Misreporting of energy intake in severely obese pregnant women in Scotland, UK

Under-reporting of self-reported energy intake (EI) has been described in female, overweight, and pregnant subjects but little is known about its prevalence in severely obese pregnancy. This study aimed to assess this in severely obese pregnant women (body mass index ≥40 kg/m2 ) who completed a...

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Main Authors:	Mohd. Shukri, Nor Azwani, Bolton, Jennifer L., Norman, Jane E., Walker, Brian R., Reynolds, Rebecca M.
Format:	Article
Language:	English
Published:	Dietitians Association of Australia 2012
Subjects:	RA Public aspects of medicine
Online Access:	http://irep.iium.edu.my/41314/ http://irep.iium.edu.my/41314/ http://irep.iium.edu.my/41314/1/ICD_2012_Nutrition_%26_Dietetics_%28Suppl._1%29.pdf

id	iium-41314
recordtype	eprints
spelling	iium-413142015-03-12T07:19:22Z http://irep.iium.edu.my/41314/ Misreporting of energy intake in severely obese pregnant women in Scotland, UK Mohd. Shukri, Nor Azwani Bolton, Jennifer L. Norman, Jane E. Walker, Brian R. Reynolds, Rebecca M. RA Public aspects of medicine Under-reporting of self-reported energy intake (EI) has been described in female, overweight, and pregnant subjects but little is known about its prevalence in severely obese pregnancy. This study aimed to assess this in severely obese pregnant women (body mass index ≥40 kg/m2 ) who completed a food frequency questionnaire at 28 weeks gestation for a cohort study of severe obesity in pregnancy, and to compare it to the prevalence in normal-weight pregnant women. Estimated energy requirement (EER) was calculated using Dietary Reference Intakes equations (Institute of Medicine, 2002) with adjustment for pregnancy requirements. EI : EER ratio was used to categorize each person as under-, adequate or over-reporter by using published cut off-points (Nowicki et al., 2011). 98 obese and 68 lean pregnant women were included. Median EI : EER ratio was lower in obese than in lean (0.72 vs 0.95, p < 0.001), indicating higher prevalence of under-reporting in obese as compared to in lean (49.0% vs 14.7%). Over-reporting was lower in obese (7.1%) than in lean (13.2%).In both groups, underreporters reported lower intakes of fats, dietary cholesterol and sugars but higher of dietary fi bre, vitamin C, iron, calcium and folic acid (all p < 0.05), compared to adequate or over-reporters. In conclusion, there is a higher prevalence of energy under-reporting in obese, compared to in lean pregnant women in this study. Statistical adjustment of energy on nutrient intakes may reduce (but not fully remove) the infl uence of energy misreporting. Data should still be interpreted with caution, particularly in identifying dietary insufficiency. Dietitians Association of Australia 2012-09-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/41314/1/ICD_2012_Nutrition_%26_Dietetics_%28Suppl._1%29.pdf Mohd. Shukri, Nor Azwani and Bolton, Jennifer L. and Norman, Jane E. and Walker, Brian R. and Reynolds, Rebecca M. (2012) Misreporting of energy intake in severely obese pregnant women in Scotland, UK. Nutrition & Dietetics, 69 (Supp.1). p. 91. ISSN 1747-0080 http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291747-0080
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RA Public aspects of medicine
spellingShingle	RA Public aspects of medicine Mohd. Shukri, Nor Azwani Bolton, Jennifer L. Norman, Jane E. Walker, Brian R. Reynolds, Rebecca M. Misreporting of energy intake in severely obese pregnant women in Scotland, UK
description	Under-reporting of self-reported energy intake (EI) has been described in female, overweight, and pregnant subjects but little is known about its prevalence in severely obese pregnancy. This study aimed to assess this in severely obese pregnant women (body mass index ≥40 kg/m2 ) who completed a food frequency questionnaire at 28 weeks gestation for a cohort study of severe obesity in pregnancy, and to compare it to the prevalence in normal-weight pregnant women. Estimated energy requirement (EER) was calculated using Dietary Reference Intakes equations (Institute of Medicine, 2002) with adjustment for pregnancy requirements. EI : EER ratio was used to categorize each person as under-, adequate or over-reporter by using published cut off-points (Nowicki et al., 2011). 98 obese and 68 lean pregnant women were included. Median EI : EER ratio was lower in obese than in lean (0.72 vs 0.95, p < 0.001), indicating higher prevalence of under-reporting in obese as compared to in lean (49.0% vs 14.7%). Over-reporting was lower in obese (7.1%) than in lean (13.2%).In both groups, underreporters reported lower intakes of fats, dietary cholesterol and sugars but higher of dietary fi bre, vitamin C, iron, calcium and folic acid (all p < 0.05), compared to adequate or over-reporters. In conclusion, there is a higher prevalence of energy under-reporting in obese, compared to in lean pregnant women in this study. Statistical adjustment of energy on nutrient intakes may reduce (but not fully remove) the infl uence of energy misreporting. Data should still be interpreted with caution, particularly in identifying dietary insufficiency.
format	Article
author	Mohd. Shukri, Nor Azwani Bolton, Jennifer L. Norman, Jane E. Walker, Brian R. Reynolds, Rebecca M.
author_facet	Mohd. Shukri, Nor Azwani Bolton, Jennifer L. Norman, Jane E. Walker, Brian R. Reynolds, Rebecca M.
author_sort	Mohd. Shukri, Nor Azwani
title	Misreporting of energy intake in severely obese pregnant women in Scotland, UK
title_short	Misreporting of energy intake in severely obese pregnant women in Scotland, UK
title_full	Misreporting of energy intake in severely obese pregnant women in Scotland, UK
title_fullStr	Misreporting of energy intake in severely obese pregnant women in Scotland, UK
title_full_unstemmed	Misreporting of energy intake in severely obese pregnant women in Scotland, UK
title_sort	misreporting of energy intake in severely obese pregnant women in scotland, uk
publisher	Dietitians Association of Australia
publishDate	2012
url	http://irep.iium.edu.my/41314/ http://irep.iium.edu.my/41314/ http://irep.iium.edu.my/41314/1/ICD_2012_Nutrition_%26_Dietetics_%28Suppl._1%29.pdf
first_indexed	2023-09-18T20:59:11Z
last_indexed	2023-09-18T20:59:11Z
_version_	1777410508620562432

Misreporting of energy intake in severely obese pregnant women in Scotland, UK

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