Evidence map›Paper›PMID 10396494›Full record

Trial reportJournal of epidemiology and community health1999

The validity of dietary assessment in general practice.

P Little, J Barnett, B Margetts, A L Kinmonth, J Gabbay, R Thompson, D Warm, H Warwick, S Wooton

Abstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of epidemiology and community health, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Personality, Risk Perceptions, and Health Behaviors: A Two-Wave Study on Reciprocal Relations in Adults.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Examining the use of the FIGO Nutrition Checklist in routine antenatal practice: multistakeholder feedback to implementation.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. Diet and physical activity intervention in colorectal cancer survivors: a feasibility study.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2015
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

P LittlePrimary Medical Care Group, University of Southampton.
J Barnett
B Margetts
A L Kinmonth
J Gabbay
R Thompson
D Warm
H Warwick
S Wooton

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveTo validate a range of dietary assessment instruments in general practice.

methodsUsing a randomised block design, brief assessment instruments and more complex conventional dietary assessment tools were compared with an accepted "relative" standard--a seven day weighed dietary record. The standard was checked using biomarkers, and by performing test-retest reliability in additional subjects (n = 29). OUTCOMES: Agreement with weighed record. Percentage agreement with weighed record, rank correlation from scatter plot, rank correlation from Bland-Altman plot. Reliability of the weighed record.

settingPractice nurse treatment room in a single suburban general practice. SUBJECTS: Patients with risk factors for cardiovascular disease (n = 61) or age/sex stratified general population group (n = 50).

resultsBrief self completion dietary assessment tools based on food groups caten during a week show reasonable agreement with the relative standard. For % energy from fat and saturated fat, non-starch polysaccharide, grams of fruit and vegetables and starchy foods consumed the range of agreement with the standard was: median % difference -6% to 12%, rank correlation 0.5 to 0.6. This agreement is of a similar order to the reliability of the weighed record, as good as or better than test standard agreement for more time consuming instruments, and compares favourably with research instruments validated in other settings. Under-reporting of energy intake was common (40%) and more likely if subjects were obese (body mass idex (BMI) > or = 30 60% under-reported; BMI < 30 29%, p < 0.001).

conclusionUnder-reporting of absolute energy intake is common, particularly among obese patients. Simple self assessment tools based on food groups, designed for practice nurse dietary assessment, show acceptable agreement with a standard, and suggest such tools are sufficiently accurate for clinical work, research, and possibly population dietary monitoring.

Indexed as

Diet RecordsFamily PracticeAdolescentAdultAgedAged, 80 and overEnergy IntakeHumansMiddle AgedRandom AllocationReproducibility of ResultsSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID10396494
PMCPMC1756848

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.