Underreporting of Food Intake among Mexican/Mexican-American Women: Rates and Correlates

Underreporting of Food Intake among Mexican/Mexican-American Women: Rates and Correlates
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DOI:
10.1016/j.jada.2008.12.013
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发表时间:
2009-04-01
影响因子:
--
通讯作者:
Elder, John P.
Elder, John P.
中科院分区:
其他
文献类型:
--
作者:
Bothwell, Elizabeth K. G.;Ayala, Guadalupe X.;Elder, John P.

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Background Under-reporters are those individuals who report a dietary intake level that is not biologically plausible given their physiological status and physical activity level. Underreporting of food intake threatens the validity of dietary assessment; yet, little is known about the prevalence or correlates of underreporting in the Mexican/Mexican-American community.Objective To examine underreporting rates and correlates among Mexican/Mexican-American women using dietary data based-on repeated 24-hour recalls and the Goldberg equation.Design Cross-sectional study of baseline data collected as part of a larger randomized controlled trial through structured interviews and anthropometric measurements.Subjects/setting A random sample of 357 Mexican/MexicanAmerican women, ranging in age from 21 to 67 years, living in south San Diego near the United States/Mexico border.Statistical analyses performed Age, income level, education level, and weight status, all correlates of underreporting in samples of non-Hispanic white participants, were examined as potential correlates of underreporting among Mexican/Mexican-American women using binary logistic regression. Acculturation was examined to determine if it accounted for additional variance in underreporting. Finally, multivariate analyses using backward stepwise regression were conducted to determine which correlates remained significant in the final model.Results Rates of underreporting varied across the five detection methods employed, from 11.9% (n = 42) to 81.3% (n=286). Obese weight status was the only significant correlate across all five underreporting detection methods and remained significant in the final model. Using backward stepwise regression, the final model showed weight status to be a significant correlate of underreporting both at the overweight (P