Abstract

Citation

Lytle LA, Nichaman MZ, Obarzanek E, Glovsky E, Montgomery D, Nicklas T, Zive M, Feldman H. Validation of 24-hour recalls assisted by food records in third-grade children. The CATCH Collaborative Group. J Am Diet Assoc 1993 Dec;93(12):1431-6.

Abstract

OBJECTIVE: The objective of the study was to validate the use of 24-hour recalls assisted by food records as a dietary assessment tool for use with third-grade children. DESIGN: Trained staff observed children during mealtime at school, and parents observed and recorded what children ate in their presence. The following day children participated in a 24-hour recall interview. Children's ability to recall what they consumed during a 24-hour period was compared with observational data collected during the same period. SETTING: All data were collected in elementary school settings at four sites involved in the Child and Adolescent Trial for Cardiovascular Health. SUBJECTS: The sample of 49 children was self-selected, based on parents' willingness to observe and record their child's food intake. MAIN OUTCOME MEASURES: Recalled and observed data for energy and nutrient levels were compared using mean energy and nutrient analysis and quartile classification. In addition, recalled and observed foods were compared by meal type and estimation of portion size. STATISTICAL ANALYSIS PERFORMED: Paired t tests, Pearson and Spearman correlations, and classification analysis were used to compare recalled and observed data. RESULTS: Comparison of observed and recalled food intakes showed no significant differences in percentage of energy from total fat, saturated fat, monounsaturated fat, and polyunsaturated fat or in the amount of sodium consumed, although there were differences in energy intakes. Spearman rank order correlations between recalled and observed nutrients ranged from .45 to .79. A 77.9% agreement was found across all meals in the food items children recalled having consumed compared with those adults actually observed them consuming. CONCLUSIONS: We conclude that the 24-hour recall assisted by food records is a valid method for assessing the dietary intake of children as young as 8 years old for the purpose of group comparison.

Full Text

The full text is available at https://dx.doi.org/10.1016/0002-8223(93)92247-u

At A Glance

Individual Dietary Behavior Variables

Intake
Total Energy/Energy Density
Macronutrients, including Saturated Fat
Sodium, Monounsaturated fat, Polyunsaturated fat
Behavior
Portion/Size

Domain(s)

Individual Dietary Behavior

Measure Type

24-hour dietary recall

Measure Availability

Not reported

Number of Items

Not applicable

Study location

School districts in four states (CA, LA, MN, TX)

Languages

English

Information about Development of Measure

Nothing to add

Study Design

Study Participants

Age

6 - 11 Years

Sex

Female

Male

Race/Ethnicity

Not reported

Predominantly Low-income/Low-SES

Not reported

Sample Size

49

Study Design

Design Type

Validation/Reliability

Health Outcomes Assessed

None

Obesity Measures

Not applicable

BMI Measured or Self-reported

Not applicable

Covariates

Not reported

Data Reported on Race/Ethnicity

Not applicable

Data Reported on SES

Not applicable

SES-related Variables

Not applicable

How To Use

Administration

Who Administered

Researcher-administered

How Administered

In-person

Time Required

Not reported

Training Required

Yes, time not reported

Instructions on Use

Not reported

Data Analysis

Data Collection/Analysis Costs

Not available

Data Collection/Protocol

24-hour recalls were assisted by food records.

Instructions on Data Analysis

Not reported

Validity (8)

Type of validity Construct/subscale assessed Criterion measure used Test/statistic used Result
Criterion 24-hour recall-Energy Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.59, Spearman r=0.49
Criterion 24-hour recall-percent energy from carbohydrate Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.64, Spearman r=0.68
Criterion 24-hour recall-percent energy from total fat Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.64, Spearman r=0.69
Criterion 24-hour recall-percent energy from saturated fat Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.79, Spearman r=0.80
Criterion 24-hour recall-percent energy from polyunsaturated fat Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.41, Spearman r=0.45
Criterion 24-hour recall-percent energy from monounsaturated fat Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.73, Spearman r=0.64
Criterion 24-hour recall-percent energy from protein Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.62, Spearman r=0.66
Criterion 24-hour recall-Sodium Observed intake Pearson Correlation Coefficient and Spearman Correlation Coefficient Pearson r=0.52, Spearman r=0.52

Reliability (0)

There are no reliability tests reported for this measure.