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瑞典青少年的能量摄入:用双标水法验证饮食史

Energy intake in Swedish adolescents: validation of diet history with doubly labelled water.

作者信息

Sjöberg A, Slinde F, Arvidsson D, Ellegård L, Gramatkovski E, Hallberg L, Hulthén L

机构信息

Department of Clinical Nutrition, Sahlgrenska Academy at Göteborg University, Box 459, SE 405 30 Göteborg, Sweden.

出版信息

Eur J Clin Nutr. 2003 Dec;57(12):1643-52. doi: 10.1038/sj.ejcn.1601892.

DOI:10.1038/sj.ejcn.1601892
PMID:14647231
Abstract

OBJECTIVE

To compare habitual energy intake (EI) estimated from diet history (DH) with total energy expenditure (TEE) measured with doubly labelled water (DLW) in adolescents.

DESIGN

DH included a detailed questionnaire and an interview. TEE was measured during a 14-day period. Adequate (AR), under- (UR) and over-reporters (OR) were defined from the ratio EI/TEE: AR 0.84-1.16, UR <0.84 and OR >1.16.

SETTING

Participants were recruited from grade 9 in a compulsory school in Göteborg, Sweden. All data were collected at school and DLW dosages were distributed at Sahlgrenska University Hospital.

SUBJECTS

A total of 35 adolescents (18 boys, 17 girls), 15.7 (0.4) y.

RESULTS

EI was 11.0 (3.6) MJ and TEE was 11.4 (2.1) MJ (P=0.42). DH was able to rank EI compared to TEE (Spearman's r=0.59, P< or =0.001). For girls, EI was 18% lower (P=0.0067) and for boys, EI was 7% higher (P=0.26) compared to TEE. The 95% limits of agreement for difference between TEE and EI were -5.6 to 6.5 MJ. In total, 20 subjects were defined as AR (57%), nine as UR (26%) and six as OR (17%). Energy from in-between meals was 33% lower (P=0.0043) in UR girls and 57% higher (P=0.026) in OR boys, compared to adequate reporting girls and boys, respectively. In UR girls, energy-adjusted intake (10 MJ) of specific foods did not differ significantly, fat was lower and carbohydrate and vitamin C were higher compared to AR girls (all P<0.05). OR boys had no significant differences in food and nutrient intake in 10 MJ compared to AR boys.

CONCLUSION

The diet history was able to capture EI for the group and to rank subjects. There was a wide individual range in reporting-accuracy related to gender.

SPONSORSHIP

The Ingabritt and Arne Lundberg Foundation, The Wilhelm and Martina Lundgren Foundation.

摘要

目的

比较通过饮食史(DH)估算的青少年习惯性能量摄入量(EI)与用双标水(DLW)测量的总能量消耗(TEE)。

设计

饮食史包括一份详细问卷和一次访谈。在14天期间测量总能量消耗。根据EI/TEE比值定义充足报告者(AR)、低报告者(UR)和高报告者(OR):AR为0.84 - 1.16,UR < 0.84,OR > 1.16。

背景

参与者从瑞典哥德堡一所义务学校的九年级招募。所有数据在学校收集,双标水剂量在萨尔格伦斯卡大学医院分发。

对象

共35名青少年(18名男孩,17名女孩),年龄15.7(0.4)岁。

结果

能量摄入量为11.0(3.6)兆焦耳,总能量消耗为11.4(2.1)兆焦耳(P = 0.42)。与总能量消耗相比,饮食史能够对能量摄入量进行排序(斯皮尔曼r = 0.59,P ≤ 0.001)。与总能量消耗相比,女孩的能量摄入量低18%(P = 0.0067),男孩的能量摄入量高7%(P = 0.26)。总能量消耗与能量摄入量差值的95%一致性界限为 - 5.6至6.5兆焦耳。总共,20名受试者被定义为充足报告者(57%),9名作为低报告者(26%),6名作为高报告者(17%)。与充足报告的女孩和男孩相比,低报告女孩的餐间能量分别低33%(P = 0.0043),高报告男孩的餐间能量高57%(P = 0.026)。在低报告女孩中,特定食物的能量调整摄入量(10兆焦耳)无显著差异,与充足报告女孩相比,脂肪含量较低,碳水化合物和维生素C含量较高(均P < 0.05)。与充足报告男孩相比,高报告男孩在10兆焦耳的食物和营养素摄入量方面无显著差异。

结论

饮食史能够获取该组的能量摄入量并对受试者进行排序。报告准确性在性别方面存在很大的个体差异。

资助

英加布里特和阿恩·伦德伯格基金会、威廉和玛蒂娜·伦德格伦基金会。

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