Clin Nutr Res.  2018 Jul;7(3):213-222. 10.7762/cnr.2018.7.3.213.

Comparison of 3 Nutritional Questionnaires to Determine Energy Intake Accuracy in Iranian Adults

• Moradi S
• Pasdar Y
• Hamzeh B
• Najafi F
• Nachvak SM
• Mostafai R
• Niazi P
• Rezaei M

• KMID: 2417717
• DOI: http://doi.org/10.7762/cnr.2018.7.3.213

Abstract

A precision instrument is required to assess the nutritional status. This study was conducted on comparison of 3 nutritional questionnaires to determine energy intake (EI) accuracy in adults in Ravansar Non-Communicable Chronic Disease (RaNCD) cohort study. This cross-sectional study was conducted on 118 of participant's RaNCD. EI was evaluated with 3 questionnaires including food frequency questionnaire (FFQ), 24-hours recall (24HR), and food habits questionnaire (FHQ). Resting metabolic rate (RMR) was measured using indirect calorimetry. We used EI/RMR cut off to evaluate EI reporting status. The mean ± standard deviation of age in men and women were 44.1 ± 6.5 and 43.7 ± 5.25 respectively and 50.8% of participants were men. Among 3 EI estimating questionnaires, FFQ was more accurate than 2 other questionnaires (67.8%). We observed that implausible reporters of 24HR were likely overweight (p < 0.005) but we did not observe a significant difference between EI reporting of FFQ and FHQ with participants' body composition. Our finding showed that EI underreporting of 24HR and FHQ were high. Under reporters were seemed to be overweight. Therefore, these results suggested that among 3 nutritional questionnaires the FFQ was an appropriate approach to determine EI in this population due to plausible EI reporting was higher than 2 other nutritional questionnaires (24HR and FHQ).

Keyword

Nutritional status; Energy intake; Indirect calorimetry; Chronic disease

MeSH Terms

Adult*
Body Composition
Calorimetry, Indirect
Chronic Disease
Cohort Studies
Cross-Sectional Studies
Energy Intake*
Female
Food Habits
Humans
Male
Nutritional Status
Overweight

Figure

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  Figure 1 Multivariable-adjusted ORs and 95% CIs for EI underreporting of 24HR across weight, BMI, and BFM. In adjusted model, age, gender, and physical activity were controlled. OR, odds ratio; CI, confidence interval; EI, energy intake; 24HR, 24-hours recall; BMI, body mass index; BFM, body fat mass.

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  Figure 2 Macronutrients intake and EI reporting of 3 questionnaires. EI, energy intake; FFQ, food frequency questionnaire; 24HR, 24 hour recall; FHQ, food habits questionnaire; LR, low reporting; PR, plausible reporting; HR, high reporting; Cho, carbohydrate.

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