Fisher JO, Johnson RK, Lindquist C, Birch LL, Goran MI. Influence of body composition on the accuracy of reported energy intake in children. Obes Res 2000 Nov;8(8):597-603.
OBJECTIVE: Mis-reporting dietary intake is a substantial barrier to understanding the role of dietary behavior in disease. Work with adults indicates that heavier individuals under-report dietary intake and that under-reporting may be macronutrient-specific. Whether weight status and macronutrient intake influence the accuracy of dietary reports among children, however, is less clear. This research evaluated children's dietary reporting accuracy as a function of their relative weight, body composition, and macronutrient intake. RESEARCH METHODS AND PROCEDURES: Participants included 146 4- to 11-year-old children. Reported energy intake was determined by interviewing children in the presence of parents, using three multiple pass, 24-hour recalls. Children were classified as having had an under-reported, accurately reported, or over-reported dietary intake relative to total energy expenditure, as measured by doubly labeled water. Reporting accuracy was examined as a function of children's body weight, body composition (using dual energy x-ray absorptiometry), and macronutrient intake. RESULTS: Average reported intake was, on average, 14% greater than children's estimated expenditure (p < 0.01). Reporting accuracy varied as a function of children's relative weight and body composition; under-reporting tended to occur among heavier children, having the highest body fat content (p < 0.0001) and relative weight (p < 0.0001). DISCUSSION: These findings suggest that weight status influences the accuracy of dietary reports made by children and their parents. More research is needed to address possible psychological and social factors that introduce bias in reporting children's dietary data.
The full text is available at https://dx.doi.org/10.1038/oby.2000.77
At A Glance
Individual Dietary Behavior Variables
|Total Energy/Energy Density|
|Macronutrients, including Saturated Fat|
Individual Dietary Behavior
24-hour dietary recall
Number of Items
Burlington, VT, USA
Participants also recruited from Birmingham, AL.
Information about Development of Measure
Nothing to add
2 - 5 Years
6 - 11 Years
Health Outcomes Assessed
Percent Body Fat
Percent body fat (Densitometry)
Percent body fat (Dual-energy X-ray absorptiometry)
weight-for-age percentile z-scores
BMI Measured or Self-reported
Data Reported on Race/Ethnicity
Quantitative data on study sample
Data Reported on SES
How To Use
Yes, time not reported
Instructions on Use
Data Collection/Analysis Costs
Instructions on Data Analysis
There are no validity tests reported for this measure.
There are no reliability tests reported for this measure.