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Validity and reliability of an online self-report 24-h dietary recall method (Intake24): a doubly labelled water study and repeated-measures analysis.
Online self-reported 24-h dietary recall systems promise increased feasibility of dietary assessment. Comparison against interviewer-led recalls established their convergent validity; however, reliability and criterion-validity information is lacking. The validity of energy intakes (EI) reported using Intake24, an online 24-h recall system, was assessed against concurrent measurement of total energy expenditure (TEE) using doubly labelled water in ninety-eight UK adults (40-65 years). Accuracy and precision of EI were assessed using correlation and Bland-Altman analysis. Test-retest reliability of energy and nutrient intakes was assessed using data from three further UK studies where participants (11-88 years) completed Intake24 at least four times; reliability was assessed using intra-class correlations (ICC). Compared with TEE, participants under-reported EI by 25 % (95 % limits of agreement -73 % to +68 %) in the first recall, 22 % (-61 % to +41 %) for average of first two, and 25 % (-60 % to +28 %) for first three recalls. Correlations between EI and TEE were 0路31 (first), 0路47 (first two) and 0路39 (first three recalls), respectively. ICC for a single recall was 0路35 for EI and ranged from 0路31 for Fe to 0路43 for non-milk extrinsic sugars (NMES). Considering pairs of recalls (first two v. third and fourth recalls), ICC was 0路52 for EI and ranged from 0路37 for fat to 0路63 for NMES. EI reported with Intake24 was moderately correlated with objectively measured TEE and underestimated on average to the same extent as seen with interviewer-led 24-h recalls and estimated weight food diaries. Online 24-h recall systems may offer low-cost, low-burden alternatives for collecting dietary information.UK Medical Research Council support is acknowledged by S. B., S. E. H. and K. L. W. (MC UU 12015/3), by F. I. and N. G. F. (MC UU 12015/5), N. W. (MC UU 12015/1) and M. C. V. (MC U105960384). S. B., K. L. W., N. G. F. and N. W. also acknowledge National Institute for Health Research (NIHR) Biomedical Research Centre Cambridge: Nutrition, Diet, and Lifestyle Research Theme (IS-BRC-1215-20014). A. J. A. is funded by NIHR as an NIHR Research Professor and is a member of FUSE. Cost of isotope work was part funded by a grant from MedImmune Ltd to S. B., part funded by Newcastle University. Food Standards Scotland (previously Food Standards Agency Scotland) funded study 1 and study 3 which are included in the reliability analysis
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Erratum: Validity and reliability of an online self-report 24-hour dietary recall method (Intake24): A doubly-labelled water study and repeated measures analysis - CORRIGENDUM.
[This corrects the article DOI: 10.1017/jns.2019.20.]