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Published on: September 18, 2018
Validation of a pre-coded food record for infants and young children
U H Gondolf1, I Tetens, A P Hills
1Division of Nutrition, National Food Institute, Technical University of Denmark, Copenhagen, Denmark. uhgon@food.dtu.dk
Insights
The 7-day pre-coded food record (PFR) is a valid tool for assessing energy and nutrient intake in infants and young children. This method accurately measures dietary intake, supporting its use in nutritional research.
Area of Science:
- Nutritional Science
- Pediatric Nutrition
- Dietary Assessment Methods
Background:
- Accurate dietary assessment is crucial for understanding infant and child nutrition.
- The 7-day pre-coded food record (PFR) is a potential method for dietary intake measurement.
- Validation against objective measures like doubly labeled water (DLW) is necessary.
Purpose of the Study:
- To validate the 7-day PFR against metabolizable energy intake (ME(DLW)) in 9-month-old infants.
- To compare the PFR with a 7-day weighed food record (WFR) in 9-month-old infants and 36-month-old children.
Main Methods:
- A cross-over design study involving 36 infants and 36 children.
- Participants completed both 7-day PFR and 7-day WFR.
- Doubly labeled water (DLW) was used to measure energy intake in infants.
Main Results:
- In 9-month-olds, PFR showed a 24% bias compared to ME(DLW).
- No significant differences were found between PFR and WFR for energy, fat, or carbohydrate in 9-month-olds when WFR was the reference.
- PFR overestimated energy intake by 12% and macronutrient intake in 36-month-olds compared to WFR.
Conclusions:
- The 7-day PFR demonstrates potential as a valuable tool for assessing dietary intake in young children.
- The PFR can be effectively used for measuring energy, nutrients, and food consumption in groups of infants and children.
- Further validation may be needed for precise individual energy intake measurement in infants.
Background/Objectives:
To assess the validity of a 7-day pre-coded food record (PFR) method in 9-month-old infants against metabolizable energy intake (ME(DLW)) measured by doubly labeled water (DLW); additionally to compare PFR with a 7-day weighed food record (WFR) in 9-month-old infants and 36-month-old children.
Subjects/Methods:
The study population consisted of 36 infants (age: 9.03±0.2 months) and 36 young children (age: 36.1±0.3 months) enrolled in a cross-over design of 7 consecutive days PFR vs 7 consecutive days WFR. Children were randomly assigned to one method during week 1, crossing over to the alternative method in week 2. Total energy expenditure (TEE) and ME(DLW) were obtained in the 9-month-old infants using the DLW technique for 7 days while recording with PFR.
Results:
For the 9-month-old group, PFR showed a mean bias of +726 kJ/day, equivalent to 24%, (P<0.0001) compared with ME(DLW) (n=29). Using WFR as the reference in this group no between-method differences were found for energy, fat and carbohydrate. Energy intake in the 36-month-old children was 12% higher in the PFR vs WFR (P<0.0001), and protein plus total fat intake were overestimated with the PFR (P=0.008, P<0.0001, respectively).
Conclusions:
The study indicates that the PFR may be a valuable tool for measuring energy, energy-yielding nutrients and foods in groups of 9-month-olds infants and 36-month-olds young children.
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