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Idames pilot study Dietary intake Domenico Palli Molecular and Nutritional Epidemiology Unit Cancer Research and Prevention Institute (ISPO) Florence Italy
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Preliminary considerations on 24HDR In general, the decision on how many days should be covered by 24HDR to obtain a satisfactory estimate of the consumption /intake of specific foods/ nutrients depends on several factors, including the statistical characteristics of the specific variable(s) of interest, including among the others: Mean consumption/ intake Between-day variability
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Data analysis Description of the study population (participants in local cohort studies, including 4 EPIC centers) Distribution of macronutrients, energy and food groups according to 24h dietary recalls (24HDR) Reliability measures (1st vs 2nd 24HDR) The study is still ongoing, here we present very preliminary results!
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Idames 24HDR - Feasibility 400 Invited subjects IDAMES Centre Total response rate Total participation rate - EFPQ First 24-H D Recall Second 24-H D Recall Third 24-H D Recall N%N%N%N%N% Estonia7796.3%7087.5%6998.6%6390.0%2941.4% Germany7492.5%5568.8%55100.0%5090.9%4887.3% Italy6682.5%4860.0%4389.6%3164.6%36.3% Norway6075.0%3037.5%2480.0%1136.7%13.3% Spain7290.0%5973.8%1932.2%00.0%0 Overall34987.3%26265.5%21080.2%15559.2%8130.9%
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Males 24H D Recall CountryFirstSecondThirdOverall Estonia37331484 Germany26242272 Italy2516142 Spain9009 Overall977337207 24HDR Recalls by Gender Females 24H D Recall CountryFirstSecondThirdOverall Estonia32301577 Germany29262681 Italy1815235 Norway2411136 Spain100010 Overall1138244239
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Study population characteristics Females (n=113) Age (yrs)Height (cm)Weight (kg)BMI (Kg/m2) CountryNMeanSDMeanSDMeanSDMeanSD Estonia3233.713.2167.85.771.316.625.46.1 Germany2964.16.8163.27.371.716.226.95.5 Italy18665.6152.237.165.213.325.35.2 Norway2455.84.0167.98.370.212.625.15.8 Spain1060.86.1159.76.962.2624.42 Overall11353.815.6163.416.769.414.625.65.5
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Study population characteristics Males (n = 97) Age (yrs)Height (cm)Weight (kg)BMI (Kg/m2) CountryNMeanSDMeanSDMeanSDMeanSD Estonia3734.612.4182.36.886.011.925.94.0 Germany2665.56.7177.48.085.012.227.03.5 Italy2562.011.5174.65.780.39.326.42.9 Spain962.85.0171.97.680.18.927.12.8 Overall9752.917.4177.97.883.711.327.02.3
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Days of the week distribution 1st 24HDR (N = 210) 2nd 24HDR (N = 155) 3rd 24HDR (N = 81)
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Macronutrients and energy – First 24HDR Females (n = 113)
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Macronutrients and energy – First 24HDR Males (n = 97)
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Food groups – First 24HDR Females (n = 113) EstoniaGermanyItalyNorwaySpain MeanSDMeanSDMeanSDMeanSDMeanSD Potatoes, tubers (g/day)94.392.3109.9110.847.598.874.6146.966.666.0 Vegetables (g/day)121.9200.1122.0125.4176.0122.6165.9144.8151.983.1 Fruits (g/day)179.5243.7211.7174.4338.7229.2219.5196.9194.0170.0 Cereals (g/day)187.1191.3121.180.3207.981.8192.6177.5434.8277.4 Animal products EstoniaGermanyItalyNorwaySpain MeanSDMeanSDMeanSDMeanSDMeanSD Dairy products (g/day)395.0352.9276.1184.0244.2117.0263.9230.6490.8168.6 Meat & derivatives (g/day)132.6185.699.9100.798.574.669.569.982.288.9 Fish & crustaceans (g/day)67.996.914.136.611.731.349.368.976.399.0 Eggs (g/day)6.735.421.036.11.13.519.936.125.334.9 Other products EstoniaGermanyItalyNorwaySpain MeanSDMeanSDMeanSDMeanSDMeanSD Oils & Fats (g/day)14.217.623.117.217.912.814.213.133.724.9 Cakes & Biscuits (g/day)36.662.937.980.935.959.020.139.414.618.3 Condiments, sauces (g/day)62.676.126.436.017.226.720.324.85.417.1
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Food groups – First 24HDR Males (n = 97) Vegetal products EstoniaGermanyItalySpain MeanSDMeanSDMeanSDMeanSD Potatoes, tubers (g/day)179.0188.0147.9129.153.8127.378.446.8 Vegetables (g/day)82.195.4144.4105.9214.6148.5236.9152.3 Fruits (g/day)72.6122.1222.3225.3338.7220.9293.3332.5 Cereals (g/day)182.3124.7202.3129.4343.7184.7330.6271.9 Animal products EstoniaGermanyItalySpain MeanSDMeanSDMeanSDMeanSD Dairy products (g/day)521.0460.3280.2252.9172.5135.1484.8225.3 Meat & derivatives (g/day)173.6134.5149.2119.2124.8113.6224.2170.2 Fish & crustaceans (g/day)44.894.325.468.222.647.393.394.2 Eggs (g/day)13.939.618.542.713.343.831.858.3 Other products EstoniaGermanyItalySpain MeanSDMeanSDMeanSDMeanSD Oils & Fats (g/day)16.321.240.626.531.819.343.228.9 Cakes & Biscuits (g/day)116.3182.862.397.840.755.224.043.9 Condiments, sauces (g/day)62.482.723.332.930.841.50.0
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Comparison between First (I) and Second (II) 24HDR Macronutrients – Females (n = 81)
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Comparison between First (I) and Second (II) 24HDR Macronutrients – Males (n = 72)
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Differences between First (I) and Second (II) 24HDR Food groups daily consumption– Females (n = 81) EstoniaGermanyItalyNorway Mean95% CIMean95% CIMean95% CIMean95% CI Cereals (g)-5.7(-82.0; 70.6)4.6(-32.8; 42.0)8.1(-43.7; 59.8)125.7(-50.0; 301.4) Vegetables (g)-16.6(-84.9; 51.7)-42.1(-94.9; 10.6)-12.8(-96.3; 70.7)41.4(-40.8; 123.7) Fruits (g)9.0(-82.7; 100.7)-24.0(-121.9; 73.8)32.6(-83.4; 148.7)29.2(-54.6; 113.1) Dairy products (g)5.7(-134.1; 145.6)86.7(14.7; 158.7)62.3(-13.4; 138.0)-4.8(-248.7; 239.2) Meat & derivatives (g)27.5(-60.3; 115.2)5.3(-39.9; 50.4)-3.3(-111.8; 105.1)-29.4(-77.2; 18.4) Fish & crustaceans (g)43.2(-1.2; 88.3)-10.7(-33.9; 12.6)-17.2(-50.8; 16.4)2.5(-34.3; 39.3)
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Differences between First (I) and Second (II) 24HDR Food groups daily consumption– Males (n = 72) EstoniaGermanyItaly Mean95% CIMean95% CIMean95% CI Cereals (g)-64.7(-134.0; 4.7)21.7(-34.9; 78.3)16.4(-123.2; 156.0) Vegetables (g)-64.1(-135.9; 7.7)13.6(-46.2; 73.4)81.6(19.9; 143.4) Fruits (g)6.3(-41.2; 53.8)-13.1(-74.5; 48.2)104.7(-39.3; 248.8) Dairy products (g)50.8(-92.1; 193.6)-60.5(-176.3; 55.2)-29.3(-108.1; 49.4) Meat & derivatives (g)-121(-204.5; -37.8)7.1(-53.8; 68.0)-120.9(-250.8; 9.0) Fish & crustaceans (g)29.6(-6.5; 65.7)-18.7(-49.2; 11.9)8.2(-41.1; 57.4)
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Reliability measures (1° 24 HDR vs 2° 24HDR) * Adjusted for country and weekend (y/n) Males (N = 72)Females (N = 81) Intraclass correlation CrudeAdjusted*CrudeAdjusted* Protein0.300.29 0.27 Carbohydrates0.420.410.440.42 Fats0.350.310.210.23 Alcohol0.340.230.330.30 % E from Carbohydrates0.290.250.200.19 % E from Fats0.230.15 % E from Proteins0.090.060.180.17 % E from Alcohol0.370.230.340.30 Energy0.360.350.380.39 Potatoes, tubers0.290.180.080.01 Fruits0.540.350.440.37 Cereals0.250.120.220.16 Dairy products0.440.430.380.35 Meat & derivatives0.130.080.070.05 Oils & Fats0.480.290.520.47 Cakes & Biscuits0.380.240.390.14
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