Location: Children's Nutrition Research CenterTitle: Assessing dietary intake in childhood cancer survivors: Food frequency questionnaire versus 24-hour diet recalls
|ZHANG, FANG - Friedman School At Tufts|
|ROBERTS, SUSAN - Jean Mayer Human Nutrition Research Center On Aging At Tufts University|
|MUST, AVIVA - Tufts University|
|WONG, WILLIAM - Children'S Nutrition Research Center (CNRC)|
|GILHOOLY, CHERYL - Jean Mayer Human Nutrition Research Center On Aging At Tufts University|
|KELLY, MICHAEL - Tufts - New England Medical Center|
|PARSONS, SUSAN - Tufts - New England Medical Center|
|SALTZMAN, EDWARD - Jean Mayer Human Nutrition Research Center On Aging At Tufts University|
Submitted to: Journal of Pediatric Gastroenterology and Nutrition
Publication Type: Peer Reviewed Journal
Publication Acceptance Date: 4/9/2015
Publication Date: 10/1/2015
Citation: Zhang, F.F., Roberts, S.B., Must, A., Wong, W.W., Gilhooly, C.H., Kelly, M.J., Parsons, S.K., Saltzman, E. 2015. Assessing dietary intake in childhood cancer survivors: Food frequency questionnaire versus 24-hour diet recalls. Journal of Pediatric Gastroenterology and Nutrition. 61(4):499-502.
Interpretive Summary: Cancer treatment in children may affect their food intakes. The accuracy of self-reported food intakes among children recovered from cancer treatment is not known. It is important to know exactly how much foods these children are eating because a lack of enough food intake may slow their recovery. We compared the self-reported food intakes using food frequency questionnaires among children who recovered from cancer treatment with food intakes measured by repeated 24-hour food recalls and by the doubly labeled water method. The doubly labeled water method is considered the reference method to measure food intake under free-living conditions. The self-reported food intakes were 22% lower than the food intakes measured by the reference method. The repeated 24-hour food recalls were similar to those measured by the reference method but the method is intrusive and labor intensive. Therefore, the self-reported food intake method should not be used to assess the nutrition needs of children who recovered from cancer treatment.
Technical Abstract: Cancer diagnosis and treatment may influence dietary intake. The validity of using self-reported methods to quantify dietary intake has not been evaluated in childhood cancer survivors. We validated total energy intake (EI) reported from Food Frequency Questionnaire (FFQ) and repeated 24-hour diet recalls against total energy expenditure (TEE) measured using the doubly labeled water method in 16 childhood cancer survivors. Dietary underreporting, assessed by (EI-TEE)/TEE'X'100%, was 22% for FFQ and 1% for repeated 24hours. FFQ significantly underestimates dietary intake and should not be used to assess the absolute intake of foods and nutrients in childhood cancer survivors.