Abstract

The development of easy-to-use and accurate methods to assess the intake of energy, foods and nutrients in pre-school children is needed. KidMeal-Q is an online food frequency questionnaire developed for the LifeGene prospective cohort study in Sweden. The aims of this study were to compare: (i) energy intake (EI) obtained using KidMeal-Q to total energy expenditure (TEE) measured via doubly labelled water and (ii) the intake of certain foods measured using KidMeal-Q to intakes acquired by means of 24 h dietary recalls in 38 children aged 5.5 years. The mean EI calculated using KidMeal-Q was statistically different (p < 0.001) from TEE (4670 ± 1430 kJ/24 h and 6070 ± 690 kJ/24 h, respectively). Significant correlations were observed for vegetables, fruit juice and candy between KidMeal-Q and 24 h dietary recalls. Only sweetened beverage consumption was significantly different in mean intake (p < 0.001), as measured by KidMeal-Q and 24 h dietary recalls. In conclusion, KidMeal-Q had a relatively short answering time and comparative validity to other food frequency questionnaires. However, its accuracy needs to be improved before it can be used in studies in pre-school children.

Highlights

  • Diet is just as important in children as in adults, and possibly even more so because the habits developed in the early years often persist throughout the lifespan [1]

  • The specific aims of this nested validation study are to compare: (i) energy intake (EI) obtained using KidMeal-Q to total energy expenditure (TEE) measured via doubly labelled water (DLW) and (ii) the intake of certain foods measured using KidMeal-Q to intakes acquired by means of 24 h dietary recalls in 38 children aged 5.5 years

  • A total of 40 parent couples and their children agreed to participate in a validation of dietary intake [11], body composition [12], and physical activity methods at the final follow-up assessment, which began in February 2015 when their children were 5.5 years of age

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Summary

Introduction

Diet is just as important in children as in adults, and possibly even more so because the habits developed in the early years often persist throughout the lifespan [1]. Being able to measure diet in pre-school children is important since childhood obesity often continues into adulthood [2]. An unhealthy diet is a contributing risk factor for some of the most common non-communicable diseases, such as cardiovascular disease, diabetes and cancer [3]. In order to investigate the relationships between diet and disease it is imperative to be able to and accurately measure energy and food intake, especially in large epidemiological settings

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