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首页> 外文期刊>Public Health Nutrition >Evaluation of under- and overreporting of energy intake in the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC)
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Evaluation of under- and overreporting of energy intake in the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC)

机译：欧洲癌症与营养前瞻性调查（EPIC）中24小时饮食召回中能量摄入不足和过度报告的评估

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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, 35955 men and women, aged 35a€“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 (CD 2.91a€“4.26) in men and 4.80 (95% CI 4.11a€“5.6l) 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 0.45a€“0.77) and 0.74 (95% CI 0.63a€“0.88) for age (a‰￥ 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 dieta€”disease relationship.
机译：目的：评估在欧洲癌症和营养前瞻性调查（EPIC）中收集的EPIC 24小时饮食回想（24-HDR）测量中的报告不足和过量报道及其决定因素。设计：横断面分析。 24-HDR测量是通过标准化计算机访谈程序（EPIC-SOFT）获得的。报告的能量摄入（EI）与估计的基础代谢率（BMR）之比用于确定误报的程度，影响和决定因素。戈德堡的分界点用于识别具有低能量或高能量摄入的生理参与者。在总体水平上，体育活动水平（PAL）的值为1.55作为参考。在个人层面上，我们使用多元统计技术来确定可以解释EI / BMR变异性的因素。通过调整体重，身高，召回年龄，特殊饮食，吸烟状况，召回日数（工作日与周末）和身体活动来进行分析。设置：参与EPIC项目的10个国家中的27个重新定义的中心受试者：总共35955名年龄在35岁至74岁之间的男性和女性参加了嵌套的EPIC校准子研究。男女分别占10.3％。包括所有受试者在内，男性和女性的平均EI / BMR值分别为1.44和1.36，排除误报后的平均EI / BMR值为1.50和1.44。排除误报后，调整后的EI / BMR平均值与PAL的预期值1.55始终相差不到10％（希腊和英国的女性除外），男性和女性的总体差异分别为4.0％和7.4％女人。我们对与几个个人特征相关的被少报的可能性进行了建模。在调整了年龄，身高，特殊饮食，吸烟状况，召回日和工作时的体力活动之后，逻辑回归分析得出，身体质量指数最高四分位数与最低四分位数的四分之一比率（OR）不足男性的BMI为3-52（95％置信区间（CD 2.91a“ 4.26），女性为4.80（95％CI 4.11a” 5.6l），表明超重受试者比能量摄入低得多。 BMI类别最底层的科目。老年人不太可能低估能量摄入：年龄（a≥65岁）的OR为0.58（95％CI 0.45a“ 0.77”和0.74（95％CI 0.63a“ 0.88）相对于<50岁），特殊饮食和每周的一天表现出很强的影响。结论：尽管在不同程度上，绝大多数EPIC中心的EI都被低估了;总的来说，大多数中心都低于预期参考水平值1.55。在EPIC校准中，女性少报现象似乎比男性更为普遍样品。 BMI（或体重）和年龄与报告不足之间存在因果关系这一假说在本研究中得到了证实。这在饮食调查表测量的组内（中心或国家）和组间校准中引入了进一步的复杂性，从而削弱了饮食疾病的关系。

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