title: Dietary assessment among women with overweight and obesity in early postpartum.
abstract: The present study aimed to assess dietary intake and evaluate the degree of agreement of group-level dietary intake as measured by 24-h recall against a 4-day diet record among postpartum women with overweight and obesity.
  
  
  
  A cross-sectional study was conducted of 110 Swedish women with a body mass index of ≥27 kg m(-2) at 6-15 weeks postpartum who were recruited to a weight loss trial and randomised to diet intervention or control. One 24-h recall was conducted among all women prior to randomisation. In addition, women subsequently randomised to diet intervention also conducted a 4-day diet record before receiving dietary treatment (n = 54). Paired tests were used to evaluate agreement of group-level dietary intake as measured by 24-h recall against 4-day diet record among women randomised to diet intervention.
  
  
  
  Women reported a median (25th and 75th percentiles) energy intake of 9.1 (6.9, 11.7) MJ day(-1) and an intake of fibre, vitamin D, folate and iron below the recommended intake as assessed by 24-h recall prior to randomisation (n = 110). Group-level median intakes of energy (9.9 versus 10.0 MJ day(-1) ), fibre (21.9 versus 21.3 g day(-1) ), vitamin D (4.8 versus 6.5 μg day(-1) ), folate (296 versus 287 μg day(-1) ), iron (11.0 versus 11.3 mg day(-1) ) and calcium (915 versus 968 mg day(-1) ) did not differ significantly between the methods; however, the record captured a higher energy-adjusted intake of fat, saturated fat and alcohol, as well as a lower intake of carbohydrates, compared to the recall (n = 54).
  
  
  
  We found no difference in group-level estimates of energy or micronutrients between the recall and the record; however, there were some differences for macronutrients.
authors.affiliation: Department of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors.forename: E
authors.initials: E
authors.lastname: Huseinovic
authors.affiliation: Department of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors.forename: A
authors.initials: A
authors.lastname: Winkvist
authors.affiliation: Department of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors.forename: F
authors.initials: F
authors.lastname: Bertz
authors.affiliation: Department of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.|Närhälsan, Research and Development, Primary Health Care, Region Västra Gätaland, Borås, Sweden.
authors.forename: E
authors.initials: E
authors.lastname: Hellebö Johansson
authors.affiliation: Department of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors.forename: H K
authors.initials: HK
authors.lastname: Brekke
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000208:ethnology; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004032:Diet / Q000009:adverse effects* / Q000208:ethnology; D015930:Diet Records; D000072001:Diet, Healthy; D059305:Diet, High-Fat / Q000009:adverse effects; D002149:Energy Intake; D005260:Female; D006801:Humans; D007774:Lactation / Q000208:ethnology; D039382:Maternal Nutritional Physiological Phenomena / Q000208:ethnology; D015596:Nutrition Assessment; D009765:Obesity / Q000208:ethnology / Q000209:etiology*; D050177:Overweight / Q000208:ethnology / Q000209:etiology*; D010349:Patient Compliance / Q000208:ethnology; D049590:Postpartum Period; D011446:Prospective Studies; D015203:Reproducibility of Results; D012189:Retrospective Studies; D057566:Self Report; D013548:Sweden
keywords: 24-h recall; diet record; dietary assessment; obesity; overweight; postpartum