Measurement of dietary intake in children
Open accessAbstract
When children and adolescents are the target population in dietary surveys many different respondent and observer considerations surface. The cognitive abilities required to self-report food intake include an adequately developed concept of time, a good memory and attention span, and a knowledge of the names of foods. From the age of 8 years there is a rapid increase in the ability of children to self-report food intake. However, while cognitive abilities should be fully developed by adolescence, issues of motivation and body image may hinder willingness to report. Ten validation studies of energy intake data have demonstrated that mis-reporting, usually in the direction of under-reporting, is likely. Patterns of under-reporting vary with age, and are influenced by weight status and the dietary survey method used. Furthermore, evidence for the existence of subject-specific responding in dietary assessment challenges the assumption that repeated measurements of dietary intake will eventually obtain valid data. Unfortunately, the ability to detect mis-reporters, by comparison with presumed energy requirements, is limited unless detailed activity information is available to allow the energy intake of each subject to be evaluated individually. In addition, high variability in nutrient intakes implies that, if intakes are valid, prolonged dietary recording will be required to rank children correctly for distribution analysis. Future research should focus on refining dietary survey methods to make them more sensitive to different ages and cognitive abilities. The development of improved techniques for identification of mis-reporters and investigation of the issue of differential reporting of foods should also be given priority.
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A number of underlying mechanisms serve to explain the results, mainly related to chrono-biology.
“Although the evidence from observational and intervention studies on meal irregularity and an increased cardiometabolic risk is limited, a number of underlying mechanisms serve to explain the results, mainly related to chrono-biology (5,44,45) .”
From Meal irregularity and cardiometabolic consequences: results from observational and intervention studies (2016) · cites this paper as [45]
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- Authors
- Livingstone, M. B. E., & Robson, P. J.
- Affiliations
- University of Ulster (GB)
- Corresponding author
- Livingstone, M. B. E.
- Venue
- Proceedings of the Nutrition Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2000-05
- Volume
- 59
- Issue
- 2
- Pages
- 279-293
- ISSN
- 0029-6651 (ISSN-L)
- 1475-2719
- OpenAlex
- W2160178741
- Cited by
- 750
- References
- 100
- Citations by year
- 2026: 17 · 2025: 17 · 2024: 12 · 2023: 17 · 2022: 22 · 2021: 36 · 2020: 23 · 2019: 42 · 2018: 38 · 2017: 37 · 2016: 49 · 2015: 28 · 2014: 47 · 2013: 38 · 2012: 51
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of The Nutrition Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Keywords
- dietary assessment, children, adolescents, energy intake underreporting, validation studies, energy requirements, cognitive development, body image, distribution analysis
- MeSH terms
- Adolescent, Age Factors, Energy Intake, Child, Child, Preschool, Cognition, Diet Surveys, Eating, Energy Metabolism, Female, Humans, Male, Obesity, Mental Recall, Reproducibility of Results, Diet Records
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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