Validity and systematic error in measuring carotenoid consumption with dietary self-report instruments

Am J Epidemiol. 2006 Apr 15;163(8):770-8. doi: 10.1093/aje/kwj082. Epub 2006 Mar 8.

Abstract

Vegetables and fruits are rich in carotenoids, a group of compounds thought to protect against cancer. Studies of diet-disease associations need valid and reliable instruments for measuring dietary intake. The authors present a measurement error model to estimate the validity (defined as correlation between self-reported intake and "true" intake), systematic error, and reliability of two self-report dietary assessment methods. Carotenoid exposure is measured by repeated 24-hour recalls, a food frequency questionnaire (FFQ), and a plasma marker. The model is applied to 1,013 participants assigned between 1995 and 2000 to the nonintervention arm of the Women's Healthy Eating and Living Study, a randomized trial assessing the impact of a low-fat, high-vegetable/fruit/fiber diet on preventing new breast cancer events. Diagnostics including graphs are used to assess the goodness of fit. The validity of the instruments was 0.44 for the 24-hour recalls and 0.39 for the FFQ. Systematic error accounted for over 22% and 50% of measurement error variance for the 24-hour recalls and FFQ, respectively. The use of either self-report method alone in diet-disease studies could lead to substantial bias and error. Multiple methods of dietary assessment may provide more accurate estimates of true dietary intake.

MeSH terms

  • Adult
  • Breast Neoplasms / prevention & control
  • Carotenoids / administration & dosage*
  • Carotenoids / blood
  • Diet Records*
  • Female
  • Humans
  • Mental Recall
  • Models, Statistical
  • Randomized Controlled Trials as Topic
  • Reproducibility of Results
  • Surveys and Questionnaires

Substances

  • Carotenoids