Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index

Design: Dietary intake was assessed using a 3-day weighed food record. Protein intake was validated by 24-hour urinary nitrogen. To examine under-reporting, participants were grouped according to their energy intake and compared to the Goldberg cut-off equation. Logistic regression was performed to...

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Main Authors: Meng, Xingqiong, Kerr, Deborah, Zhu, K., Devine, A., Solah, Vicky, Wright, Janine, Binns, Colin, Prince, R.
Format: Journal Article
Published: Editions S E R D I 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/32484
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author Meng, Xingqiong
Kerr, Deborah
Zhu, K.
Devine, A.
Solah, Vicky
Wright, Janine
Binns, Colin
Prince, R.
author_facet Meng, Xingqiong
Kerr, Deborah
Zhu, K.
Devine, A.
Solah, Vicky
Wright, Janine
Binns, Colin
Prince, R.
author_sort Meng, Xingqiong
building Curtin Institutional Repository
collection Online Access
description Design: Dietary intake was assessed using a 3-day weighed food record. Protein intake was validated by 24-hour urinary nitrogen. To examine under-reporting, participants were grouped according to their energy intake and compared to the Goldberg cut-off equation. Logistic regression was performed to assess the influence of body mass index (BMI) and social-demographic factors on under-reporting. Setting: Community dwelling elderly women from Perth, Western Australia. Participants: 217 elderly women aged 70–80 years. Results: Under-reporters had a higher physical activity level (p<0.001) compared with acceptable-reporters. The under-reporters also had a higher body weight (p=0.006), body mass index (BMI) (p=0.001), waist (p=0.011), hip circumference (p<0.001), whole body fat mass (p<0.001) and percentage body fat (p<0.001) than acceptable-reporters. Under-reporters had a significantly lower intakes of protein, fat, carbohydrate and alcohol (p<0.001) and fewer reported food items, compared with acceptable reporters. However, 24-hour urinary nitrogen was only marginally different between the two groups (p=0.053). Participants with a higher BMI were more likely to under-report their energy intake (BMI=25–29.9: odds ratio=2.98[95% CI=1.46–6.09]; BMI≥30: 5.84[2.41–14.14]). Conclusion: Under-reporting energy intake in elderly women was associated with a higher BMI, body fat and higher self-reported physical activity levels. A higher BMI (≥25) appears to be most significant factor in determining if elderly women will underreport their food intake and may be related to body image. These results have implications for undertaking surveys of food intake in elderly women.
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spelling curtin-20.500.11937-324842017-09-13T15:25:35Z Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index Meng, Xingqiong Kerr, Deborah Zhu, K. Devine, A. Solah, Vicky Wright, Janine Binns, Colin Prince, R. protein intake energy intake urinary nitrogen elderly women Under-reporting Design: Dietary intake was assessed using a 3-day weighed food record. Protein intake was validated by 24-hour urinary nitrogen. To examine under-reporting, participants were grouped according to their energy intake and compared to the Goldberg cut-off equation. Logistic regression was performed to assess the influence of body mass index (BMI) and social-demographic factors on under-reporting. Setting: Community dwelling elderly women from Perth, Western Australia. Participants: 217 elderly women aged 70–80 years. Results: Under-reporters had a higher physical activity level (p<0.001) compared with acceptable-reporters. The under-reporters also had a higher body weight (p=0.006), body mass index (BMI) (p=0.001), waist (p=0.011), hip circumference (p<0.001), whole body fat mass (p<0.001) and percentage body fat (p<0.001) than acceptable-reporters. Under-reporters had a significantly lower intakes of protein, fat, carbohydrate and alcohol (p<0.001) and fewer reported food items, compared with acceptable reporters. However, 24-hour urinary nitrogen was only marginally different between the two groups (p=0.053). Participants with a higher BMI were more likely to under-report their energy intake (BMI=25–29.9: odds ratio=2.98[95% CI=1.46–6.09]; BMI≥30: 5.84[2.41–14.14]). Conclusion: Under-reporting energy intake in elderly women was associated with a higher BMI, body fat and higher self-reported physical activity levels. A higher BMI (≥25) appears to be most significant factor in determining if elderly women will underreport their food intake and may be related to body image. These results have implications for undertaking surveys of food intake in elderly women. 2013 Journal Article http://hdl.handle.net/20.500.11937/32484 10.1007/s12603-012-0382-8 Editions S E R D I restricted
spellingShingle protein intake
energy intake
urinary nitrogen
elderly women
Under-reporting
Meng, Xingqiong
Kerr, Deborah
Zhu, K.
Devine, A.
Solah, Vicky
Wright, Janine
Binns, Colin
Prince, R.
Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index
title Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index
title_full Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index
title_fullStr Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index
title_full_unstemmed Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index
title_short Under-Reporting of energy intake in elderly Australian women is associated with a higher body mass index
title_sort under-reporting of energy intake in elderly australian women is associated with a higher body mass index
topic protein intake
energy intake
urinary nitrogen
elderly women
Under-reporting
url http://hdl.handle.net/20.500.11937/32484