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Limitations in the assessment of dietary energy intake by self-report
Abstract
Development of the doubly-labeled water method has made it possible to test the validity of dietary intake instruments for the measurement of energy intake. Comparisons of measured energy expenditure with energy intake from either weighed or estimated dietary records against energy expenditure have indicated that obese subjects, female endurance athletes, and adolescents underestimate habitual and actual energy intake. Individual underestimates of 50% are not uncommon. Even in non-obese adults, where bias is minimal, the standard deviation for individual errors in energy intake approaches 20%. Two investigations of the validity of self-reported dietary records for measuring change in dietary intake also indicate large underestimates of the actual change. Because of bias and imprecision, self-reported energy intakes should be interpreted with caution unless independent methods of assessing their validity are included in the experimental design.
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“Dietary monitoring is critical in patients with diabetes, especially as self-reporting of food intake is inaccurate and often impractical59; therefore, it is necessary to develop an automated solution for dietary monitoring.”
From Artificial intelligence in diabetes management: Advancements, opportunities, and challenges (2023) · cites this paper as [59]
In the citing paper
“First, we cannot determine with certainty what proportion of the weekend weight increase was attributable to higher dietary intake or lower physical activity relative to weekdays, as the accuracy of self-reported dietary intake is variable between individuals (14-16), and the accelerometers may not be sensitive enough to detect small day-to-day differences in physical activity (17,18).”
From Influence of Weekend Lifestyle Patterns on Body Weight (2008) · cites this paper as [14]
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Metadata
- Authors
- Schoeller, D. A.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Schoeller, Dale A.
- ORCID
- Schoeller, Dale A.
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 1995-02
- Volume
- 44
- Issue
- 2 Suppl 2
- Pages
- 18-22
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2089295051
- Cited by
- 496
- References
- 31
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 10 · 2023: 12 · 2022: 15 · 2021: 25 · 2020: 17 · 2019: 21 · 2018: 20 · 2017: 33 · 2016: 28 · 2015: 25 · 2014: 28 · 2013: 24 · 2012: 26
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p30dk026678-20)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-26678, DK-30031, R01DK030031)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Keywords
- energy intake, self-report, dietary assessment validity, doubly labeled water, energy expenditure, underestimation bias, weighed dietary records, obesity, female endurance athletes, adolescents, measurement error
- MeSH terms
- Adolescent, Energy Intake, Child, Energy Metabolism, Female, Humans, Obesity, Exercise, Diet Records
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