Validation of an automated self-administered 24-hour dietary recall web application against urinary recovery biomarkers in a sample of French-speaking adults of the province of Québec, Canada

Appl Physiol Nutr Metab. 2022 Feb;47(2):173-182. doi: 10.1139/apnm-2021-0445. Epub 2022 Jan 20.

Abstract

The objective of this study was to validate an automated self-administered 24-hour dietary recall web application (R24W) against recovery biomarkers for sodium, potassium and protein intakes and to identify individual characteristics associated with misreporting in a sample of 61 men and 69 women aged 20-65 years from Québec City, Canada. Each participant completed 3 dietary recalls using the R24W, provided two 24-hour urinary samples and completed questionnaires to document psychosocial factors. Mean reported intakes were 2.2%, 2.1% and 5.0% lower than the urinary reference values, respectively, for sodium, potassium and proteins (significant difference for proteins only (p = 0.04)). Deattenuated correlations between the self-reported intake and biomarkers were significant for sodium (r = 0.48), potassium (r = 0.56) and proteins (r = 0.68). Cross-classification showed that 39.7% (sodium), 42.9% (potassium) and 42.1% (proteins) of participants were ranked into the same quartile with both methods and only 4.8% (sodium), 3.2% (potassium) and 0.8% (proteins) were ranked in opposite quartiles. Lower body esteem related to appearance was associated with sodium underreporting in women (r = 0.33, p = 0.006). No other individual factor was found to be associated with misreporting. These results suggest that the R24W has a good validity for the assessment of sodium, potassium and protein intakes in a sample of French-speaking adults. Novelty: The validity of an automated self-administered 24-hour dietary recall web application named the R24W was tested using urinary biomarkers. According to 7 criteria, the R24W was found to have a good validity to assess self-reported intakes of sodium, potassium and proteins.

Keywords: 24-hour dietary recall; 24-hour urine collection; apports alimentaires; biomarqueurs de récupération; caractéristiques individuelles; collecte d’urine sur 24 heures; dietary assessment; dietary intakes; erreurs de déclaration; individual characteristics; misreporting; rappel alimentaire de 24 heures; recovery biomarkers; évaluation alimentaire.

MeSH terms

  • Adult
  • Aged
  • Biomarkers / urine
  • Diet Surveys / methods
  • Diet Surveys / standards*
  • Dietary Proteins / urine*
  • Female
  • Humans
  • Male
  • Mental Recall
  • Middle Aged
  • Mobile Applications / standards*
  • Potassium, Dietary / urine*
  • Quebec
  • Reproducibility of Results
  • Sodium, Dietary / urine*
  • Surveys and Questionnaires / standards
  • Young Adult

Substances

  • Biomarkers
  • Dietary Proteins
  • Potassium, Dietary
  • Sodium, Dietary