FNS  Vol.3 No.3 , March 2012
Underreporting of Energy Intake in Iraqi People Living in the UK According to Body Weight
Abstract: Previous studies have shown that underreporting of energy intake is common when assessing dietary intake, particularly in the overweight and obese. The aim of this study was to obtain an estimate of energy and macronutrient intake according to weight status and to investigate underreporting among Iraqi people living in the UK. Twenty eight adult volunteers (n = 16 males) were recruited. Dietary intake was estimated 3 times using the 24 hour dietary recall tech-nique. Portion size was estimated using household measures and the Photographic Atlas of Food Portion Sizes. Energy and macronutrients estimations were calculated, and weight and height were measured to calculate Body Mass Index (BMI). Energy intake was compared to estimated basal metabolic rate (BMR) and the Goldberg equation was used to assess underreporting. Of the overall sample, 57.1% (n = 16) and 21.4% (n = 6) subjects were overweight and obese, respectively. The mean energy intakes were low for males (1977 kcal/d) and females (1586 kcal/d). The percentage of under-reporters was high (57.1%) and this was higher in overweight and obese subjects (68.1%) compared to those of normal weight (4.5%). Overweight and obesity are common among well-educated Iraqi people. Underreporting of energy intake is common especially among overweight and obese Iraqi individuals.
Cite this paper: W. Ahmed, W. Al-Murrani and G. Rees, "Underreporting of Energy Intake in Iraqi People Living in the UK According to Body Weight," Food and Nutrition Sciences, Vol. 3 No. 3, 2012, pp. 317-321. doi: 10.4236/fns.2012.33046.

[1]   R. D. Lee and D. C. Nieman, “Nutritional Assessment,” 4th Edition, McGraw-Hill Publishing Co, Boston, 2007.

[2]   M. A. Eastwood, “Principles of Human Nutrition,” 2nd Edition, Blackwell Science, Oxford, 2003.

[3]   M. Buzzard, “24-Hour Dietary Recall and Food Record Methods,” In: W. Willett, Ed., Nutritional Epidemiology, Oxford University Press, Oxford, 1998, pp. 50-73

[4]   Food Standards Agency, “Low Income Diet and Nutrition Survey,” 2007.

[5]   P. Ferrari, N. Slimani, A. Ciampi, A. Trichopoulou, A. Naska, C. Lauria, F. Veglia, H. Bueno-de-Mesquita, M. Ocké, M. Brustad, T. Braaten, M. José Tormo, P. Amiano, I. Mattisson, G. Johansson, A. Welch, G. Davey, K. Overvad, A. Tj?nneland, F. Clavel-Chapelon, A. Thiebaut, J. Linseisen, H. Boeing, B. Hemon and E. Riboli, “Evaluation of Underand Overreporting of Energy Intake in the 24-Hour Diet Recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC),” Public Health Nutrition, Vol.

[6]   D. W. Heerstrass, M. C. Ocke, H. B. Bueno-de-Mesquita, P. H. M. Peeters and J. C. Seidall, “Underreporting of Energy, Protein and Potassium Intake in Relation to Body Mass Index,” International Journal of Epidemiology, Vol. 27, No. 2, 1998, pp. 186-193. doi:10.1093/ije/27.2.186

[7]   G. Johansson, ?. Wikman, A.-M. ?hrén, G. Hallmans and I. Johansson, “Underreporting of Energy Intake in Repeated 24-Hour Recalls Related to Gender, Age, Weight Status, Day of Interview, Educational Level, Reported Food Intake, Smoking Habits and Area of Living,” Public Health Nutrition, Vol. 4, No. 4, 2001, pp. 919-927. doi:10.1079/PHN2001124

[8]   S. S. Jonnalagadda, D. C. Mitchell, H. Smiciklas-Wright, K. B. Meaker, N. V. Heel, W. Karmally, A. G. Ershow and P. M. Kris-Etherton, “Accuracy of Energy Intake Data Estimated by a Multiplepass, 24-Hour Dietary Recall Technique,” Journal of the American Dietetic Association, Vol. 100, No. 3, 2000, pp. 303-311. doi:10.1016/S0002-8223(00)00095-X

[9]   S.-H. Kye, “Underestimation of Energy Intake Using 24-Hour Recall by Korean Urban Elders,” Ecology of Food and Nutrition, Vol. 43, No. 4, 2004, pp. 279-293. doi:10.1080/03670240490454697

[10]   H. A. Park, J. S. Lee and L. H. Kuller, “Underreporting of Dietary Intake by Body Mass Index in Premenopausal Women Participating in the Healthy Women Study,” Nutrition Research and Practice, Vol. 1, No. 3, 2007, pp. 231-236.

[11]   R. Ballard-Barbash, I. Graubard, S. M. Krebs Smith, A. Schatzkin and F. E. Thompson, “Contribution of Dieting to the Inverse Association between Energy Intake and Body Mass Index,” European Journal of Clinical Nutrition, Vol. 50, 1996, pp. 98-106.

[12]   R. R. Briefel, M. A. McDowell, K. Alaimo, C. R. Caughman, A. L. Bischof, M. D. Carroll and C. L. Johnson, “Total Energy Intake of the US Population: The Third National Health and Nutrition Examination Survey, 1988-1991,” The American Journal of Clinical Nutrition, Vol. 62, 1995, pp. 1072S-1080S.

[13]   M. Fogelholm, S. M?nnist?, E. Vartiainen and P. Pietinen, “Determinants of Energy Balance and Overweight in Finland 1982 and 1992,” International Journal of Obesity, Vol. 20, No. 2, 1996, pp. 1097-1104.

[14]   R. C. Klesges, L. H. Eck, J. W. Ray, “Who Underreports Dietary Intake in a Dietary Recall? Evidence from the Second National Health and Nutrition Examination Survey,” Journal of Consulting and Clinical Psychology, Vol. 63, No. 3, 1995, pp. 438-444. doi:10.1037/0022-006X.63.3.438

[15]   S. W. Lichtman, K. Pisarska, E. R. Berman, M. Pestone, H. Dowling, E. Offenbacher, H. Weisel, S. Heshka, D. E. Matthews and S. B. Heymsfield, “Discrepancy between Self-Reported and Actual Caloric Intake and Exercise in Obese Subjects,” The New England Journal of Medicine, Vol. 327, No. 27, 1992, pp. 1893-1898. doi:10.1056/NEJM199212313272701

[16]   E. Rothenbreg, I. Bosaeus and B. Steen, “Evaluation of Energy Intake Estimated by a Diet History in Three Free-Living 70 Year Old Populations in Gothenburg, Sweden,” European Journal of Clinical Nutrition, Vol. 51, 1997, pp. 60-66. doi:10.1038/sj.ejcn.1600363

[17]   W. T. Smith, K. L. Webb and P. F. Heywood, “The Implications of Underreporting in Dietary Studies,” Australian Journal of Public Health, Vol. 18, 1994, pp. 311-314. doi:10.1111/j.1753-6405.1994.tb00250.x

[18]   R. R. Briefel, C. T. Sempos, M. A. McDowell, S. Chien and K. Alaimo, “Dietary Methods Research in The third National Health and Nutrition Examination Survey: Underreporting of Energy Intake,” The American Journal of Clinical Nutrition, Vol. 65, 1997, pp. 1203S-1209S.

[19]   M. A. Mendez, S. Wynter, R. Wilks and T. Forrester, “Underand Over-Reporting of Energy Is Related to Obesity, Lifestyle Factors and Food Group Intakes in Jamaican Adults,” Public Health Nutrition, Vol. 7, No. 1, 2004, pp. 9-19. doi:10.1079/PHN2003508

[20]   WHO, “Global Database on Body Mass Index. World Health Organization in: An Interactive Surveillance Tool for Monitoring Nutrition Transition,” Geneva, 2009.

[21]   M. Nelson, M. Atkinson and J. Meyer, “A Photographic Atlas of Food Portion Sizes,” Food Standards Agency, London, 1997.

[22]   M. Nelson, M. Atkinson and J. Meyer, “Food Portion Sizes: A User’s Guide to the Photographic Atlas,” Food Standards Agency, London, 1997.

[23]   CompEat, Nutritional Analysis Software, in, Nutrition Systems, Banbury. Oxon. England, 2003.

[24]   W. N. Schofield, “Predicting Basal Metabolic Rate, New Standards and Review of Previous Work,” Human Nutrition. Clinical Nutrition, Vol. 39, Suppl. 1, 1985, pp. 5-41.

[25]   G. R. Goldberg, A. E. Black, S. A. Jebb, T. J. Cole, P. R. Murgatroyd, W. A. Coward and A. Prentice, “Critical Evaluation of Energy Intake Data Using Fundamental Principles of Energy Physiology: 1. Derivation of Cut-Off Limits to Identify Under-Recording,” European Journal of Clinical Nutrition, Vol. 45, No. 12, 1991, pp. 569-581.

[26]   FAO/WHO/UNU, “Human Energy Requirements,” Food and Agriculture Organization and Nutrition Technical Report Series No. 1, FAO, Rome, 2004, pp. 1-103.

[27]   W. A. Ahmed, “Vitamin D Intake of People from the Middle East living in the UK,” Biological Sciences, MPhil Thesis, University of Plymouth, Plymouth, 2009.

[28]   L. Johansson, K. Solvoll, G. E. Bjorneboe and C. A. Drevon, “Underand Overreporting of Energy Intake Related to Weight Status and Lifestyle in a Nationwide Sample,” The American Journal of Clinical Nutrition, Vol. 68, 1998, pp. 266-274.

[29]   M. Yannakoulia, D. B. Panagiotakos, C. Pitsavos, E. Bathrellou, C. Chrysohoou, Y. Skoumas and C. Stefanadis, “Low Energy Reporting Related to Lifestyle, Clinical, and Psychosocial Factors in a Randomly Selected Population Sample of Greek Adults: The ATTICA Study,” Journal of the American College of Nutrition, Vol. 26, No. 4, 2007, pp. 327-333.

[30]   J. I. Macdiarmid and J. E. Blundell, “Dietary UnderReporting: What People Say about Recording Their Food Intake,” European Journal of Clinical Nutrition, Vol. 51, No. 3, 1997, pp. 199-200. doi:10.1038/sj.ejcn.1600380

[31]   L. A. J. L. M. Braam, M. C. Ocke, H. B. Bueno-deMesquita and J. C. Seidell, “Determinants of ObesityRelated Underreporting of Energy Intake,” American Journal of Epidemiology, Vol. 147, No. 11, 1998, pp. 1081-1086.

[32]   B. L. Heitmann and L. Lissner, “Dietary Underreporting by Obese Individuals—Is It Specific or Non-Specific?” British Medical Journal, Vol. 14, 1995, pp. 986-989.

[33]   Department of Health, “Dietary Reference Values for Food Energy and Nutrients for the United Kingdom,” Report on Health and Social Subjects 41, 1991.