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- Title
A bivariate measurement error model for nitrogen and potassium intakes to evaluate the performance of regression calibration in the European Prospective Investigation into Cancer and Nutrition study.
- Authors
Ferrari, P.; Roddam, A.; Fahey, M. T.; Jenab, M.; Bamia, C.; Ocké, M.; Amiano, P.; Hjartåker, A.; Biessy, C.; Rinaldi, S.; Huybrechts, I.; Tjønneland, A.; Dethlefsen, C.; Niravong, M.; Clavel-Chapelon, F.; Linseisen, J.; Boeing, H.; Oikonomou, E.; Orfanos, P.; Palli, D.
- Abstract
Objectives:Within the European Prospective Investigation into Cancer and Nutrition (EPIC) study, the performance of 24-h dietary recall (24-HDR) measurements as reference measurements in a linear regression calibration model is evaluated critically at the individual (within-centre) and aggregate (between-centre) levels by using unbiased estimates of urinary measurements of nitrogen and potassium intakes.Methods:Between 1995 and 1999, 1072 study subjects (59% women) from 12 EPIC centres volunteered to collect 24-h urine samples. Log-transformed questionnaire, 24-HDR and urinary measurements of nitrogen and potassium intakes were analysed in a multivariate measurement error model to estimate the validity of coefficients and error correlations in self-reported dietary measurements. In parallel, correlations between means of 24-HDR and urinary measurements were computed. Linear regression calibration models were used to estimate the regression dilution (attenuation) factors.Results:After adjustment for sex, centre, age, body mass index and height, the validity coefficients for 24-HDRs were 0.285 (95% confidence interval: 0.194, 0.367) and 0.371 (0.291, 0.446) for nitrogen and potassium intakes, respectively. The attenuation factors estimated in a linear regression calibration model were 0.368 (0.228, 0.508) for nitrogen and 0.500 (0.361, 0.639) for potassium intakes; only the former was different from the estimate obtained using urinary measurements in the measurement error model. The aggregate-level correlation coefficients between means of urinary and 24-HDR measurements were 0.838 (0.637, 0.932) and 0.756 (0.481, 0.895) for nitrogen and potassium intakes, respectively.Conclusions:This study suggests that 24-HDRs can be used as reference measurements at the individual and aggregate levels for potassium intake, whereas, for nitrogen intake, good performance is observed for between-centre calibration, but some limitations are apparent at the individual level.
- Subjects
POTASSIUM; NITROGEN; NUTRITION; CANCER patients; REGRESSION analysis
- Publication
European Journal of Clinical Nutrition, 2009, Vol 63, pS179
- ISSN
0954-3007
- Publication type
Article
- DOI
10.1038/ejcn.2009.80