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Preprint
Validity of Dietary Assessment in Athletes: A Systematic Review
Preprints, 2017100081
MDPI AG
2017
Abstract
Dietary assessment methods recognized as appropriate for the general population are usually applied in a similar manner to athletes, despite knowledge that sport-specific factors can complicate assessment and impact accuracy in unique ways. As dietary assessment methods are used extensively within the field of sports nutrition, there is concern the validity of methodologies have not undergone more rigorous evaluation in this unique population sub-group. The purpose was to systematically review studies comparing two or more methods of dietary assessment, including dietary intake measured against biomarkers or reference measures of energy expenditure, in athletes. Six electronic databases were searched for English-language, full-text articles published from January 1980 until June 2016. The search strategy combined the following keywords: diet, nutrition assessment, athlete and validity; where the following outcomes are reported but not limited to: energy intake, macro and/or micronutrient intake, food intake, nutritional adequacy, diet quality, or nutritional status. Meta-analysis was performed on studies with sufficient methodological similarity, with between-group standardized mean differences (or effect size) and 95 % confidence intervals (CI) calculated. Of the 1624 studies identified, 18 were eligible for inclusion. Studies comparing self-reported energy intake (EI) to energy expenditure assessed via doubly labelled water were grouped for comparison (n=11) and demonstrated mean EI was under-estimated by 19 % (- 2793 ± 1134 kJ/d). Meta-analysis revealed a large pooled effect size of - 1.006 (95% CI: -1.3 to -0.7; p<0.001). The remaining studies (n=7) compared a new dietary tool or instrument to a reference method(s) (e.g. food record, 24-h dietary recall, biomarker) as part of a validation study. This systematic review revealed there are limited robust studies evaluating dietary assessment methods in athletes. Existing literature demonstrates substantial variability between methods, with under and misreporting of intake frequently observed. There is a clear need for careful validation of dietary assessment methods, including emerging technical innovations, among athlete populations.
Details
- Title
- Validity of Dietary Assessment in Athletes: A Systematic Review
- Authors
- Louise Capling (Author) - University of SydneyKathryn L Beck (Author) - Massey University, New ZealandJanelle A Gifford (Author) - University of SydneyGary J Slater (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringVictoria M Flood (Author) - University of SydneyHelen O'Connor (Author) - University of Sydney
- Publication details
- Preprints, 2017100081
- Publisher
- MDPI AG
- Date published
- 2017
- DOI
- 10.20944/preprints201710.0081.v1
- ISSN
- 2310-287X; 2310-287X
- Copyright note
- Copyright © 2017 by the author(s). Distributed under a Creative Commons CC BY license.
- Organisation Unit
- School of Health - Nutrition & Dietetics; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99451164802621
- Output Type
- Preprint
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