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Public Health Nutr. 2002 Aug;5(4):523-9.

Underreporting of energy intake is less common among pregnant women in Indonesia.

Author information

  • 1Epidemiology, Department of Public Health and Clinical Medicine, UmeĆ„ University, Sweden. anna.winkvist@epiph.umu.se

Abstract

OBJECTIVES:

To evaluate the ratio of reported energy intake to basal metabolic rate (EI/BMR) among pregnant Indonesian women, as well as identifying risk factors for being an underreporter.

DESIGN:

Longitudinal study of dietary intake, using six repeated 24-hour diet recalls each trimester. Basal metabolic rate was estimated from body weight and physical activity from occupation. The lower 95% confidence interval for plausible EI/BMR was calculated and the proportion of underreporters estimated. Risk factors for being an underreporter were assessed in multivariate logistic regression analyses.

SETTING:

Purworejo District, central Java, Indonesia.

SUBJECTS:

Pregnant women

RESULTS:

For the three trimesters, EI/BMR ratio was and (mean+/-standard deviation), respectively. The proportion of underreporters was 29.7%, 16.2% and 17.6%. Characteristics significantly associated with underreporting in at least one trimester included high body mass index and low education.

CONCLUSIONS:

Levels of underreporting were low among the pregnant Indonesian women during the second and third trimesters. The low EI/BMR ratio during the first trimester likely reflects a true low intake due to nausea, rather than underreporting. Risk factors for being an underreporter included those known from developed countries, i.e. obesity and low education.

PMID:
12186660
DOI:
10.1079/PHN2001317
[PubMed - indexed for MEDLINE]
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