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Knüppel, S.* ; Clemens, M.* ; Conrad, J.* ; Gastell, S.* ; Michels, K.B.* ; Leitzmann, M.* ; Krist, L.* ; Pischon, T.* ; Krause, G.* ; Ahrens, W.* ; Ebert, N.* ; Jöckel, K.H.* ; Kluttig, A.* ; Obi, N.* ; Kaaks, R.* ; Lieb, W.* ; Schipf, S.* ; Brenner, H.* ; Heuer, T.* ; Harttig, U.* ; Linseisen, J. ; Nöthlings, U.* ; Boeing, H.*

Design and characterization of dietary assessment in the German National Cohort.

Eur. J. Clin. Nutr. 73, 1480-1491 (2019)
Publ. Version/Full Text Postprint Research data DOI
Open Access Green
Background/Objectives The aim of the study was to describe a novel dietary assessment strategy based on two instruments complemented by information from an external population applied to estimate usual food intake in the large-scale multicenter German National Cohort (GNC). As proof of concept, we applied the assessment strategy to data from a pretest study (2012-2013) to assess the feasibility of the novel assessment strategy.Subjects/Methods First, the consumption probability for each individual was modeled using three 24 h food lists (24h-FLs) and frequencies from one food frequency questionnaire (FFQ). Second, daily consumed food amounts were estimated from the representative German National Nutrition Survey II (NVS II) taking the characteristics of the participants into account. Usual food intake was estimated using the product of consumption probability and amounts.Results We estimated usual intake of 41 food groups in 318 men and 377 women. The participation proportion was 100, 84.4, and 68.5% for the first, second, and third 24h-FL, respectively. We observed no associations between the probability of participating and lifestyle factors. The estimated distributions of usual food intakes were plausible and total energy was estimated to be 2707 kcal/day for men and 2103 kcal/day for women. The estimated consumption frequencies did not differ substantially between men and women with only few exceptions. The differences in energy intake between men and women were mostly due to differences in estimated daily amounts.Conclusions The combination of repeated 24h-FLs, a FFQ, and consumption-day amounts from a reference population represents a user-friendly dietary assessment approach having generated plausible, but not yet validated, food intake values in the pretest study.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Food-frequency Questionnaire; Episodically Consumed Foods; Recovery Biomarkers; Measurement Error; Goldberg Cutoff; Energy-intake; 5 Validation; Instruments; Protein; Evaluate
ISSN (print) / ISBN 0954-3007
e-ISSN 1476-5640
Journal European Journal of Clinical Nutrition
Quellenangaben Volume: 73, Issue: 11, Pages: 1480-1491 Article Number: , Supplement: ,
Publisher Nature Publishing Group
Publishing Place Macmillan Building, 4 Crinan St, London N1 9xw, England
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Independent Research Group Clinical Epidemiology (KEPI)