Comparing food intake using the Dietary Risk Assessment with multiple 24-hour dietary recalls and the 7-Day Dietary Recall

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Medicine, Division of Cardiovascular Medicine

Publication Date


Document Type



Cardiovascular Diseases; Counseling; *Diet Surveys; *Eating; *Feeding Behavior; Female; Humans; Male; Middle Aged; Nutrition Physiology; *Questionnaires; Risk Assessment; Risk Factors; Statistics, Nonparametric


Cardiology | Cardiovascular Diseases | Community Health and Preventive Medicine | Dietetics and Clinical Nutrition


The Dietary Risk Assessment (DRA) is a brief dietary assessment tool used to identify dietary behaviors associated with cardiovascular disease. Intended for use by physicians and other nondietitians, the DRA identifies healthful and problematic dietary behaviors and alerts the physician to patients who require further nutrition counseling. To determine the relative validity of this tool, we compared it to the 7-Day Dietary Recall (an instrument developed to assess intake of dietary fat) and to the average of 7 telephone-administered 24-hour dietary recalls. Forty-two free-living subjects were recruited into the study. The 7-Day Dietary Recall and DRA were administered to each subject twice, at the beginning and the end of the study period, and the 24-hour recalls were conducted during the intervening time period. Correlation coefficients were computed to compare the food scores derived from the 3 assessment methods. Correlations between the DRA and 7-Day Dietary Recall data were moderate (r = .47, on average, for postmeasures); correlations between the DRA and 24-hour recalls were lower. The ability of the DRA to assess dietary fat consumption and ease of administration make it a clinically useful screening instrument for the physician when counseling patients about dietary fat reduction.

DOI of Published Version



J Am Diet Assoc. 1999 Nov;99(11):1433-9. Link to article on publisher's site

Journal/Book/Conference Title

Journal of the American Dietetic Association

Related Resources

Link to article in PubMed

PubMed ID