Calorie intake misreporting by diet record and food frequency questionnaire compared to doubly labeled water among postmenopausal women

Eur J Clin Nutr. 2006 Apr;60(4):561-5. doi: 10.1038/sj.ejcn.1602359.


Objective: We assessed the extent of energy misreporting from the use of a self-administered 7-day diet record (7-DDR) and a widely used food frequency questionnaire (FFQ) compared to total energy expenditure from doubly labeled water (DLW) in a group of postmenopausal women.

Design: At baseline, 65 healthy postmenopausal women were instructed to fill out the National Cancer Institute's (NCI) FFQ and a 7-DDR. Average total energy expenditure using the DLW method was also performed at baseline.

Results: On average, the women underestimated total energy intake compared to total energy expenditure assessed from DLW by 37% on the 7-DDR and 42% on the FFQ.

Conclusions: These findings suggest that the interpretation of findings from the 7-DDR- and FFQ-based energy-disease association studies in postmenopausal women needs further evaluation.

Sponsorship: This research was supported (in part) by the Intramural Program of the NIH (National Cancer Institute).

Publication types

  • Comparative Study
  • Research Support, N.I.H., Intramural

MeSH terms

  • Aged
  • Body Water / metabolism*
  • Cross-Sectional Studies
  • Diet Records*
  • Energy Intake*
  • Female
  • Humans
  • Middle Aged
  • Postmenopause
  • Self Disclosure
  • Sensitivity and Specificity
  • Surveys and Questionnaires*
  • Women / psychology*