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Results from the self‐administered gerocognitive examination (SAGE) are not associated with misreporters of energy intake among multiethnic older adults
Author(s) -
EttienneGittens Reynolette,
Boushey Carol Jo,
Steffen Alana,
Murphy Suzanne,
Wilkens Lynne R
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.245.8
Subject(s) - confounding , medicine , demography , gerontology , logistic regression , ethnic group , telephone interview , cognitive impairment , cohort , cognition , cohort study , psychiatry , social science , sociology , anthropology
Examine association between misreporting on 24‐hr dietary recalls (24HDR) and SAGE, a screening tool to identify mild to severe cognitive impairment (MSCI). Adults (n=265) from a substudy of the Multiethnic Cohort (MEC) completed 3 telephone 24HDR. The sample represented the 5 ethnic groups in MEC (African American (AA), Hawaiian, Japanese, Latino, non‐Hispanic white (NHW)). SAGE scores defined likely to be normal (17–22) or MSCI (¡Ü16). Estimated Energy Requirement (EER) was computed using low activity. The ratio of reported energy intake (rEI) to EER identified under (<0.75), acceptable (0.75–1.25), or overreporters (>;1.25). The primary outcome of reporting status (under or acceptable/over) was examined using logistic regression adjusted for confounders. The sample included 131 men and 134 women, ages 55–80y. The majority (80%) were characterized as unimpaired. The proportion of underreporters in the sample was 35%. Adjusted for sex, ethnicity, and age, there was no significant association between cognitive status and misreporting. Independent of cognitive status, AA were more likely (p=.046) and Japanese were less likely (p=.023) to underreport compared to NHW. In this sample of older adults, no association between cognitive impairment and misreporting of rEI based on dietary recalls was found. Support for this work was made possible by the National Cancer Institute NIH/NCI 4R37 CA 54281.