Reproducibility of two, three, four and five 24-hour recalls in peri-urban African adolescents in the North West province

  • Driekie Rankin North-West University
  • Una Elizabeth MacIntyre University of Limpopo
  • Susanna Magrietha Hanekom North-West University
  • Hendrik Stefanus Steyn North-West University
  • Hester H Wright North-West University
Keywords: Adolescents, dietary assessment, reproducibility, 24-h recalls

Abstract

Background: The objective was to determine the reproducibility of two, three, four and five repeated 24-hour recalls among peri-urban African adolescents. Method: A prospective study design was used within the multidisciplinary PhysicaL Activity in the Young (PLAY) study. Eighty-seven Grade 9 learners (59 girls and 28 boys, aged 10-18 years) with a mean age of 14.7 ± 1.5 years, who had completed five 24-hour recalls, were investigated. The learners were from Seiphemelo Secondary School in Ikageng, a peri-urban area in the North West province of South Africa. Reproducibility coefficients (RCs) and 95% confidence intervals (CIs) were calculated, using the intraclass correlation coefficient formula for transformed values of selected nutrients and food groups, for two, three, four and five repeated 24-hour recalls. The RCs and 95% CIs were compared in order to identify the optimum number of 24-hour recalls to give the best reproducibility results. Results: The RCs were nutrient- and food-group sensitive and ranged from 0.25 (riboflavin) to 0.6 (carbohydrate). Although differences were not statistically significant, RCs for four and five 24-hour recalls were higher than those obtained for two and three 24-hour recalls. For most nutrients and food groups, four 24-hour recalls gave the highest RCs, with non-significant differences overall between the four and five 24-hour recalls. Conclusion: The results suggest that four 24-hour recalls would be sufficient to provide acceptable reproducibility of reported food group and nutrient intakes among peri-urban African adolescents.

Author Biographies

Driekie Rankin, North-West University
PhD Centre of Excellence in Nutrition North-West University (Potchefstroom Campus)
Una Elizabeth MacIntyre, University of Limpopo
PhD Institute for Human Nutrition University of Limpopo (Medunsa Campus)
Susanna Magrietha Hanekom, North-West University
PhD Institute for Human Nutrition University of Limpopo (Medunsa Campus)
Hendrik Stefanus Steyn, North-West University
PhD Statistical Consultation Services North-West University (Potchefstroom Campus)
Hester H Wright, North-West University
PhD Centre of Excellence in Nutrition North-West University (Potchefstroom Campus)
Published
2011-11-13
How to Cite
Rankin, D., MacIntyre, U., Hanekom, S., Steyn, H., & Wright, H. (2011). Reproducibility of two, three, four and five 24-hour recalls in peri-urban African adolescents in the North West province. South African Journal of Clinical Nutrition, 25(1), 27-32. Retrieved from http://sajcn.co.za/index.php/SAJCN/article/view/546
Section
Original Research