PMID- 12639236
OWN - NLM
STAT- MEDLINE
DCOM- 20030507
LR  - 20190918
IS  - 1368-9800 (Print)
IS  - 1368-9800 (Linking)
VI  - 5
IP  - 6B
DP  - 2002 Dec
TI  - Evaluation of under- and overreporting of energy intake in the 24-hour diet 
      recalls in the European Prospective Investigation into Cancer and Nutrition 
      (EPIC).
PG  - 1329-45
AB  - OBJECTIVE: To evaluate under- and overreporting and their determinants in the 
      EPIC 24-hour diet recall (24-HDR) measurements collected in the European 
      Prospective Investigation into Cancer and Nutrition (EPIC). DESIGN: 
      Cross-sectional analysis. 24-HDR measurements were obtained by means of a 
      standardised computerised interview program (EPIC-SOFT). The ratio of reported 
      energy intake (EI) to estimated basal metabolic rate (BMR) was used to ascertain 
      the magnitude, impact and determinants of misreporting. Goldberg's cut-off points 
      were used to identify participants with physiologically extreme low or high 
      energy intake. At the aggregate level the value of 1.55 for physical activity 
      level (PAL) was chosen as reference. At the individual level we used multivariate 
      statistical techniques to identify factors that could explain EI/BMR variability. 
      Analyses were performed by adjusting for weight, height, age at recall, special 
      diet, smoking status, day of recall (weekday vs. weekend day) and physical 
      activity. SETTING: Twenty-seven redefined centres in the 10 countries 
      participating in the EPIC project. SUBJECTS: In total, 35 955 men and women, aged 
      35-74 years, participating in the nested EPIC calibration sub-studies. RESULTS: 
      While overreporting has only a minor impact, the percentage of subjects 
      identified as extreme underreporters was 13.8% and 10.3% in women and men, 
      respectively. Mean EI/BMR values in men and women were 1.44 and 1.36 including 
      all subjects, and 1.50 and 1.44 after exclusion of misreporters. After exclusion 
      of misreporters, adjusted EI/BMR means were consistently less than 10% different 
      from the expected value of 1.55 for PAL (except for women in Greece and in the 
      UK), with overall differences equal to 4.0% and 7.4% for men and women, 
      respectively. We modelled the probability of being an underreporter in 
      association with several individual characteristics. After adjustment for age, 
      height, special diet, smoking status, day of recall and physical activity at 
      work, logistic regression analyses resulted in an odds ratio (OR) of being an 
      underreporter for the highest vs. the lowest quartile of body mass index (BMI) of 
      3.52 (95% confidence interval (CI) 2.91-4.26) in men and 4.80 (95% CI 4.11-5.61) 
      in women, indicating that overweight subjects are significantly more likely to 
      underestimate energy intake than subjects in the bottom BMI category. Older 
      people were less likely to underestimate energy intake: ORs were 0.58 (95% CI 
      0.45-0.77) and 0.74 (95% CI 0.63-0.88) for age (> or =65 years vs. <50 years). 
      Special diet and day of the week showed strong effects. CONCLUSION: EI tends to 
      be underestimated in the vast majority of the EPIC centres, although to varying 
      degrees; at the aggregate level most centres were below the expected reference 
      value of 1.55. Underreporting seems to be more prevalent among women than men in 
      the EPIC calibration sample. The hypothesis that BMI (or weight) and age are 
      causally related to underreporting seems to be confirmed in the present work. 
      This introduces further complexity in the within-group (centre or country) and 
      between-group calibration of dietary questionnaire measurements to deattenuate 
      the diet-disease relationship.
FAU - Ferrari, P
AU  - Ferrari P
AD  - Unit of Nutrition and Cancer, International Agency for Research on Cancer, 150 
      cours Albert-Thomas, 69372 Lyon Cedex 08, France. Ferrari@iarc.fr
FAU - Slimani, N
AU  - Slimani N
FAU - Ciampi, A
AU  - Ciampi A
FAU - Trichopoulou, A
AU  - Trichopoulou A
FAU - Naska, A
AU  - Naska A
FAU - Lauria, C
AU  - Lauria C
FAU - Veglia, F
AU  - Veglia F
FAU - Bueno-de-Mesquita, H B
AU  - Bueno-de-Mesquita HB
FAU - Ocke, M C
AU  - Ocke MC
FAU - Brustad, M
AU  - Brustad M
FAU - Braaten, T
AU  - Braaten T
FAU - Jose Tormo, M
AU  - Jose Tormo M
FAU - Amiano, P
AU  - Amiano P
FAU - Mattisson, I
AU  - Mattisson I
FAU - Johansson, G
AU  - Johansson G
FAU - Welch, A
AU  - Welch A
FAU - Davey, G
AU  - Davey G
FAU - Overvad, K
AU  - Overvad K
FAU - Tjonneland, A
AU  - Tjonneland A
FAU - Clavel-Chapelon, F
AU  - Clavel-Chapelon F
FAU - Thiebaut, A
AU  - Thiebaut A
FAU - Linseisen, J
AU  - Linseisen J
FAU - Boeing, H
AU  - Boeing H
FAU - Hemon, B
AU  - Hemon B
FAU - Riboli, E
AU  - Riboli E
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Public Health Nutr
JT  - Public health nutrition
JID - 9808463
SB  - IM
MH  - Adult
MH  - Aged
MH  - Body Mass Index
MH  - *Diet
MH  - Diet Surveys
MH  - *Energy Intake
MH  - Europe
MH  - Exercise
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Recall
MH  - Middle Aged
MH  - Population Surveillance/*methods
MH  - Reproducibility of Results
MH  - Sex Distribution
EDAT- 2003/03/18 04:00
MHDA- 2003/05/08 05:00
CRDT- 2003/03/18 04:00
PHST- 2003/03/18 04:00 [pubmed]
PHST- 2003/05/08 05:00 [medline]
PHST- 2003/03/18 04:00 [entrez]
AID - 10.1079/PHN2002409 [doi]
PST - ppublish
SO  - Public Health Nutr. 2002 Dec;5(6B):1329-45. doi: 10.1079/PHN2002409.