Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in Children

Accurate measurement of fruit and vegetable (FV) intake is important for nutrition surveillance and evaluation of dietary interventions. We compared two tools for reporting FV intake to objective measurement of skin carotenoids among children. FV cups/day was assessed by repeated 24 h dietary recall...

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Main Authors: Rebecca A. Seguin-Fowler, Karla L. Hanson, Grace A. Marshall, Emily H. Belarmino, Stephanie B. Jilcott Pitts, Jane Kolodinsky, Marilyn Sitaker, Alice Ammerman
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/3/980
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author Rebecca A. Seguin-Fowler
Karla L. Hanson
Grace A. Marshall
Emily H. Belarmino
Stephanie B. Jilcott Pitts
Jane Kolodinsky
Marilyn Sitaker
Alice Ammerman
author_facet Rebecca A. Seguin-Fowler
Karla L. Hanson
Grace A. Marshall
Emily H. Belarmino
Stephanie B. Jilcott Pitts
Jane Kolodinsky
Marilyn Sitaker
Alice Ammerman
author_sort Rebecca A. Seguin-Fowler
collection DOAJ
description Accurate measurement of fruit and vegetable (FV) intake is important for nutrition surveillance and evaluation of dietary interventions. We compared two tools for reporting FV intake to objective measurement of skin carotenoids among children. FV cups/day was assessed by repeated 24 h dietary recalls (24H FV) and the National Cancer Institute’s All-Day Fruit and Vegetable Screener (NCI FV). Skin carotenoids were measured by repeated resonance Raman spectroscopy (RRS) of the palm. FV cups were regressed on RRS scores in unadjusted, field-based, and research-setting models with covariates feasible in each scenario. Data were baseline values from children aged 2–12 years in low-income households enrolled in a healthy eating randomized trial in four U.S. states (<i>n</i> = 177). Twenty-four-hour FV cups were associated with skin carotenoids in all models (<i>p</i> < 0.001) but NCI FV cups were not. Predicted RRS scores for discrete 24H FV cups provide a guide to interpretation of RRS in children (2 cups FV intake ~36,000 RRS units), with the research-setting scenario generally providing the narrowest prediction range (+/−1924). When self-reported data are required, 24 h recalls are more accurate than NCI FV screener data; and, when limited time, resources, or literacy must be considered, RRS scores can be quickly obtained and easily interpreted.
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spelling doaj.art-42c452962b5d43a2b1b0824eca4fcff62023-11-21T10:58:30ZengMDPI AGNutrients2072-66432021-03-0113398010.3390/nu13030980Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in ChildrenRebecca A. Seguin-Fowler0Karla L. Hanson1Grace A. Marshall2Emily H. Belarmino3Stephanie B. Jilcott Pitts4Jane Kolodinsky5Marilyn Sitaker6Alice Ammerman7Texas A&M AgriLife Research and the Department of Nutrition, Texas A&M University System, College Station, TX 77843, USAMaster of Public Health Program and the Department of Population Medicine and Diagnostic Sciences, Cornell University, Ithaca, NY 14853, USAMaster of Public Health Program and the Department of Population Medicine and Diagnostic Sciences, Cornell University, Ithaca, NY 14853, USADepartment of Nutrition and Food Science, University of Vermont, Burlington, VT 05405, USADepartment of Public Health, East Carolina University, Greenville, NC 27834, USACommunity Development and Applied Economics Department, University of Vermont, Burlington, VT 05405, USAThe Evergreen State College, Olympia, WA 98505, USADepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USAAccurate measurement of fruit and vegetable (FV) intake is important for nutrition surveillance and evaluation of dietary interventions. We compared two tools for reporting FV intake to objective measurement of skin carotenoids among children. FV cups/day was assessed by repeated 24 h dietary recalls (24H FV) and the National Cancer Institute’s All-Day Fruit and Vegetable Screener (NCI FV). Skin carotenoids were measured by repeated resonance Raman spectroscopy (RRS) of the palm. FV cups were regressed on RRS scores in unadjusted, field-based, and research-setting models with covariates feasible in each scenario. Data were baseline values from children aged 2–12 years in low-income households enrolled in a healthy eating randomized trial in four U.S. states (<i>n</i> = 177). Twenty-four-hour FV cups were associated with skin carotenoids in all models (<i>p</i> < 0.001) but NCI FV cups were not. Predicted RRS scores for discrete 24H FV cups provide a guide to interpretation of RRS in children (2 cups FV intake ~36,000 RRS units), with the research-setting scenario generally providing the narrowest prediction range (+/−1924). When self-reported data are required, 24 h recalls are more accurate than NCI FV screener data; and, when limited time, resources, or literacy must be considered, RRS scores can be quickly obtained and easily interpreted.https://www.mdpi.com/2072-6643/13/3/980fruit and vegetable consumptionskin carotenoids24 h recallsfruit and vegetable screenerchildrenlow-income US households
spellingShingle Rebecca A. Seguin-Fowler
Karla L. Hanson
Grace A. Marshall
Emily H. Belarmino
Stephanie B. Jilcott Pitts
Jane Kolodinsky
Marilyn Sitaker
Alice Ammerman
Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in Children
Nutrients
fruit and vegetable consumption
skin carotenoids
24 h recalls
fruit and vegetable screener
children
low-income US households
title Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in Children
title_full Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in Children
title_fullStr Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in Children
title_full_unstemmed Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in Children
title_short Fruit and Vegetable Intake Assessed by Repeat 24 h Recalls, but Not by A Dietary Screener, Is Associated with Skin Carotenoid Measurements in Children
title_sort fruit and vegetable intake assessed by repeat 24 h recalls but not by a dietary screener is associated with skin carotenoid measurements in children
topic fruit and vegetable consumption
skin carotenoids
24 h recalls
fruit and vegetable screener
children
low-income US households
url https://www.mdpi.com/2072-6643/13/3/980
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