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Title: VALIDATION OF A RECORD-ASSISTED DIETARY RECALL IN 8 TO 11 YEAR OLD OVERWEIGHT AFRICAN AMERICAN GIRLS FROM THE LOWER MISSISSIPPI DELTA

Author
item WEBER, J - ACHRI
item GOOLSBY, S - ACHRI
item SZETO, K - ACHRI
item FLICK, E - ACHRI
item HALL, R - ACHRI-DAC

Submitted to: Dietary Assessment Methods International Conference Proceedings
Publication Type: Abstract Only
Publication Acceptance Date: 11/1/2002
Publication Date: 1/1/2003
Citation: WEBER, J., GOOLSBY, S., SZETO, K., FLICK, E., HALL, R. VALIDATION OF A RECORD-ASSISTED DIETARY RECALL IN 8 TO 11 YEAR OLD OVERWEIGHT AFRICAN AMERICAN GIRLS FROM THE LOWER MISSISSIPPI DELTA. DIETARY ASSESSMENT METHODS INTERNATIONAL CONFERENCE PROCEEDINGS. 2003. Abstract No. D1.24.

Interpretive Summary:

Technical Abstract: Thirty-eight African American Lower Mississippi Delta (LMD) girls ages 8 to 11 years who self-reported BMI >85th percentile participated in the Delta Girls Study (DGS). We recruited African American girls because this group of children has a higher prevalence of overweight than non-Hispanic Caucasians. By focusing our study on a selected homogeneous group, we were able to obtain statistically significant results from a much smaller sample size. We are reporting on a DGS aim of establishing the validity of a self-reported record-assisted 24-hour dietary recall using a plate waste measurement procedure as the criterion. Girls were instructed in keeping a food record before their first meal. Dietitians trained in dietary observation measured the food pre- and post-meal and observed the girls eating their meals. Trained dietary interviewers obtained the 24-hour dietary recall using NDS-R 4.04_32. Macronutrients of interest include energy, protein, carbohydrates, fat, and saturated fat. Recalled diets were compared to diet observations using concordance correlation and Bland-Altman plots. Although participants (on average) over-report all major nutrients, the concordance correlation is within acceptable ranges (>0.60) for most nutrients. Nutrient intakes are reported as mean recall vs. observation (concordance correlation): energy 3707 kcal vs. 3272 kcal (0.63), protein 104 g vs. 89 g (0.30), carbohydrate 494 g vs. 442 (0.72), fat 152 g vs. 133 g (0.59), saturated fat 52 g vs. 46 g (0.65). Therefore, we conclude that record-assisted dietary recall is a valid method of assessing intake for 8-11-year old African American girls from the LMD.