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<title>The American Journal of Clinical Nutrition Volume 153 Issue 1 2023</title>
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<publisher>2023</publisher>
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<edition>Volume 153 Issue 1 2023</edition>
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<note>Background: Accurate measurement of dietary intake throughout childhood is important to monitor children&rsquo;s growth and development
and for their long-term health. However, measuring dietary intake in children is challenging because of misreporting, difficulties in
establishing portion size, and heavy reliance on proxy reporters.
Objectives: This study aimed to determine the accuracy of self-reported food intake by primary school children aged 7&ndash;9 y.
Methods: A total of 105 children (51% boys), aged 8.0  0.8 y, were recruited from three primary schools in Selangor, Malaysia. Individual
meal intakes during a school break time were determined using a food photography method as the reference method. The children were
then interviewed the following day to assess their recall of their meal intakes the previous day. ANOVA and Kruskal-Wallis tests were used to
determine mean differences in the accuracy of reporting food items and amount by age and weight status, respectively.
Results: On average, the children achieved 85.8% match rate, 14.2% omission rate, and 3.2% intrusion rate for accuracy in reporting food
items. The children also achieved 85.9% correspondence rate and 6.8% inflation ratio for accuracy in reporting food amounts. Children
living with obesity had notably higher intrusion rates compared with normal weight children (10.6% vs. 1.9%) (P &lt; 0.05). Children aged &gt;9
y had notably higher correspondence rates, compared with children aged 7 y (93.3% vs. 78.8%) (P &lt; 0.05).
Conclusions: The low omission and intrusion rates and the high correspondence rate indicate that primary school children aged 7&ndash;9 y are
capable of self-reporting food intake accurately for a lunch meal without proxy assistance. However, to confirm children&rsquo;s abilities to report
their daily food intakes, further studies should be conducted to assess the accuracy of children in reporting their food intakes for more than
one meal in a day.
Keywords: dietary assessment, young children, reporting accuracy, diet recall, school</note>
<subject authority=""><topic>Clinical Nutrition</topic></subject>
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