Demographic and Psychosocial Correlates of Measurement Error and Reactivity Bias in a Four-day Image-based Mobile Food Record Among Adults with Overweight and Obesity

Overview

Journal Br J Nutr

Specialty Nutritional Sciences

Date 2022 May 19

PMID 35587722

Authors

Clare Whitton

Janelle D Healy

Satvinder S Dhaliwal

Charlene Shoneye

Amelia J Harray

Barbara A Mullan

Joanne A McVeigh

Carol J Boushey

Deborah A Kerr

Affiliations

Soon will be listed here.

Abstract

Improving dietary reporting among people living with obesity is challenging as many factors influence reporting accuracy. Reactive reporting may occur in response to dietary recording but little is known about how image-based methods influence this process. Using a 4-day image-based mobile food record (mFRTM), this study aimed to identify demographic and psychosocial correlates of measurement error and reactivity bias, among adults with BMI 25-40kg/m2. Participants (n=155, aged 18-65y) completed psychosocial questionnaires, and kept a 4-day mFRTM. Energy expenditure (EE) was estimated using ≥4 days of hip-worn accelerometer data, and energy intake (EI) was measured using mFRTM. Energy intake: energy expenditure ratios were calculated, and participants in the highest tertile were considered to have Plausible Intakes. Negative changes in EI according to regression slopes indicated Reactive Reporting. Mean EI was 72% (SD=21) of estimated EE. Among participants with Plausible Intakes, mean EI was 96% (SD=13) of estimated EE. Higher BMI (OR 0.81, 95%CI 0.72-0.92) and greater need for social approval (OR 0.31, 95% CI 0.10-0.96), were associated with lower likelihood of Plausible Intakes. Estimated EI decreased by 3% per day of recording (IQR -14%,6%) among all participants. The EI of Reactive Reporters (n=52) decreased by 17%/day (IQR -23%,-13%). A history of weight loss (>10kg) (OR 3.4, 95% CI 1.5-7.8), and higher percentage of daily energy from protein (OR 1.1, 95%CI 1.0-1.2) were associated with greater odds of Reactive Reporting. Identification of reactivity to measurement, as well as Plausible Intakes, is recommended in community-dwelling studies to highlight and address sources of bias.

Citing Articles

The Impact of Weight Bias and Stigma on the 24 h Dietary Recall Process in Adults with Overweight and Obesity: A Pilot Study.

Howes E, Parker M, Misyak S, DiFeliceantonio A, Davy B, Brown L Nutrients. 2024; 16(2).

PMID: 38257084 PMC: 10818297. DOI: 10.3390/nu16020191.

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