Evaluation of protein and amino acid intake estimates from the EPIC dietary questionnaires and 24-h dietary recalls using different food composition databases

Isabel Iguacel; Aurora Perez-Cornago; Julie A Schmidt; Heleen Van Puyvelde; Ruth Travis; Corinne Casagrande; Genevieve Nicolas; Elio Riboli; Elisabete Weiderpass; Eva Ardanaz; Aurelio Barricarte; Stina Bodén; Eleonora Bruno; Ana Ching-López; Dagfinn Aune; Torill E Jensen; Ulrika Ericson; Ingergerd Johansson; José Ma Huerta; Verena Katzke; Tilman Kühn; Carlotta Sacerdote; Matthias B Schulze; Guri Skeie; Stina Ramne; Heather Ward; Marc J Gunter; Inge Huybrechts

doi:10.1016/j.numecd.2021.09.012

Evaluation of protein and amino acid intake estimates from the EPIC dietary questionnaires and 24-h dietary recalls using different food composition databases

Nutr Metab Cardiovasc Dis. 2022 Jan;32(1):80-89. doi: 10.1016/j.numecd.2021.09.012. Epub 2021 Sep 20.

Authors

Isabel Iguacel¹, Aurora Perez-Cornago², Julie A Schmidt², Heleen Van Puyvelde³, Ruth Travis², Corinne Casagrande⁴, Genevieve Nicolas⁴, Elio Riboli⁵, Elisabete Weiderpass⁴, Eva Ardanaz⁶, Aurelio Barricarte⁶, Stina Bodén⁷, Eleonora Bruno⁸, Ana Ching-López⁹, Dagfinn Aune¹⁰, Torill E Jensen¹¹, Ulrika Ericson¹², Ingergerd Johansson¹³, José Ma Huerta¹⁴, Verena Katzke¹⁵, Tilman Kühn¹⁵, Carlotta Sacerdote¹⁶, Matthias B Schulze¹⁷, Guri Skeie¹¹, Stina Ramne¹², Heather Ward⁵, Marc J Gunter⁴, Inge Huybrechts⁴

Affiliations

¹ International Agency for Research on Cancer, Nutrition and Metabolism Branch, 69372 Lyon Cedex 08, France; Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain; Instituto Agroalimentario de Aragón, Zaragoza, Spain; Instituto de Investigación Sanitaria Aragón, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición, Zaragoza, Spain. Electronic address: iguacel@unizar.es.
² Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
³ International Agency for Research on Cancer, Nutrition and Metabolism Branch, 69372 Lyon Cedex 08, France; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium.
⁴ International Agency for Research on Cancer, Nutrition and Metabolism Branch, 69372 Lyon Cedex 08, France.
⁵ Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
⁶ Navarra Public Health Institute, Pamplona, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain; CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain.
⁷ Department of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
⁸ Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Venezian, 1, 20133 Milano, Italy.
⁹ Escuela Andaluza de Salud Pública (EASP), Granada, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
¹⁰ Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Nutrition, Bjørknes University College, Oslo, Norway; Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway.
¹¹ Department of Community Medicine, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
¹² Department of Clinical Sciences Malmö, Medical Faculty, Lund University, Sweden.
¹³ Department of Odontology, Section of Cardiology, Biobank Research, Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
¹⁴ Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain.
¹⁵ German Cancer Research Center (DKFZ), Foundation under Public Law, Heidelberg, Germany.
¹⁶ Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Center for Cancer Prevention (CPO), Turin, Italy.
¹⁷ Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Institute of Nutritional Sciences, University of Potsdam, Nuthetal, Germany.

PMID: 34696945
DOI: 10.1016/j.numecd.2021.09.012

Abstract

Background and aims: This study aimed to expand the European Prospective Investigation into Cancer and Nutrition (EPIC) nutrient database (ENDB) by adding amino acid (AA) values, using the U.S. nutrient database (USNDB). Additionally, we aimed to evaluate these new protein and AA intake estimates from the EPIC dietary questionnaires (DQ) and 24-h dietary recalls (24-HDR) using different matching procedures.

Methods and results: Dietary energy, protein and AA intakes were assessed via DQ and 24-HDR by matching with the USNDB food composition table. Energy and protein intakes calculated using USNDB matching were compared with those calculated using ENDB, that uses country specific food composition tables. Pearson correlations, Cohen's weighted kappa statistic and Bland-Altman plots were used to compare data resulting from USNDB matching with our reference from ENDB matching. Very high correlations were found when comparing daily energy (r = 0.99) and dietary protein intakes (r = 0.97) assessed via USNDB with those obtained via ENDB (matching for DQ and 24-HDR). Significant positive correlations were also found with energy and protein intakes acquired via 24-HDRs in the EPIC calibration sample.

Conclusion: Very high correlations between total energy and protein intake obtained via the USDA matching and those available in ENDB suggest accuracy in the food matching. Individual AA have been included in the extended EPIC Nutrient database that will allow important analyses on AA disease prospective associations in the EPIC study.

Keywords: 24-h dietary recall; Amino acid intakes; Dietary questionnaire; Food composition tables; Validity.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Amino Acids
Diet*
Energy Intake
Humans
Neoplasms*
Nutritional Status
Reproducibility of Results
Surveys and Questionnaires

Substances

Amino Acids

Abstract

Publication types

MeSH terms

Substances

Grants and funding