Impact of Non-dietary Nutrients Intake on Misclassification in the Estimation of Nutrient Intake in Epidemiologic Study
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概要
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BACKGROUND: Few previous epidemiologic studies have evaluated the effects of non-dietary nutrient intake, such as supplements, over the counter (OTC) drugs, and prescription drugs containing vitamins or minerals, in examining the relationship between dietary factors and health outcomes.METHODS: To examine the influence of the non-dietary intake of vitamins and calcium on the estimation of nutrient intake, we conducted a cross-sectional study with 1,168 community-dwelling Japanese subjects aged 70 years or older in 2002. The subjects were asked to bring their non-dietary nutrient sources to the examining site. The dietary and non-dietary intakes of vitamins B1, C, E and calcium were obtained and the subjects were grouped into quartiles according to their dietary intake and their dietary plus non-dietary intake. The degree of agreement between these two classifications was examined to estimate the degree of misclassification.RESULTS: Among the subjects who were classified into the highest intake category for vitamin E with dietary intake plus non-dietary nutrient intake, 34.2 % were misclassified into lower category with dietary intake alone. Similarly, intake of vitamin B1, vitamin C and calcium were misclassified 28.8%, 18.8 %, 6.2 %, respectively.CONCLUSIONS: Our data suggest that estimation of vitamin intake from dietary sources alone would yield a maximum misclassification of one-third, which would lead to misleading conclusions being drawn from epidemiologic studies. In contrast, the degree of misclassification for calcium may be relatively small.J Epidemiol 2006; 16: 193-200.
- 日本疫学会の論文
- 2006-09-01
著者
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Haketa Akira
日本大学 医学部内科学系腎臓高血圧内分泌内科
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Nakaya N
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Nakaya Naoki
東北大学 医学系研究科運動学分野
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Nakaya Naoki
Psycho-oncology Division Research Center For Innovative Oncology National Cancer Center Hospital Eas
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Nakaya Naoki
Psycho-oncology Division National Cancer Center Research Institute East
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Nakaya Naoki
Division Of Epidemiology Departments Of Public Health And Forensic Medicine Tohoku University Gradua
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Hozawa A
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Hozawa Atsushi
東北大学 医学系研究科運動学分野
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Tsuji I
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Tsuji Ichiro
東北大学 医学系研究科運動学分野
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Kuriyama Shinichi
東北大学 医学系研究科循環器病態学
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Kuriyama Shinichi
Division Of Epidemiology Department Of Public Health & Forensic Medicine Tohoku University Gradu
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Ohnuki K
Division Of Breast Surgery Iwate Prefecture Central Hospital
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Ohmori Kaori
東北大学 医学系研究科公衆衛生学
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Ohmori-matsuda Kaori
東北大学 医学系研究科運動学分野
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Ohmori Kaori
Department Of Public Health And Forensic Medicine Tohoku University Graduate School Of Medicine And
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OGATA Mikiko
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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KURIYAMA Shinichi
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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SATO Yuki
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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SHIMAZU Taichi
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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NAKAYA Naoki
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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OHMORI Kaori
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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HOZAWA Atsushi
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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TSUJI Ichiro
The Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University G
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OHNUKI Koji
Second Department of Surgery, Tohoku University School of Medicine
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Ogata Mikiko
The Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Gra
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Tsuji Ichiro
東北大学 医学系研究科循環器病態学
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Hara Azusa
東北大学 臨床薬学
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Shimazu Taichi
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Ohnuki Koji
Second Department Of Surgery Tohoku University School Of Medicine
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Sato Yuki
The Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Gra
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Sugawara Yumi
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Kanemura Seiki
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Hozawa Atsushi
Department Of Public Health And Forensic Medicine Tohoku University Graduate School Of Medicine And
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Tsuji Ichiro
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Kuriyama Shinichi
東北大学 医学系研究科公衆衛生学
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Ishida Tsunehiro
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Kuriyama Shinichi
Division Of Epidemiology Tohoku University Graduate School Of Medicine
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