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.

TitleA 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.
Publication TypeJournal Article
Year of Publication2009
AuthorsFerrari, P, Roddam, A, Fahey, MT, 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, M de Magistris, S, Bueno-de-Mesquita, HB, Peeters, PHM, Parr, CL, Braaten, T, Dorronsoro, M, Berenguer, T, Gullberg, B, Johansson, I, Welch, AA, Riboli, E, Bingham, S, Slimani, N
JournalEur J Clin Nutr
Volume63 Suppl 4
PaginationS179-87
Date Published2009 Nov
ISSN1476-5640
KeywordsAdult, Aged, Calibration, Diet, Diet Records, Diet Surveys, Europe, Female, Humans, Linear Models, Logistic Models, Male, Micronutrients, Middle Aged, Nitrogen, Potassium, Prospective Studies, Reference Values, Reproducibility of Results
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.

DOI10.1038/ejcn.2009.80
Alternate JournalEur J Clin Nutr
Citation Key10.1038/ejcn.2009.80
PubMed ID19888273
Grant List / / British Heart Foundation / United Kingdom
/ / Cancer Research UK / United Kingdom
/ / Department of Health / United Kingdom
/ / Medical Research Council / United Kingdom
/ / Wellcome Trust / United Kingdom