Abstract
Objective:
To calculate intra-cluster and intra-household design effects and intra-class correlation coefficients for dietary nutrients obtained from a 24 h record-assisted recall.
Design:
Children were recruited using clustered probability sampling. Randomly selected starting-point addresses were obtained with probability proportional to mesh block size.
Setting:
Children aged 1–14 years in New Zealand.
Subjects:
There were 125 children in 50 clusters, giving an average of 2.498 children per cluster. In 15 homes, there were two children for the calculation of intra-household statistics.
Results:
Intra-cluster design effects ranged from 1.0 for cholesterol, β-carotene, vitamin A, vitamin D, vitamin E, selenium, fructose and both carbohydrate and protein expressed as their contribution to total energy intakes to 1.552 for saturated fat, with a median design effect of 1.148. Their corresponding intra-cluster correlations ranged from 0 to 0.37, respectively. Intra-household design effects ranged from 1.0 for height to 1.839 for vitamin B6, corresponding to intra-household correlations of 0 and 0.839. The median intra-household design effect was 1.550. Using a sampling design of two to three households per cluster for estimating dietary nutrient intakes would need, on average, a 15% increase in sample size compared with simple random sampling with a maximum increase of 55% to cover all nutrients.
Conclusions:
These data enable sample sizes for dietary nutrients to be estimated for both cluster and non-cluster sampling for children aged 1–14 years. The larger design effects found within households suggest that little extra information may be obtained by sampling more than one child per household.
Sponsorship:
The New Zealand Ministry of Health contracted this study.
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Acknowledgements
Other collaborators on the Children's Nutrition Pilot Survey were Professor Boyd Swinburn, Dr Cameron Grant and Dr David Schaaf from the University of Auckland, Professor Mason Durie and Eljon Fitzgerald (Massey University, Palmerston North), Dr Elaine Rush (Auckland University of Technology) and Dr Clare Wall, Kate Sladden and Patsy Watson (Massey University, Albany). Dr Patricia Metcalf was supported by the Health Research Council of New Zealand.
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Guarantor: PA Metcalf.
Contributors: RKRS, AWS and PAM contributed to the design of this study. PAM, AJS and AWS contributed to the statistical analysis and interpretation of the data. All authors contributed to the conduct of the study, data collection and writing of this manuscript.
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Metcalf, P., Scragg, R., Stewart, A. et al. Design effects associated with dietary nutrient intakes from a clustered design of 1 to 14-year-old children. Eur J Clin Nutr 61, 1064–1071 (2007). https://doi.org/10.1038/sj.ejcn.1602618
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DOI: https://doi.org/10.1038/sj.ejcn.1602618
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