Number of 24-hour diet recalls needed to estimate energy intake

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Medicine, Division of Cardiovascular Medicine; Clinical and Population Health Research Program

Publication Date


Document Type



Body Mass Index; Data Collection; *Diet; *Energy Intake; Energy Metabolism; Female; Humans; *Mental Recall; Middle Aged; Socioeconomic Factors


Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventive Medicine


PURPOSE: Twenty-four-hour diet recall interviews (24HRs) are used to assess diet and to validate other diet assessment instruments. Therefore it is important to know how many 24HRs are required to describe an individual's intake.

METHOD: Seventy-nine middle-aged white women completed seven 24HRs over a 14-day period, during which energy expenditure (EE) was determined by the doubly labeled water method (DLW). Mean daily intakes were compared to DLW-derived EE using paired t tests. Linear mixed models were used to evaluate the effect of call sequence and day of the week on 24HR-derived energy intake while adjusting for education, relative body weight, social desirability, and an interaction between call sequence and social desirability.

RESULTS: Mean EE from DLW was 2115 kcal/day. Adjusted 24HR-derived energy intake was lowest at call 1 (1501 kcal/day); significantly higher energy intake was observed at calls 2 and 3 (2246 and 2315 kcal/day, respectively). Energy intake on Friday was significantly lower than on Sunday. Averaging energy intake from the first two calls better approximated true energy expenditure than did the first call, and averaging the first three calls further improved the estimate (p=0.02 for both comparisons). Additional calls did not improve estimation.

CONCLUSIONS: Energy intake is underreported on the first 24HR. Three 24HRs appear optimal for estimating energy intake.

DOI of Published Version



Ann Epidemiol. 2009 Aug;19(8):553-9. Link to article on publisher's site

Journal/Book/Conference Title

Annals of epidemiology

Related Resources

Link to Article in PubMed

PubMed ID