umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Energy intake of Swedish overweight and obese children is underestimated using a diet history interview
Umeå University, Faculty of Social Sciences, Department of Food and Nutrition. (SELFH-projektet)
Umeå University, Faculty of Social Sciences, Department of Food and Nutrition. (SELFH-projektet)
2009 (English)In: Journal of Nutrition, ISSN 0022-3166, E-ISSN 1541-6100, Vol. 139, no 3, 522-527 p.Article in journal (Refereed) Published
Abstract [en]

Estimating energy intake (EI) of a child by using a diet history interview (DHI) method may be a challenge because of difficulties for the child to remember what has been eaten as well as to report portion sizes. The aim of this research was to validate reported EI from a DHI in children classified as overweight or obese by comparing the reported EI to total energy expenditure (TEE) measured by two objective measures. Eighty-five 10.5 ± 1.1 y old overweight and obese children, with help from one or two parents, reported their EI two weeks retrospectively in a DHI. Reported EI was compared with TEE, as measured by SenseWear Armaband (n=85) and the doubly-labelled water (DLW) method (n=21), during the same period as the DHI. Reported EI was under-estimated by 14 % when validated against both the armband and DLW method. Under-estimation did not differ between boys and girls. However, the EI of obese children was under-estimated by 22 %, which is twice the rate as for the overweight children (95% CI: 0.55, 3.08). Under-estimated EI was negatively correlated with body mass index (BMI) (r=-0.38, P= <0.01) as well as age (r=-0.21, P=0.05). EI is under-estimated to a higher extent among children with higher BMI and higher age when using a DHI method. The findings show the importance of validating dietary intake of children in general and in overweight and obese children in particular.

Place, publisher, year, edition, pages
Bethesda: American Society for nutrition , 2009. Vol. 139, no 3, 522-527 p.
Keyword [en]
validity, energy intake, overweight, obese, dietary assessment methods, diet history interview, children
National Category
Food Science
Research subject
Food and Nutrition
Identifiers
URN: urn:nbn:se:umu:diva-19082DOI: 10.3945/jn.108.101311OAI: oai:DiVA.org:umu-19082DiVA: diva2:201332
Projects
SELFH-projektet
Available from: 2009-03-11 Created: 2009-03-04 Last updated: 2011-05-09Bibliographically approved
In thesis
1. Dietary and metabolic effects of a 2-year lifestyle intervention in overweight and obese children
Open this publication in new window or tab >>Dietary and metabolic effects of a 2-year lifestyle intervention in overweight and obese children
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background Childhood overweight and obesity have increased during the past decades and there is a need for effective intervention programs both for treatment and prevention to interrupt the increased trend. Overweight and obesity result from a combination of genetic predisposition and lifestyle where an imbalance in energy intake (EI) and total energy expenditure (TEE) is the key factor. The objective of this thesis is to evaluate the impact of a 2-year lifestyle intervention on food habits, anthropometry and metabolic markers on children with overweight and obesity.

Methods Overweight and obese children 8-12 years old were recruited to participate in a 2-year randomized controlled trial (RCT). One hundred and five children agreed to participate and were randomized into one intervention group and one control group. Both groups participated in the same measurements while the intervention group also participated in a lifestyle program aiming at improving food habits and increasing physical activity. The first year of the program consisted of 14 group sessions and the second year of the intervention was web-based. Food habits were assessed at baseline and at endpoint by a diet history interview (DHI) and by a 4-day food record at 1-year measurement. At baseline 22 randomly chosen children were included in a validation study to validate reported EI against TEE measured by doubly labeled water (DLW) method and SenseWear Armband Pro 2 and 3 (version 5.1) (SWA). Anthropometric and biochemical parameters were measured at baseline, 1-year and endpoint.

Results The DHI underestimated EI by 14% when validated against measured TEE by DLW and SWA. At the 1-year measurement the intervention group had a lower intake of fat (g and E%), monounsaturated fat (MUFA) (g) and polyunsaturated fat (PUFA) (g and E%) compared to the control group. At endpoint the intervention group had a lower intake of fat (g), MUFA (g) and cholesterol compared to the control group. Children in the intervention group consumed less sugar sweetened beverages at endpoint and had increased their intake of keyhole labeled foods compared to the control group. During the first year the growing children in both groups remained stable with respect to BMI and had decreased their BMI zscore.

Conclusion The 2-year lifestyle intervention resulted in some improvements regarding food habits, but overall the effects on anthropometrics and metabolic markers were limited. This strongly supports that efforts should primarily be aimed at primary prevention of childhood overweight and obesity.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, Institutionen för kostvetenskap, 2011. 68 p.
National Category
Food Science
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-43679 (URN)978-91-7459-141-5 (ISBN)
Public defence
2011-06-10, Hörsal C, Samhällsvetarhuset, Umeå universitet, 90187 Umeå, Umeå, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2011-05-09 Created: 2011-05-05 Last updated: 2011-05-09Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Authority records BETA

Waling, MariaLarsson, Christel

Search in DiVA

By author/editor
Waling, MariaLarsson, Christel
By organisation
Department of Food and Nutrition
In the same journal
Journal of Nutrition
Food Science

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 149 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf