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The journal of nutrition, health & aging

, Volume 17, Issue 2, pp 112–118 | Cite as

Under-reporting of energy intake in elderly Australian women is associated with a higher body mass index

  • X. Meng
  • Deborah A. KerrEmail author
  • K. Zhu
  • A. Devine
  • V. A. Solah
  • J. Wright
  • C. W. Binns
  • R. L. Prince
Article

Abstract

Objectives

Identify the extent of under-reporting of energy intake and the characteristics associated with implausible intakes in elderly women.

Design

Dietary intake was assessed using a 3-day weighed food record. Protein intake was validated by 24-hour urinary nitrogen. To examine under-reporting, participants were grouped according to their energy intake and compared to the Goldberg cut-off equation. Logistic regression was performed to assess the influence of body mass index (BMI) and social-demographic factors on under-reporting.

Setting

Community dwelling elderly women from Perth, Western Australia.

Participants

217 elderly women aged 70–80 years.

Results

Under-reporters had a higher physical activity level (p<0.001) compared with acceptable-reporters. The under-reporters also had a higher body weight (p=0.006), body mass index (BMI) (p=0.001), waist (p=0.011), hip circumference (p<0.001), whole body fat mass (p<0.001) and percentage body fat (p<0.001) than acceptable-reporters. Under-reporters had a significantly lower intakes of protein, fat, carbohydrate and alcohol (p<0.001) and fewer reported food items, compared with acceptable reporters. However, 24-hour urinary nitrogen was only marginally different between the two groups (p=0.053). Participants with a higher BMI were more likely to under-report their energy intake (BMI=25–29.9: odds ratio=2.98[95% CI=1.46–6.09]; BMI≥30: 5.84[2.41–14.14]).

Conclusion

Under-reporting energy intake in elderly women was associated with a higher BMI, body fat and higher self-reported physical activity levels. A higher BMI (≥25) appears to be most significant factor in determining if elderly women will underreport their food intake and may be related to body image. These results have implications for undertaking surveys of food intake in elderly women.

Key words

Under-reporting energy intake protein intake urinary nitrogen elderly women 

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Copyright information

© Serdi and Springer-Verlag France 2013

Authors and Affiliations

  • X. Meng
    • 1
  • Deborah A. Kerr
    • 1
    • 5
    Email author
  • K. Zhu
    • 2
    • 3
  • A. Devine
    • 4
  • V. A. Solah
    • 1
  • J. Wright
    • 1
  • C. W. Binns
    • 1
  • R. L. Prince
    • 2
    • 3
  1. 1.Curtin Health Innovation Research Institute and the School of Public HealthCurtin UniversityPerthAustralia
  2. 2.Department of Endocrinology and DiabetesSir Charles Gairdner HospitalNedlandsAustralia
  3. 3.School of Medicine and PharmacologyUniversity of Western AustraliaCrawleyAustralia
  4. 4.School of Exercise, School of Exercise and Health ScienceEdith Cowan UniversityJoondalupAustralia
  5. 5.Curtin Health Innovation Research Institute and the School of Public HealthCurtin UniversityPerthAustralia

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