Total energy intake of the US population: the third ...

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Christopher. Sempos for consultation regarding the underreporting of dietary ... 25 43(7):l16-7,. 123-5. 10. Carroll. MD, Abraham. 5, Dresser CM. Dietary intake.
Total energy intake of the US population: Health and Nutrition Examination Survey, R Briefel,

Ronette

Margaret

D (‘arroll,

ABSTRACT ination

The third

Survey

and

status

lected

for

status

14 801

among

had

higher

intake

ratio

(EI:BMR,)

nant

adult

BMRCSI food

was

intakes

and

1.28

persons.

Am

adult-

were

similar

had

a

in males).

J C/in

of

This

eluded

mean

El:

in females

1995;62(suppl):

1072S-80S.

KEY

(13).

WORDS

Dietary

surveys,

energy,

NHANES

the

health

alized NHANES

and

of

(CDC). 1974

and

in

from

the

first

nutrition

10725

health

(5,

civilian The

and

noninstitutionthird

such

survey

Control

design

was

a

Hispanic States

special

The

October,

Phase

197 1-

NI-lANES

aged

60 y were

oversampled,

with

previous

(2).

Data are

report.

used

included

(9,

in each

status assessment to track progress 10),

1 1, 12).

(6-9), and This

(3-5). toward

to provide

to study report

NHANES

the

kg) and

presents Am

reference NI-LANES

J Cli,,

Nutr

(2).

stratified

of the civilian States was seinterview

survey

com-

was 2 mo

5 y and

expanding

the

and

persons

age

In addition,

Mexican

con-

nationally

aged to

range

blacks

in years

Information on classify persons

and

at the time

self-reported race as non-Hispanic

American,

with an electronic places. Persons

or

load were

“other.”

cell scale dressed

in in

gown, paper pants, and foamwas made for clothing weight

Pregnancy testing

and

comprise

2 mo

thus

black,

urine

highly

status

was

in females

determined

aged

20

by

self-

y (2).

method

All initial examination

24-h recall schedules

1 study

design 24-h

follow-up

interviews included

24-h

also

included

recall

for

5%

recalls

by

telephone

50 y (2, 14, 15). Phase Phase 1 recalls, intakes 8%

were conducted in the MEC; all days of the week. The the

collection

of MEC

of a second

examinees

for

all

and

persons

two

aged

1 data for 1 d are reported here. Of the are distributed for days of the week as

Sunday,

10%

Monday,

11%

Tuesday,

19%

as a part

NHANES achieving

relations

aged

underwear, a disposable paper rubber slippers. No adjustment

follows: are

ad-

conducted in mobile dietary recall was in-

NHANESs.

non-Hispanic

nonrandom III

1 (1988-1991),

a

a household

as a 6-y

Children

Phase

residing

1994

and

component. designed

in households.

Dietary

Hispanic

subgroups (1).

in

III,

in

was

component A 24-h

living

report

Prevention

completed

were

ended

and

intake survey.

in which a sample of the United

includes

examination III

(0. 1-0.2

survey,

and nutrition examination Center for Health Statistics

1982-1984,

three

United

objectives

intakes

In

of NHANES

interviews

nutrient and

1988

half

in this nutritional data are

of the

Disease

for

of the

Examination Surveys periodic information on

States.

surveys

(1).

conducted

October,

Dietary of the intake

for

national

areas

presented

and

Centers

1976-1980

in selected

United

is the latest health by the National

the

was

began

status

of the

Previous

HANES

and Nutrition to provide

nutritional

III, conducted

(NCHS)

sample design population

Body weight was measured kilograms to two decimal

population

survey

III

ducted in two 3-y phases. Both phases representative samples of the US population

white, INTRODUCTION Health designed

energy in the

METHODS

of the household interview. and ethnicity was used to

The National (NHANESs) are

daily energy

Mexican Americans were oversampled. In NI-lANES III, age was defined as age

nutrition

national

on

an examination centers (MECs).

in the

compared

surveys.

data

AND

The

NHANES

Underreporting

Nutr

DESIGN

ponent and examination

for nonpreg-

among

L Bischo/

of total

NHANES

lected

a ratio

lower

problematic

SURVEY The

Mexican

(BMRCSI).

1.26

reference

underreporting

multistage probability noninstitutionalized

young

by computing rate

inrace-

females.

and

Ann

col-

and

did

patterns

males

remains

sex,

blacks,

adults

and

surveys

energy

than

metabolic

for adult

nutri-

SEM)

and

intake

the were

R Caughman.

dresses

health

of

Clifford

1, population

Examthe

recalls

age,

adolescence

basal

in females

by

non-Hispanic

Overweight

overweight



was addressed 1.47

females.

energy late

to estimated

consumption

and

2 mo

whites,

(El)

(1.09

aged

Energy

Underreporting

energy

Mean

during

part

dietary

persons.

thereafter.

non-Hispanic

As

24-h

mean

Nutrition

to assess

population.

reliable

peaked

declined

Americans.

US

and

conducted

Alairno,

dietary health data

between

on diet

III, Phase 1995;62(suppl):1072S-80S.

I

for

From

the

Health

ville,

MD.

2

Address

Division

of Health

Examination

Statistics,

Centers

for

Disease

reprint

requests

to

RR

Statistics/CDC, Printed

6525

Belcrest

in USA.

Road.

© 1995

Briefel. Room

American

Statistics.

Control

and

National

Center

Prevention,

National

Center

lOOt).

Hyattsville.

Society

for

Clinical

Hyattsfor

Health

MD

20782.

Nutrition

Downloaded from www.ajcn.org by guest on July 13, 2011

and

the

Health

was

for persons

intakes

hood

of

examined

Males

Energy

III)

assessment,

are reported

ethnicity.

National

(NHANES

nutritional

tional

takes

Margaret A McDowell, Katherine and Clifford L Johnson

the third National 1 988-i 991 ,2

ENERGY Wednesday,

The

17%

higher

tions

to

tions

and

A

Thursday,

proportion

increase

response

the

system,

Coordinating was used

Center to collect

Development,

pilot

described

(NCC) NHANES

plain

recall

all food

list”).

Specific

drinking

items probes

for

amount

mentioned

on the quick read

included

alcoholic

crackers, specified,

and the

spondent

to

for

of

2 mo

to

report

and

their

own

respondent dent

(24%).

was

conducted

(2%

For

(22%),

and

Data

retrieval as

Dietary

conducted

Interviewer’s

tails

24-h

Quality

control

All

NHANES

hensive

2-wk

data

and

bilingual

viewer

training.

were Strict

the

quality

a 10%

comparisons viewers

of over

conducted

and the

conducted Response Survey

using

to reinforce

between

interviewers,

used

interviewer protocol

and

the survey to routinely

and

describe

response

were

rates

and

shown

sample in Table

sizes

-