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Inaccuracies in self-reported intake identified by comparison with the doubly labelled water method
Abstract
To test the accuracy of self-reported energy intake, reported intake was compared with measured energy expenditure. Results from nine studies were reviewed in which intake data were obtained by recall or weighed record for at least 7 days. Expenditure was measured for 7 days or more by the doubly labelled water method. Individual differences between reported intake and expenditure were large (range +25 to −76%). Group mean differences were smaller. Lean, nonathletic groups living in industrialized countries demonstrated the smallest mean difference between self-reported energy intakes and expenditure (0 to −20%). Obese populations demonstrated the largest mean differences (−35 and −50%), but women living in the Gambia and elite athletes also demonstrated large mean differences. Most of the difference appears to be due to underreporting, but some subjects lost weight during the reporting period indicating that some of the difference was due to under-eating. Because the greatest bias was observed in obese subjects, current methods for self-reported energy intake are not recommended for use in obesity research.Key words: dietary intake, doubly labelled water, nutritional assessment.
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“which often yield downwardly biased estimates of household food waste as consumers may tend to report what is closer to perceived moral norms than to the actual amount [44, 45].”
From Household Food Waste: Multivariate Regression and Principal Components Analyses of Awareness and Attitudes among U.S. Consumers (2016) · cites this paper as [45]
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“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 [15]
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Metadata
- Authors
- Schoeller, D. A., Bandini, L. G., & Dietz, W. H.
- Affiliations
- University of Chicago (US)
- Venue
- Canadian Journal of Physiology and Pharmacology
- Publisher
- Canadian Science Publishing
- Published
- 1990-07-01
- Volume
- 68
- Issue
- 7
- Pages
- 941-949
- ISSN
- 0008-4212 (ISSN-L)
- 1205-7541
- OpenAlex
- W2047607460
- Cited by
- 266
- References
- 23
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 12 · 2019: 4 · 2018: 9 · 2017: 11 · 2016: 13 · 2015: 10 · 2014: 11 · 2013: 3 · 2012: 7
- FWCI
- 5.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal of Physiology and Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p30dk026678-20, 5r01hd017696-03)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-26678, DK-30031, R01DK030031)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD-17696)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- doubly labeled water, energy expenditure, underreporting, measurement error, obesity, athletes, recall method, weight loss
- MeSH terms
- Energy Metabolism, Humans, Isotope Labeling, Nutritional Physiological Phenomena, Research Design, Water
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