Comparing self-reported energy intake using an online dietary tool with energy expenditure by an activity tracker

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Objective
The aim of this study was to compare self-reported total energy intake (TEI) collected using an online multiple-pass 24-h dietary recall tool (Intake24) with total energy expenditure (TEE) estimated from Fitbit Charge 2-improved algorithms in adults from the NoHoW trial (12-mo weight maintenance after free-living weight loss).

Methods
Bland–Altman plots were used to assess the level of agreement between TEI and TEE at baseline and after 12 mo. The ratio of TEI to TEE was also calculated.

Results
Data from 1323 participants (71% female) was included in the analysis (mean ± SD: age 45 ± 12 y, body mass index 29.7 ± 5.4 kg/m2, initial weight loss 11.5 ± 6.5 kg). The TEI was lower than TEE on average by 33%, with limits of agreement ranging from –91% to +25%. Men, younger individuals, those with higher body mass index, those with the greater weight loss before enrollment, and those who gained weight during the study underestimated to a greater extent.

Conclusions
These findings contribute to the ongoing research examining the validity of technology-based dietary assessment tools.

OriginalsprogEngelsk
Artikelnummer112258
TidsskriftNutrition
Vol/bind118
ISSN0899-9007
DOI
StatusUdgivet - 2024

Bibliografisk note

Funding Information:
The NoHoW study received funding from the European Union's Horizon 2020 Research and Innovation Programme (grant no. 643309 to BLH). Aikaterina Vasileiou and Dominique Searle contributed equally to this work.

Publisher Copyright:
© 2023 Elsevier Inc.

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