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Prevalence and determinants of misreporting among European children in proxy-reported 24 h dietary recalls

C Börnhorst, Inge Huybrechts UGent, W Ahrens, G Eiben, Nathalie Michels UGent, V Pala, D Molnár, P Russo, G Barba and S Bel-Serrat, et al. (2013) BRITISH JOURNAL OF NUTRITION. 109(7). p.1257-1265
abstract
Dietary assessment is strongly affected by misreporting (both under-and over-reporting), which results in measurement error. Knowledge about misreporting is essential to correctly interpret potentially biased associations between diet and health outcomes. In young children, dietary data mainly rely on proxy respondents but little is known about determinants of misreporting here. The present analysis was conducted within the framework of the multi-centre IDEFICS (Identification and prevention of dietary-and lifestyle-induced health effects in children and infants) study and is based on 6101 children aged 2-9 years with 24 h dietary recall (24-HDR) and complete covariate information. Adapted Goldberg cut-offs were applied to classify the 24-HDR as 'over-report', 'plausible report' or 'under-report'. Backward elimination in the course of multi-level logistic regression analyses was conducted to identify factors significantly related to under-and over-reporting. Next to characteristics of the children and parents, social factors and parental concerns/perceptions concerning their child's weight status were considered. Further selective misreporting was addressed, investigating food group intakes commonly perceived as more or less socially desirable. Proportions of under-, plausible and over-reports were 8.0, 88.6 and 3.4%, respectively. The risk of under-reporting increased with age (OR 1.19, 95% CI 1.05, 1.83), BMI z-score of the child (OR 1.23, 95% CI 1.10, 1.37) and household size (OR 1.12, 95% CI 1.01, 1.25), and was higher in low/medium income groups (OR 1.45, 95% CI 1.13, 1.86). Over-reporting was negatively associated with BMI z-scores of the child (OR 0.78, 95% CI 0.69, 0.88) and higher in girls (OR 1.70, 95% CI 1.27, 2.28). Further social desirability and parental concerns/perceptions seemed to influence the reporting behaviour. Future studies should involve these determinants of misreporting when investigating diet-disease relationships in children to correct for the differential reporting bias.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
DISORDERS, IDEFICS, OBESITY, ADOLESCENTS, FOOD-INTAKE, PREADOLESCENT GIRLS, ENERGY-INTAKE, BODY-MASS INDEX, DOUBLY LABELED WATER, Social desirability, Parental perceptions, Goldberg cut-off, Energy intake, OLD
journal title
BRITISH JOURNAL OF NUTRITION
Br. J. Nutr.
volume
109
issue
7
pages
1257 - 1265
Web of Science type
Article
Web of Science id
000317236600010
JCR category
NUTRITION & DIETETICS
JCR impact factor
3.342 (2013)
JCR rank
21/79 (2013)
JCR quartile
2 (2013)
ISSN
0007-1145
DOI
10.1017/S0007114512003194
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2969265
handle
http://hdl.handle.net/1854/LU-2969265
date created
2012-08-07 14:06:11
date last changed
2015-06-17 10:12:30
@article{2969265,
  abstract     = {Dietary assessment is strongly affected by misreporting (both under-and over-reporting), which results in measurement error. Knowledge about misreporting is essential to correctly interpret potentially biased associations between diet and health outcomes. In young children, dietary data mainly rely on proxy respondents but little is known about determinants of misreporting here. The present analysis was conducted within the framework of the multi-centre IDEFICS (Identification and prevention of dietary-and lifestyle-induced health effects in children and infants) study and is based on 6101 children aged 2-9 years with 24 h dietary recall (24-HDR) and complete covariate information. Adapted Goldberg cut-offs were applied to classify the 24-HDR as 'over-report', 'plausible report' or 'under-report'. Backward elimination in the course of multi-level logistic regression analyses was conducted to identify factors significantly related to under-and over-reporting. Next to characteristics of the children and parents, social factors and parental concerns/perceptions concerning their child's weight status were considered. Further selective misreporting was addressed, investigating food group intakes commonly perceived as more or less socially desirable. Proportions of under-, plausible and over-reports were 8.0, 88.6 and 3.4\%, respectively. The risk of under-reporting increased with age (OR 1.19, 95\% CI 1.05, 1.83), BMI z-score of the child (OR 1.23, 95\% CI 1.10, 1.37) and household size (OR 1.12, 95\% CI 1.01, 1.25), and was higher in low/medium income groups (OR 1.45, 95\% CI 1.13, 1.86). Over-reporting was negatively associated with BMI z-scores of the child (OR 0.78, 95\% CI 0.69, 0.88) and higher in girls (OR 1.70, 95\% CI 1.27, 2.28). Further social desirability and parental concerns/perceptions seemed to influence the reporting behaviour. Future studies should involve these determinants of misreporting when investigating diet-disease relationships in children to correct for the differential reporting bias.},
  author       = {B{\"o}rnhorst, C and Huybrechts, Inge and Ahrens, W and Eiben, G and Michels, Nathalie and Pala, V and Moln{\'a}r, D and Russo, P and Barba, G and Bel-Serrat, S and Moreno, LA and Papoutsou, S and Veidebaum, T and Loit, HM and Lissner, L and Pigeot, I},
  issn         = {0007-1145},
  journal      = {BRITISH JOURNAL OF NUTRITION},
  keyword      = {DISORDERS,IDEFICS,OBESITY,ADOLESCENTS,FOOD-INTAKE,PREADOLESCENT GIRLS,ENERGY-INTAKE,BODY-MASS INDEX,DOUBLY LABELED WATER,Social desirability,Parental perceptions,Goldberg cut-off,Energy intake,OLD},
  language     = {eng},
  number       = {7},
  pages        = {1257--1265},
  title        = {Prevalence and determinants of misreporting among European children in proxy-reported 24 h dietary recalls},
  url          = {http://dx.doi.org/10.1017/S0007114512003194},
  volume       = {109},
  year         = {2013},
}

Chicago
Börnhorst, C, Inge Huybrechts, W Ahrens, G Eiben, Nathalie Michels, V Pala, D Molnár, et al. 2013. “Prevalence and Determinants of Misreporting Among European Children in Proxy-reported 24 h Dietary Recalls.” British Journal of Nutrition 109 (7): 1257–1265.
APA
Börnhorst, C, Huybrechts, I., Ahrens, W., Eiben, G., Michels, N., Pala, V., Molnár, D., et al. (2013). Prevalence and determinants of misreporting among European children in proxy-reported 24 h dietary recalls. BRITISH JOURNAL OF NUTRITION, 109(7), 1257–1265.
Vancouver
1.
Börnhorst C, Huybrechts I, Ahrens W, Eiben G, Michels N, Pala V, et al. Prevalence and determinants of misreporting among European children in proxy-reported 24 h dietary recalls. BRITISH JOURNAL OF NUTRITION. 2013;109(7):1257–65.
MLA
Börnhorst, C, Inge Huybrechts, W Ahrens, et al. “Prevalence and Determinants of Misreporting Among European Children in Proxy-reported 24 h Dietary Recalls.” BRITISH JOURNAL OF NUTRITION 109.7 (2013): 1257–1265. Print.