Dietary assessment methods for micronutrient intake in infants, children and adolescents: a systematic review

Br J Nutr. 2009 Dec:102 Suppl 1:S87-117. doi: 10.1017/S0007114509993163.

Abstract

A systematic literature search identified studies validating the methodology used for measuring the usual dietary intake in infants, children and adolescents. The quality of each validation study selected was assessed using a European micronutrient Recommendations Aligned-developed scoring system. The validation studies were categorised according to whether the study used a reference method that reflected short-term intake ( < 7 d), long-term intake ( > or = 7 d) or used biomarkers. A correlation coefficient for each nutrient was calculated from the mean of the correlation coefficients from each study weighted by the quality of the study. Thirty-two articles were included in the present review: validation studies from infants (1-23 months); child preschool (2-5 years); children (6-12 years); adolescents (13-18 years). Validation of FFQ studies in infants and preschool children using a reference method that reflected short-term intake showed good correlations for niacin, thiamin, vitamins B6, D, C, E, riboflavin, Ca, K, Mg, Fe and Zn (with correlations ranging from 0.55 for vitamin E to 0.69 for niacin).Regarding the reference method reflecting short-term intake in children and adolescents, good correlations were seen only for vitamin C (r 0.61) and Ca (r 0.51). Using serum levels of micronutrient demonstrated that the 3 d weighed dietary records was superior to the FFQ as a tool to validate micronutrient intakes. Including supplement users generally improved the correlations between micronutrient intakes estimated by any of the dietary intake methods and respective biochemical indices.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Biomarkers / blood
  • Child
  • Child Nutritional Physiological Phenomena*
  • Diet Records
  • Diet Surveys
  • Diet*
  • Dietary Supplements
  • Epidemiologic Methods*
  • Europe
  • Humans
  • Infant
  • Micronutrients / administration & dosage*
  • Micronutrients / blood
  • Nutrition Assessment*
  • Nutritional Sciences / standards*
  • Reproducibility of Results*
  • Surveys and Questionnaires

Substances

  • Biomarkers
  • Micronutrients