Assessing the intake of obesity-related foods and beverages in young children: comparison of a simple population survey

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Assessing the intake of obesity-related foods and beverages in young children: comparison of a simple population survey with 24 hr-recall Cheryl-Ann Bennett1, Andrea M de Silva-Sanigorski*1, Melanie Nichols1, Andrew C Bell2 and Boyd A Swinburn1 Address: 1WHO Collaborating Centre for Obesity Prevention, Deakin University, Geelong 3217, Australia and 2University of Newcastle, Callaghan, NSW 2308, Australia Email: Cheryl-Ann Bennett - [email protected]; Andrea M de Silva-Sanigorski* - [email protected]; Melanie Nichols - [email protected]; Andrew C Bell - [email protected]; Boyd A Swinburn - [email protected] * Corresponding author

Published: 26 October 2009 International Journal of Behavioral Nutrition and Physical Activity 2009, 6:71

doi:10.1186/1479-5868-6-71

Received: 18 January 2009 Accepted: 26 October 2009

This article is available from: http://www.ijbnpa.org/content/6/1/71 © 2009 Bennett et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Background: With an increasing focus on obesity prevention there is a need for simple, valid tools to assess dietary indicators that may be the targets of intervention programs. The objective of this study was to determine the relative validity of previous day dietary intake using a newly developed parent-proxy questionnaire (EPAQ) for two to five year old children. Methods: A convenience sample of participants (n = 90) recruited through preschools and the community in Geelong, Australia provided dietary data for their child via EPAQ and intervieweradministered 24-hour dietary recall (24 hr-recall). Comparison of mean food and beverage group servings between the EPAQ and 24 hr-recall was conducted and Spearman rank correlations were computed to examine the association between the two methods. Results: Mean servings of food/beverage groups were comparable between methods for all groups except water, and significant correlations were found between the servings of food and beverages using the EPAQ and 24-hr recall methods (ranging from 0.57 to 0.88). Conclusion: The EPAQ is a simple and useful population-level tool for estimating the intake of obesity-related foods and beverages in children aged two to five years. When compared with 24hour recall data, the EPAQ produced an acceptable level of relative validity and this short survey has application for population monitoring and the evaluation of population-based obesity prevention interventions for young children.

Background The increasing prevalence of obesity in children has been partially attributed to the over-consumption of energydense, nutrient poor foods and sugar-sweetened bever-

ages [1-6]. Fast food, packaged snacks, sweet drinks, and biscuits (cookies) have also been