Subnotificação da ingestão energética na avaliação do consumo alimentar
Palabras clave:
inquéritos alimentares, ingestão de energia, validade, água duplamente marcadaResumen
Informações válidas sobre o consumo de energia e nutrientes são um pré-requisito em muitas pesquisas de nutrição humana, principalmente nos estudos epidemiológicos sobre dieta e saúde. Até o advento da água duplamente marcada, não era possível validar as avaliações do consumo energético de forma externa e independente. Este marcador demonstrou a existência de significativa subnotificação da ingestão energética. Esta pesquisa objetiva discutir os principais aspectos relacionados a tal fenômeno: prevalência, determinantes, especificidade de nutrientes e formas de controle. O sub-relato parece estar associado à obesidade e a características psicossociais, como a restrição dietética e o desejo de ajuste social. Todos os métodos de avaliação do consumo possuem erros inerentes, sendo portanto suscetíveis à sub ou superestimação (menos comum). O sub-relato demonstra atingir predominantemente alimentos específicos, ricos em lipídeos e carboidratos, o que insere grande viés nas inferências baseadas em levantamentos do consumo alimentar. Este artigo também discute como controlar tal erro e recomenda que as estimativas do consumo energético sejam confrontadas com o gasto energético, a fim de detectar a subnotificação.
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Bathalon GP, Tucker KL, Hays NP, Vinken AG, Greenbarg AS, McCrory MA, et al. Psychological measures of eating behavior and the accuracy of 3 common dietary assessments in healthy postmenopausal women. Am J Clin Nutr 2000; 71(3):739-45.
Hill RJ, Davies PSW. The validity of self-reported energy intake as determined using doubly labelled water technique. Br J Nutr 2001; 85(4):415-30.
Willett W. Nutritional Epidemiology. 2nd ed. New York: Oxford University Press; 1998.
Pereira RA, Koifman S. Uso do questionário de freqüência alimentar na avaliação do consumo alimentar pregresso. Rev Saúde Pública 1999; 33(6):610-21.
Prentice RL. Measurement error and results from analytic epidemiology: dietary fat and cancer. J Natl Cancer Inst 1996; 88(23):1738-47.
Margetts BM, Nelson M. editors. Design concepts in nutritional epidemiology. New York: Oxford University Press; 1991.
Mattes RD, Bormann LA. Reduced dietary underrecording with concurrent tracking of hunger. J Am Diet Assoc 2001; 101(5):578-9.
Bingham SA. Validation of weighed records and other methods of dietary assessment using the 24h urine nitrogen and other biological markers. Br J Nutr 1995; 73:531-50.
Schoeller DA, Bandini LG, Dietz WH. Innacuracies in self-reported intake identified by comparison with the doubly labelled water method. Can J Physiol Pharmacol 1990; 68(7):941-9.
Goldberg GR, Black AE, Jebb AS, Cole TJ, Murgatroyd PR, Coward WA, Prentice AM. Critical evaluation of energy intake data using fundamental principles of energy intake physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 1991; 45(12):569-81.
Black AE, Cole TJ. Biased over- or under-reporting is characteristic of individuals whether over time or by different assessment methods. J Am Diet Assoc 2001; 101(1):70-80.
Krestch MJK, Fong AKH, Green MW. Behavioral and body sizes correlates of energy intake underreporting by obese and normal-weight women. J Am Diet Assoc 1999; 99(3):300-6. [Errata publicada no J Am Diet Assoc. 1999; 99:411].
Goris AHC, Westerterp-Plantenga MS, Westerterp KR. Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake. Am J Clin Nutr 2000; 71(1):130-4.
MacDiarmid J, Blundell JE. Dietary under-reporting: what people say about recording their food intake. Eur J Clin Nutr 1997; 21(3):199-200.
Vuckovic N, Ritenbaugh C, Taren DL, Tobar M. A qualitative study of participant’s experience with dietary assessment. J Am Diet Assoc 2000; 100 (9):1023-8.
Tomoyasu NJ, Toth MJ, Poehlman ET. Misreporting of total energy intake in older men and women. JAGS 1999; 47(6):710-5.
Black AE, Goldberg GR, Jebb AS, Livingstone BEM, Cole TJ, Prentice AM. Critical evaluation of energy intake data using fundamental principles of energy intake physiology: 2. Evaluating the results of published surveys. Eur J Clin Nutr 1991; 45(12):583-99.
Price GM, Paul AA, Cole TJ, Wadsworth EJ. Characteristics of the low-energy reporters in a longitudinal national dietary survey. Br J Nutr 1997; 77(6):833-51.
Taren DL, Tobar M, Hill A, Howell W, Shisslak C, Bell I, Ritenbaugh C. The association of energy intake bias with psychological scores of women. Eur J Clin Nutr 1999; 53(7):570-8.
Goris AHC, Westerterp KR. Improved reporting of habitual food intake after confrontation with earlier results on food reporting. Br J Nutr 2000; 83(4):363-9.
Sichieri R, Everhart JE. Validity of a brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Nutr Res 1998; 18(10):1649-59.
Hirvonen T, Mannisto S, Roos E, Pietinen P. Increasing prevalence of underreporting does not necessarily distort dietary surveys. Eur J Clin Nutr 1997; 51(5):297-301.
Bellisle F. The doubly- labeled water method and food intake surveys: a confrontation. Rev Nutr 2001; 14(2):125-33.
Johansson L, Solvoll K, Bjorneboe GEA, Drevon CA. Under- and over reporting of energy intake related to weight status and lifestyle in a nationwide sample. Am J Clin Nutr 1998; 68(2):266-74.
Johansson G, Wikman A, Ahren AM, Hallmans G, Johansson I. Underreporting of energy intake in repeated 24-hour recalls related to gender, age, weight status, day of interview, educational level, reported food intake, smoky habits and area of living. Public Health Nutr 2001; 4(4):919-27.
Pryer JA, Vrijheid M, Nichols R, Kiggins M, Elliot P. Who are the “Low Energy Reporters” in the Dietary and Nutritional Survey of British Adults? Int J Epidemiol 1997; 26(1):146-53.
Krebs-Smith SM, Graubard BI, Kahle LL, Subar AF, Cleveland LE, Ballard-Barbash, R. Low energy reporters vs. other reporters: a comparison of reported food intake. Eur J Clin Nutr 2000; 54(4):281-7.
Mennen LI, Jackson M, Cade J, Mbanya JC, Lafay L, Sharma S, et al. Underreporting of energy intake in four populations of African origin. Int J Obes Relat Metab Disord 2000; 24(7):882-7.
Hebert JR, Clemow L, Pbert L, Ockene IS, Ockene JK. Social desirability bias in dietary self-report may compromise the validity of Dietary Intake Measure. Int J Epidemiol 1995; 24(2):389-98.
Hebert JR, Petterson KE, Hurley TG, Stoddard AM, Cohen N, Field A, et al. The effect of social desirability trait on self-reported dietary measures among multi-ethnic female health center employees. Ann Epidemiol 2001; 11(6):417-27.
Bandini LG, Schoeller DA, Dietz WH. Validity of reported energy intake in obese and nonobese adolescents. Am J Clin Nutr 1990; 52(3):421-5.
Pomerleau J, Ostbye T, Bright-See E. Potential underreporting of energy intake in the Ontario Health Survey and its relationship with nutrient and food intakes. Eur J Epidemiol 1999; 15(6): 553-7.
Kortzinger I, Bierwag A, Mast M, Muller MJ. Dietary underreporting: validity of dietary measurements of energy intake using a 4-day dietary record and a diet history in non-obese subjects. Ann Nutr Metab 1997; 41(1):37-44.
Champagne CM, Baker NB, DeLany JP, Harsha DW, Bray GA. Assessment of energy intake underreporting by doubly labeled water and observations on reported nutrient intakes in children. J Am Diet Assoc 1998; 98(4):426-33.
Livingstone MB, Prentice AM, Strain JJ, Coward WA, Black AE, Barker ME, McKenna PG, Whitehead RG. Accuracy of weighed dietary records in study of diet and health. BMJ 1990; 300(6726):708-12.
Prentice AM, Black AE, Coward WA, Davies HL, Goldberg Gr, Murgatroyd PR, et al. High levels of energy expenditure in obese women. BMJ 1986; 292:983-7.
Lafay L, Mennen L, Basdevant A, Charles MA, Borys JM, Eschwege E, Romon M. Does energy intake underreporting involve all kinds of foods or only specific food items? Results from the Fleurbaix Laventie Ville Sante (FLVS) study. Int J Obes Relat Metab Disord 2000; 24(7):1500-6.
Poppitt SD, Swann D, Black AE, Prentice AM. Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. Int J Obes Relat Metab Disord 1998; 22(4):303-11.
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Derechos de autor 2023 Fernanda Baeza SCAGLIUSI, Antonio Herbert LANCHA JÚNIOR
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
