Applying Recovery Biomarkers to Calibrate Self-Report Measures of Energy and Protein in the Hispanic Community Health Study/Study of Latinos

Yasmin Mossavar-Rahmani, Pamela A. Shaw, William W. Wong, Daniela Sotres-Alvarez, Marc D. Gellman, Linda Van Horn, Mark Stoutenberg, Martha L. Daviglus, Judith Wylie-Rosett, Anna Maria Siega-Riz, Fang Shu Ou, Ross L. Prentice

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

We investigated measurement error in the self-reported diets of US Hispanics/Latinos, who are prone to obesity and related comorbidities, by background (Central American, Cuban, Dominican, Mexican, Puerto Rican, and South American) in 2010-2012. In 477 participants aged 18-74 years, doubly labeled water and urinary nitrogen were used as objective recovery biomarkers of energy and protein intakes. Self-report was captured from two 24-hour dietary recalls. All measures were repeated in a subsample of 98 individuals. We examined the bias of dietary recalls and their associations with participant characteristics using generalized estimating equations. Energy intake was underestimated by 25.3% (men, 21.8%; women, 27.3%), and protein intake was underestimated by 18.5% (men, 14.7%; women, 20.7%). Protein density was overestimated by 10.7% (men, 11.3%; women, 10.1%). Higher body mass index and Hispanic/Latino background were associated with underestimation of energy (P < 0.05). For protein intake, higher body mass index, older age, nonsmoking, Spanish speaking, and Hispanic/Latino background were associated with underestimation (P < 0.05). Systematic underreporting of energy and protein intakes and overreporting of protein density were found to vary significantly by Hispanic/Latino background. We developed calibration equations that correct for subject-specific error in reporting that can be used to reduce bias in diet-disease association studies.

Original languageEnglish (US)
Pages (from-to)996-1007
Number of pages12
JournalAmerican journal of epidemiology
Volume181
Issue number12
DOIs
StatePublished - Jun 15 2015

Keywords

  • 24-hour dietary recall
  • Hispanics/Latinos
  • biological markers
  • calibration equations
  • dietary measurement error
  • nutrition assessment

ASJC Scopus subject areas

  • Epidemiology

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    Mossavar-Rahmani, Y., Shaw, P. A., Wong, W. W., Sotres-Alvarez, D., Gellman, M. D., Van Horn, L., Stoutenberg, M., Daviglus, M. L., Wylie-Rosett, J., Siega-Riz, A. M., Ou, F. S., & Prentice, R. L. (2015). Applying Recovery Biomarkers to Calibrate Self-Report Measures of Energy and Protein in the Hispanic Community Health Study/Study of Latinos. American journal of epidemiology, 181(12), 996-1007. https://doi.org/10.1093/aje/kwu468