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Assessing dietary variety in children: development and validation of a predictive equation
Grace A Falciglia1, Stacie L Horner, Juan Liang
1Department of Nutritional Sciences, University of Cincinnati, College of Allied Health Sciences, 3202 Eden Ave, Cincinnati, OH 45267-0394, USA. grace.falciglia@uc.edu
Background:
Research indicates that the length of time needed to describe dietary diversity is approximately 2 weeks. This is the first study conducted to develop a dietary variety measurement tool that is sensitive to the effect of time on dietary variety without the burden of gathering data for 2 weeks.
Objective:
To determine whether 3 days of 24-hour dietary recall logs collected during a 15-day period would predict food variety as well as 15 consecutive days. The study also determined which set of 3 days (consecutive vs interval days) within a 15-day period would better predict 15-day food variety.
Design:
Prospective survey of the dietary practices of children.
Subjects/Setting:
Seventy-two children aged 9 to 12 years attending fourth and fifth grades in a public elementary school in a Midwestern town in the fall of 2005.
Main Outcome Measures:
Predicted 15-day cumulative dietary variety score from 3 consecutive days and 3 interval days of dietary data.
Statistical Analysis Performed:
Two prediction models were obtained from multiple linear regression analyses in which natural log-transformed (log(e)) 15-day variety scores were regressed on log(e) 3-day variety scores (consecutive and interval days). The ability of each model to predict the 15-day cumulative variety score was assessed by comparisons of mean bias, mean-squared error, coefficient of determination (R(2)), and Pearson product-moment correlation coefficients.
Results:
Three days of dietary data accurately estimated dietary variety over time for this sample of 9- to 12-year-old children using the predictive equation generated in this study. Three interval days predicted 15-day food variety more precisely than 3 consecutive days.
Conclusions:
The predictive equation is accurate in estimating food variety over time for this population and, if validated in independent samples, could be applied to similar populations.
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