Mc. Dop et al., USE OF THE MULTIPLE-DAY WEIGHED RECORD FOR SENEGALESE CHILDREN DURINGTHE WEANING PERIOD - A CASE OF THE INSTRUMENT EFFECT, The American journal of clinical nutrition, 59(1), 1994, pp. 190000266-190000268
In West Africa, the multiple-day weighed record is the most widely use
d technique for measuring children's food intakes. The children's eati
ng behavior might be disrupted by the frequent weighings and the prese
nce of a field-worker in the home. We explored the possibility of such
an ''instrument effect'' in a 7-d food survey of 70 Senegalese childr
en aged 10-13 mo. Energy intakes decreased significantly during the fo
od survey (P < 0.0001). The decrease affected both daytime breast milk
intake (8%) and solid food intakes (15%). The children's weight gain
also decreased from a presurvey value of 6.9 to 2.1 g . kg-1 . wk-1, i
ndicating that their intakes during the food survey were lower than th
eir usual intakes. The food-survey methodology was responsible for thi
s ''instrument effect.'' Policy decision-makers should be aware that d
ata collected with the multiple-day weighed record technique might not
reflect African children's usual food intakes.