scholarly journals Feasibility, Acceptability, and Preliminary Validity of Self-Report Dietary Assessment in Adults with Multiple Sclerosis: Comparison with Doubly Labeled Water Measured Total Energy Expenditure

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1198
Author(s):  
Stephanie L. Silveira ◽  
Brenda Jeng ◽  
Barbara A. Gower ◽  
Robert W. Motl

Background: Diet is a modifiable behavior of interest in multiple sclerosis (MS); however, measures of diet in persons with MS have not been vetted for feasibility, acceptability, and validity. Methods: This cross-sectional study examined the Automated Self-Administered 24-H (ASA24) Dietary Assessment Tool in 30 persons with MS and 15 healthy control (HC) participants. Participants were prompted to complete six ASA24 recalls and undergo a standard doubly labeled water (DLW) protocol. Acceptability of ASA24 was assessed using an online questionnaire. Total energy expenditure (TEE) from DLW was compared with ASA24-reported energy intake for assessing validity. Results: All participants completed four or more ASA24 recalls, indicating feasibility of ASA24. Regarding acceptability, the hardest part of completing the ASA24 was remembering everything eaten the previous day. Pearson correlation coefficients between DLW TEE and ASA24 kcal/day were not significant among HC (r = 0.40; p = 0.14) or MS (r = 0.26; p = 0.16) participants. The absolute mean error between DLW TEE and ASA24 among HC participants was 694.96 ± 506.25 mean kcal/day and among MS participants was 585.37 ± 529.02 mean kcal/day; this represents a mean difference of 30 and 25%, respectively. Conclusion: This study established the feasibility and acceptability of ASA24 in persons with MS and provides a foundation regarding the need for further validation research examining appropriate outcomes for supporting dietary interventions.

2010 ◽  
Vol 24 (S1) ◽  
Author(s):  
Bruce A. Richman ◽  
Dale A. Schoeller ◽  
Tom Thorsen ◽  
Tim Shriver ◽  
Eric R. Crosson

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 179-179
Author(s):  
Qu Tian ◽  
Nancy Glynn ◽  
Rebecca Ehrenkranz ◽  
Briana Sprague ◽  
Andrea Rosso ◽  
...  

Abstract Energy is an important concept in human health and diseases. Self-reported energy has been described as “the individual’s potential to perform physical and mental activity” and “the individual’s energy availability”. However, little empirical data exists on whether self-reported energy level is related to objectively measured energy level. Prior research suggests that more energy availability is associated with higher physical activity level. It remains unclear whether self-reported energy availability would be associated with objectively measured energy level, such as active energy expenditure and total energy expenditure. Using data from the Health, Aging and Body Composition Study, we identified 94 participants (mean age=86.2±2.4 y/o, 46%blacks, 52%women) with concurrent data on self-reported energy (scale 0-10) and objective energy level by the SenseWear Armband. We examined cross-sectional associations of self-reported energy with objectively measured energy and physical activity levels using Spearman correlation. Greater self-reported energy level was associated with higher daily active energy expenditure in kcal (r=0.30,p=0.004), higher METs (r=0.33,p<0.001), more minutes of physical activity (r=0.35,p<0.001), and more step counts (r=0.36,p<0.001). Self-reported energy was not associated with total energy expenditure (p=0.87) or estimated resting metabolic rate (p=0.53). Self-reported energy may reflect an individual’s activity energy expenditure but not total energy expenditure. It further supports the hypothesis that energy availability even by self-report connects to physical activity behavior. Whether self-reported energy correlates with other health outcomes warrants further investigation.


1990 ◽  
Vol 259 (4) ◽  
pp. E576-E585 ◽  
Author(s):  
M. I. Goran ◽  
E. J. Peters ◽  
D. N. Herndon ◽  
R. R. Wolfe

Total energy expenditure (TEE) was measured in 15 burned children with the doubly labeled water technique. Application of the technique in burned children required evaluation of potential errors resulting from nutritional intake altering background enrichments during studies and from the high rate of water turnover relative to CO2 production. Five studies were discarded because of these potential problems. TEE was 1.33 +/- 0.27 times predicted basal energy expenditure (BEE), and in studies where resting energy expenditure (REE) was simultaneously measured, TEE was 1.18 +/- 0.17 times REE, which in turn was 1.16 +/- 0.10 times predicted BEE. TEE was significantly correlated with measured REE (r2 = 0.92) but not with predicted BEE. These studies substantiate the advantage of measuring REE to predict TEE in severely burned patients as opposed to relying on standardized equations. Therefore we recommend that optimal nutritional support will be achieved in convalescent burned children by multiplying REE by an activity factor of 1.2.


2002 ◽  
Vol 23 (3_suppl1) ◽  
pp. 76-81 ◽  
Author(s):  
Manuel Hernández-Triana ◽  
Gabriela Salazar ◽  
Erik Díaz ◽  
Vivian Sánchez ◽  
Beatriz Basabe ◽  
...  

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