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Under- and over-reporting of energy intake in slovenian adolescents
Helena Kobe1, Ciril Kržišnik, Nataša Fidler Mis
1Centre for Nutrition, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia.
Objective:
To examine under- and over-reporting of energy intake (EI) among adolescents and to compare relative food and nutrient intakes of under-reporters (UR), over-reporters (OR), and the whole population to acceptable reporters (AR).
Design:
All adolescents completed food frequency questionnaires at regional health centers, and a subgroup also completed a 3-day weighed dietary protocol at home.
Setting:
This study is a part of the first national representative study on dietary habits of Slovenian adolescents.
Participants:
In total, 2,813 adolescents entering high school (10% of the population); participation rate was 95%.
Main Outcome Measures:
Absolute EI and relative intakes of food and nutrients.
Analysis:
Prodi (version 5.2 expert plus, Nutri-Science, Stuttgart, Germany, 2004) software was used to evaluate dietary intakes; t test, analysis of variance, and Mann-Whitney testing were used for differences between means, and chi-square was used for differences between proportions. Level of significance was set at P = .05.
Results:
The prevalence of UR and OR was 34% and 10% among boys, and 27% and 11% among girls. Under-reporters reported lower energy percentage from carbohydrates, higher energy percentage from fats and proteins, and higher micronutrient densities than AR.
Conclusions And Implications:
Under-reporting and over-reporting are widespread among Slovenian adolescents. Exclusion of UR and OR does not influence mean value of EI when assessing the diet of a group as a whole.
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