American Journal of Epidemiology Vol. 127, No. 6: 1240-1249
Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health
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VARIABILITY IN PORTION SIZES OF COMMONLY CONSUMED FOODS AMONG A POPULATION OF WOMEN IN THE UNITEDSTATES
1The Channing Laboratory, Department of Medicine, Harvard Medical School and the Brigham and Women's Hospital, Boston, MA
2Department of Preventive Medicine and Clinical Epidemiology, Harvard Medical School, Boston, MA
3Department of Epidemiology, Harvard School of Public Health, Boston, MA
Reprint requests to Dr. David J. Hunter, Charming Laboratory, 180 Longwood Avenue, Boston, MA 02115.
The use of food frequency questionnaires for measuring dietary Intake has become widespread in epidemiologic. studies. It has been suggested that inquiring about a person's usual serving size of each food, in addition to the frequency of consumption, will improve the accuracy of this method. This approach Implies that individuals characteristically eat a specific amount of any particular food, and that this amount can be reported with reasonable accuracy. To investigate the variability of portion sizes, the authors analyzed data for 68 commonly consumed foods, based on four one-week weighed diet histories recorded by 194 Boston-area women aged 3459 years during 1980 and 1981. For each food, total population variance In portion size was partitioned into withln-person (in-traindividual) and between-person (interindividual) components. For all but seven food items (yogurt, liver, mixed vegetables, watermelon, pancakes/waffles, cold cereal, and cooked cereal) the within-person variance in portion size exceeded the between-person variance. The mean of the withln-person to between-person variance ratios, after exclusion of two outlying foods, was 3.4 for untransformed portion sizes, and 3.2 after portion sizes were log.-transformed. Foods with a high withln-person variance also tended to have a high between-person variance. The dominance of within-person variance in portion sizes suggests that the concept of usual portion size Is complex, and that subjects may experience substantial difficulty In specifying their "usual" portion size. The smaller contribution of between-person variance to the total variance in portion size suggests that specification of a standard portion size by the investigator may not introduce a large error in the estimation of food and nutrient intake.
diet; epidemiologic methods; food; nutrition; nutrition surveys; questionnaires
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