Powering Nutrition Research: Practical Strategies for Sample Size in Multiple Regression.

Robust statistical analysis is essential for advancing evidence-based nutrition research, particularly when investigating the complex relationships between dietary exposure and health outcomes. Multiple regression is a widely used analytical technique in nutrition studies due to its ability to control for confounding variables and assess multiple predictors simultaneously. However, the reliability, validity, and generalizability of findings from regression analyses depend heavily on having an appropriate sample size. Despite its importance, many published nutrition studies do not include formal sample size justifications or power calculations, leading to a high risk of Type II errors and reduced interpretability of results. This methodological review examines three commonly used approaches to sample size determination in multiple regression analysis: the rule of thumb, variance explained (R) method, and beta weights approach. Using a consistent hypothetical example, rather than empirical data, this paper illustrates how sample size recommendations can differ depending on the selected approach, highlighting the advantages, assumptions, and limitations of each. This review is intended as an educational resource to support methodological planning for applied researchers rather than to provide new empirical findings. The aim is to equip nutrition researchers with practical tools to optimize sample size decisions based on their study design, research objectives, and desired power. The rule of thumb offers a simple and conservative starting point, while the R method ties sample size to anticipated model performance. The beta weights approach allows for more granular planning based on the smallest effect of interest, offering the highest precision but requiring more detailed assumptions. By encouraging more rigorous and transparent sample size planning, this paper contributes to improving the reproducibility and interpretability of quantitative nutrition research.