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Published in: Osteoporosis International 2/2009

01-02-2009 | Original Article

Development of a tool for the assessment of calcium and vitamin D intakes in clinical settings

Published in: Osteoporosis International | Issue 2/2009

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Abstract

Summary

The study aim was to develop a tool (software and ruler) to assess the dietary calcium and vitamin D intakes in Portugal, and evaluate the usefulness of non-dietary variables as intake predictors. Our findings indicated that is possible to estimate both using three and six food items, respectively, and non-dietary predictors.

Introduction

The study aim was to develop a tool to assess the dietary calcium and vitamin D intakes in Portugal, and evaluate the usefulness of non-dietary variables as predictors.

Methods

Trained interviewers collected information of 2,414 adults of Porto, Portugal, using a structured questionnaire and a validated semi-quantitative food frequency questionnaire (FFQ). Food items with the highest contribution to the total intake and non-dietary predictors (gender, age and body mass index (BMI)) were selected for the tool. Different statistical approaches were used to predict the intake. A Bland–Altman plot compared the predictions from the tool and the full FFQ.

Results

The items selected to predict intake were milk (38%), cheese (12%), yogurt (10%) and gender for calcium and oily fish (39%), canned fish (9%), white fish (7%), eggs (5%), red meat (5%), age and BMI for vitamin D. The Bland–Altman plot showed that the mean differences were 0.0 (limits of agreement = [-220.67; 220.77]) mg/day and 0.0 (limits of agreement = [-1.03; 1.05]) µg/day, respectively for calcium and vitamin D.

Conclusion

The equations estimated by the best statistical model to predict the calcium and vitamin D intake allowed for the design of a software and a circular ruler useful in clinical settings.
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Metadata
Title
Development of a tool for the assessment of calcium and vitamin D intakes in clinical settings
Publication date
01-02-2009
Published in
Osteoporosis International / Issue 2/2009
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-008-0647-6

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