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Measuring diet cost at the individual level: a comparison of three methods
P Monsivais1, M M Perrigue, S L Adams
11] UKCRC, Centre for Diet and Activity Research, University of Cambridge, Institute for Public Health, Cambridge, UK [2] Department of Public Health and Primary Care, University of Cambridge, CB1 8RN, UK [3] School of Public Health, University of Washington, Seattle, WA, USA.
Estimating individual diet cost using supermarket prices with diet diaries or food frequency questionnaires (FFQs) is more reliable than household food spending for nutrition economics. These methods better reflect food consumed and economic influences on diet.
Area of Science:
- Nutrition Economics
- Dietary Assessment Methods
- Public Health Research
Background:
- Household food spending data are inadequate for population-level nutrition economics studies.
- Accurate individual diet cost estimation is crucial for understanding economic determinants of diet quality and health outcomes.
Purpose of the Study:
- To compare three methods for estimating individual diet cost.
- To assess the suitability of different dietary assessment tools combined with price data for economic nutrition research.
Main Methods:
- Adults (n=164) completed 4-day diet diaries and a food frequency questionnaire (FFQ).
- Diet costs were estimated using: (1) diet diaries/expenditures, (2) diet diaries/supermarket prices, and (3) FFQs/supermarket prices.
- Agreement was assessed via correlations and limits of agreement; income associations were analyzed.
Main Results:
- Mean diet costs varied: Method 1 ($10.04), Method 2 ($8.28), and Method 3 ($7.66).
- Method 3 (FFQs/supermarket prices) showed the strongest correlation between energy intake and cost (r²=0.66).
- Cost estimates were significantly associated with household income.
Conclusions:
- Method 1 (diet diaries/expenditures) is least suitable for diet and health research due to weak association with food intake.
- Combining supermarket prices with dietary assessment tools (diet diaries or FFQs) provides more accurate individual diet cost estimates.
- Individual diet cost derivation offers insights into economic factors influencing food choice, diet quality, and health.
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