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Contributo in rivista
Tipo: Articolo in rivista
Titolo: Prevalence and determinants of misreporting among European children in proxy-reported 24-hour dietary recalls.
Anno di pubblicazione: 2012
Autori: Börnhorst C, Huybrechts I, Ahrens W, Eiben G, Michels N, Pala V, Molnár D, Russo P, Barba G, Bel-Serrat S, Moreno LA, Papoutsou S, Veidebaum T, Loit H-M, Lissner L, Pigeot I, on behalf of the IDEFICS consortium.
Affiliazioni autori: BIPS - Institute for Epidemiology and Prevention Research, Achterstraße 30, 28359 Bremen, Germany 2Department of Public Health, Ghent University, 2 BlokA De Pintelaan 185, 9000 Ghent, Belgium 3Dietary Exposure Assessment Groups, International Agency for Research on Cancer, Lyon, France 4Department of Public Health and Community Medicine, University of Gothenburg, Box 454, 40530 Gothenburg, Sweden 5Nutritional Epidemiology Unit, Department of Preventive and Predictive Medicine, Fondazione IRCSS Istituto Nazionale dei Tumori, Via Venezian 1, 20133 Milan, Italy 6Department of Pediatrics, Medical Faculty, University of Pe´cs, Jo´zsef A.u.7 H-7623, Pe´cs, Hungary 7Institute of Food Sciences, CNR, Via Roma 64, 83100 Avellino, Italy 8GENUD (Growth, Exercise, Nutrition and Development) Research Group, Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza, Corona de Arago´n 42, 2nd floor, 50009 Zaragoza, Spain 9Research and Education Institute of Child Health, 8 Attikis Street, 2027 Strovolos, Cyprus 10Center of Health and Behavioral Science, National Institute for Health Development, Hiiu 42, 11619 Tallinn, Estonia
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.
Lingua abstract: inglese
Pagine da: 1
Pagine a: 9
British journal of nutrition
Cambridge University Press,
Numero volume: 6
Referee: Sì: Internazionale
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