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Validation of a dietary record routine in geriatric patients using doubly labelled water

European Journal of Clinical Nutrition volume 54, pages 789–796 (2000)Cite this article

Abstract

Objective: To validate a 7-day estimated dietary record routine with standardized portion sizes and household measuring in a clinical setting with the doubly labelled water (DLW) method as the reference method.

Design: Energy expenditure was measured with deuterium (2H) and oxygen-18 (18O), and water loss was estimated by 2H dilution as part of the DLW measurements. Energy and water intake was measured with a 7 day dietary record.

Setting: Five nursing home wards in Sweden.

Subjects: Thirty-one geriatric patients with a mean age of 86 y. Inclusion criteria were stable body weight, defined as a maximum change of ±4% during the last 4 months of ±2% during the last 2 months and without any acute illness.

Results: The mean daily energy intake was 7.2 MJ (1727 kcal) and the mean daily energy expenditure was 6.7 MJ (1595 kcal). The mean daily water intake was 1787 ml and mean daily water loss assessed by labelled water was 1774 ml. Using the dietary record routine, the staff overestimated the patients' energy intake by 8% and water intake from food and beverages by<1% compared to DLW.

Conclusion: The 7 day dietary record routine based on standardized portion sizes and household measuring seems to be a valid method for assessing the intake of energy and fluids by geriatric patients.

European Journal Of Clinical Nutrition (2000) 24, 789–796

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Authors and Affiliations

  1. Division of Geriatric Medicine, Department of Community Medicine, Lund University, Sweden

    M Persson & S Elmståhl

  2. Department of Human Biology, Maastricht University, Maastricht, The Netherlands

    KR Westerterp

Authors
  1. M Persson
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  2. S Elmståhl
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  3. KR Westerterp
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Contributions

Guarantor: M Persson.

Contributors: MP conducted the fieldwork, performed the data analyses and was primarily responsible for writing the manuscript. SE provided guidance in the study design, supervised analysis and contributed to editing of the manuscript. KRW did the analysis and calculations regarding the doubly labelled water and contributed to editing the manuscript.

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Correspondence to M Persson.

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Persson, M., Elmståhl, S. & Westerterp, K. Validation of a dietary record routine in geriatric patients using doubly labelled water. Eur J Clin Nutr 54, 789–796 (2000). https://doi.org/10.1038/sj.ejcn.1601092

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  • DOI: https://doi.org/10.1038/sj.ejcn.1601092

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