Introduction
Specific nutrient deficiencies continue to be one of the world's major public
health problems, especially in underdeveloped countries. In terms of number of
individuals affected and geographical distribution, vitamin A and iron
deficiencies are among the most prominent [25]. One very serious drawback for
the design and implementation of nutrition intervention programmes is the
inadequacy of dietary information, almost always plagued by the spectre of
inaccuracy [21]. Thus, it is not uncommon to find reports describing high iron
intakes in areas where iron-deficiency anaemia appears with undesirably high
prevalence [2, 9, 11], or extremely low vitamin A intakes which are not
accompanied by a compatibly high prevalence of eye lesions [2, 6, 9, 11].
Similar problems exist when trying to establish correlations between the intake
of other nutrients and related clinical or biochemical indicators [3,12, 18, 20,
21].
The accuracy of nutrient information depends on the methods of collecting and
handling the data. Some of these have been examined [3, 8,14, 20, 21] but, in
general, attempts to reconcile dietary and biochemical or clinical information
from nutrition surveys are still needed. The present study was designed to
evaluate the relative contribution to the inaccuracy of dietary information of
both regional differences in the nutrient composition of foods and the
differences between those values obtained by calculation and those obtained by
direct analysis of foods as
eaten.