Validity and reproducibility of a computerised tool for assessing the iron, calcium and vitamin C intake of Belgian women

Eur J Clin Nutr. 2004 Sep;58(9):1297-305. doi: 10.1038/sj.ejcn.1601965.

Abstract

Objective: To determine the relative validity of a newly developed iron intake assessment tool, designed specifically to assess iron, calcium and vitamin C intake.

Design: Estimates of iron, calcium and vitamin C intake from a computerised iron intake assessment tool compared with those from 11-day estimated dietary records.

Setting: Region of Ghent (N= +/- 225,000), a city in Flanders, the Dutch-speaking part of Belgium.

Subjects: In all, 50 women aged 18-39 y, participating in a large-scale epidemiological study on iron intake and iron status.

Main results: Mean dietary iron intake from the 11-day food record, the unadjusted dietary iron intake assessment tool and the adjusted tool was, respectively, 10.5 +/- 2.7, 10.4 +/- 4.3 and 9.6 +/- 2.9 mg. For the different nutrients, the correlation coefficients vary from 0.45 to 0.60 for adjusted intake. The mean difference of iron intake by the two methods (0.8 +/- 2.9 mg) did not differ significantly from zero. The new method correctly classified 38% (iron), 38% (calcium) and 58% (vitamin C) of the subjects to the correct tertile. The correlation coefficients ranged from 0.48 for adjusted vitamin C intake to 0.73 for adjusted calcium intake between two administrations.

Conclusion: The newly developed instrument can be used to assess mean group intakes of iron, calcium and vitamin C in women consuming a Western diet. However, since the ranking capability of the new tool is rather weak, further refinement of the tool is required to produce a robust method for assessing iron, calcium and vitamin C intakes of individuals.

Sponsorship: This research was supported by the Belgian National Fund for Scientific Research/Flemish Division (Fund No G.0152.01).

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Ascorbic Acid / administration & dosage*
  • Belgium
  • Calcium, Dietary / administration & dosage*
  • Computers
  • Diet Records
  • Diet Surveys
  • Female
  • Humans
  • Iron, Dietary / administration & dosage*
  • Nutrition Assessment*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Surveys and Questionnaires / standards*

Substances

  • Calcium, Dietary
  • Iron, Dietary
  • Ascorbic Acid