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dc.contributor.authorOlendzki, Barbara C.
dc.contributor.authorMa, Yunsheng
dc.contributor.authorHebert, James R.
dc.contributor.authorPagoto, Sherry L.
dc.contributor.authorMerriam, Philip A.
dc.contributor.authorRosal, Milagros C
dc.contributor.authorOckene, Ira S.
dc.date2022-08-11T08:10:22.000
dc.date.accessioned2022-08-23T17:05:49Z
dc.date.available2022-08-23T17:05:49Z
dc.date.issued2008-05-27
dc.date.submitted2010-03-12
dc.identifier.citationJ Am Diet Assoc. 2008 Jun;108(6):1003-8. <a href="http://dx.doi.org/10.1016/j.jada.2008.03.006">Link to article on publisher's site</a>
dc.identifier.issn0002-8223 (Linking)
dc.identifier.doi10.1016/j.jada.2008.03.006
dc.identifier.pmid18502234
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44943
dc.description.abstractThe objective of this study was to examine the extent of underreporting of total energy intake and associated factors in a low-income, low-literacy, predominantly Caribbean Latino community in Lawrence, MA. Two hundred fifteen Latinos participated in a diabetes prevention study, for which eligibility included a >or=30% risk of developing diabetes in 7.5 years. Dietary self-reported energy intake was assessed using three randomly selected days of 24-hour diet recalls. Basal metabolic rate (BMR) was estimated using the Mifflin-St Jeor equation. Underreporting was determined by computing a ratio of energy intake to BMR, with a ratio of 1.55 expected for sedentary populations. Linear regression analyses were used to identify factors associated with underreporting (energy intake:BMR ratio). The population was predominately women (77%), middle-aged (mean 52+/-11 years), obese (78% had a body mass index >or=30); low-literate (62% < high school education), unemployed (57% reported no job), married or living with partner (52%), and some had a family history of diabetes (37% had siblings with diabetes). Reported total daily energy intake was 1,540+/-599 kcal, whereas estimated BMR was 1,495.7+/-245.1 kcal/day. When multiplied by an activity factor (1.20 for sedentariness), expected energy intake was 1,794+/-294.0 per day, indicating underreporting by an average of 254 kcal/day. Mean energy intake:BMR was 1.03+/-0.37, and was lower for participants with higher body mass index, siblings with diabetes, sedentary lifestyle, and those who were unemployed. Energy intake underreporting is prevalent in this low-income, low-literacy Caribbean Latino population. Future studies are needed to develop dietary assessment measures that minimize underreporting in this population.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=18502234&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/j.jada.2008.03.006
dc.subjectAdult
dc.subjectAged
dc.subjectBasal Metabolism
dc.subjectBody Mass Index
dc.subjectCaribbean Region
dc.subjectDiabetes Mellitus, Type 2
dc.subjectEducational Status
dc.subjectEmployment
dc.subjectEnergy Intake
dc.subjectExercise
dc.subjectFemale
dc.subjectHispanic Americans
dc.subjectHumans
dc.subjectIncome
dc.subjectLife Style
dc.subjectLinear Models
dc.subjectMale
dc.subjectMental Recall
dc.subjectMiddle Aged
dc.subjectObesity
dc.subjectRisk Factors
dc.subject*Self Disclosure
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.titleUnderreporting of energy intake and associated factors in a Latino population at risk of developing type 2 diabetes
dc.typeJournal Article
dc.source.journaltitleJournal of the American Dietetic Association
dc.source.volume108
dc.source.issue6
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/57
dc.identifier.contextkey1219023
html.description.abstract<p>The objective of this study was to examine the extent of underreporting of total energy intake and associated factors in a low-income, low-literacy, predominantly Caribbean Latino community in Lawrence, MA. Two hundred fifteen Latinos participated in a diabetes prevention study, for which eligibility included a >or=30% risk of developing diabetes in 7.5 years. Dietary self-reported energy intake was assessed using three randomly selected days of 24-hour diet recalls. Basal metabolic rate (BMR) was estimated using the Mifflin-St Jeor equation. Underreporting was determined by computing a ratio of energy intake to BMR, with a ratio of 1.55 expected for sedentary populations. Linear regression analyses were used to identify factors associated with underreporting (energy intake:BMR ratio). The population was predominately women (77%), middle-aged (mean 52+/-11 years), obese (78% had a body mass index >or=30); low-literate (62% < high school education), unemployed (57% reported no job), married or living with partner (52%), and some had a family history of diabetes (37% had siblings with diabetes). Reported total daily energy intake was 1,540+/-599 kcal, whereas estimated BMR was 1,495.7+/-245.1 kcal/day. When multiplied by an activity factor (1.20 for sedentariness), expected energy intake was 1,794+/-294.0 per day, indicating underreporting by an average of 254 kcal/day. Mean energy intake:BMR was 1.03+/-0.37, and was lower for participants with higher body mass index, siblings with diabetes, sedentary lifestyle, and those who were unemployed. Energy intake underreporting is prevalent in this low-income, low-literacy Caribbean Latino population. Future studies are needed to develop dietary assessment measures that minimize underreporting in this population.</p>
dc.identifier.submissionpathprevbeh_pp/57
dc.contributor.departmentDepartment of Medicine, Division of Cardiovascular Medicine
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages1003-8
dc.description.thesisprogramClinical and Population Health Research


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