  • Wark PA; 6National Institute of Health (NIHR) Bristol Biomedical Research Centre, Nutrition Theme, University, Hospitals Bristol NHS Foundation Trust and the University of Bristol, Bristol, BS2 8AE UK.
  • Roe M; 7NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital, Southampton NHS Foundation Trust, Southampton, UK.
  • Finglas P; School of Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD UK.
  • Steer T; 8Centre for Innovative Research Across the Life Course (CIRAL), Faculty of Health and Life Sciences, Coventry University, Coventry, CV1 5FB UK.
  • Page P; 9Global eHealth Unit, Department of Primary Care and Public Health, Imperial College London, London, SW7 2AZ UK.
  • Johnson L; 10AGE Research Group, Newcastle University, Newcastle, UK.
  • Roberts K; 2Quadram Institute Bioscience, Norwich, NR4 7UA UK.
  • Amoutzopoulos B; 3EuroFIR AISBL, 40 Rue Washington, 1050 Brussels, Belgium.
  • Greenwood DC; 2Quadram Institute Bioscience, Norwich, NR4 7UA UK.
  • Cade JE; 3EuroFIR AISBL, 40 Rue Washington, 1050 Brussels, Belgium.
BMC Nutr ; 5: 53, 2019.
Article in En | MEDLINE | ID: mdl-32153966
BACKGROUND: Measuring dietary intake in children and adolescents can be challenging due to misreporting, difficulties in establishing portion size and reliance on recording dietary data via proxy reporters. The aim of this review was to present results from a recent systematic review of reviews reporting and comparing validated dietary assessment tools used in younger populations in the UK. METHODS: Validation data for dietary assessment tools used in younger populations (≤18 years) were extracted and summarised using results from a systematic review of reviews of validated dietary assessment tools. Mean differences and Bland-Altman limits of agreement (LOA) between the test and reference tool were extracted or calculated and compared for energy, macronutrients and micronutrients. RESULTS: Seventeen studies which reported validation of 14 dietary assessment tools (DATs) were identified with relevant nutrition information. The most commonly validated nutrients were energy, carbohydrate, protein, fat, calcium, iron, folate and vitamin C. There were no validated DATs reporting assessment of zinc, iodine or selenium intake. The most frequently used reference method was the weighed food diary, followed by doubly labelled water and 24 h recall. Summary plots were created to facilitate comparison between tools. On average, the test tools reported higher mean intakes than the reference methods with some studies consistently reporting wide LOA. Out of the 14 DATs, absolute values for LOA and mean difference were obtained for 11 DATs for EI. From the 24 validation results assessing EI, 16 (67%) reported higher mean intakes than the reference. Of the seven (29%) validation studies using doubly labelled water (DLW) as the reference, results for the test DATs were not substantially better or worse than those using other reference measures. Further information on the studies from this review is available on the www.nutritools.org website. CONCLUSIONS: Validated dietary assessment tools for use with children and adolescents in the UK have been identified and compared. Whilst tools are generally validated for macronutrient intakes, micronutrients are poorly evaluated. Validation studies that include estimates of zinc, selenium, dietary fibre, sugars and sodium are needed.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: BMC Nutr Year: 2019 Document type: Article Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: BMC Nutr Year: 2019 Document type: Article Country of publication: