Monetary cost of self-reported diet in relation to biomarker-based estimates of nutrient intake in young Japanese women

Objective: All previous studies on monetary diet cost have examined the relationship of monetary cost of self-reported diet to self-reported, rather than biomarker-based, estimates of dietary intake. The present cross-sectional study examined the association between monetary costs of self-reported diet and biomarker-based estimates of nutrient intake. Design: Monetary diet cost (Japanese yen/1000kJ) was calculated based on dietary intake information from a self-administered, comprehensive diet history questionnaire using retail food prices. Biomarker-based estimates of nutrient intake (percentage of energy for protein and mg/1000 kJ for K and Na) were estimated based on 24 h urinary excretion and estimated energy expenditure. Setting: A total of fifteen universities and colleges in Japan. Subjects: A total of 1046 female Japanese dietetic students aged 18-22 years. Results: Total monetary diet cost showed a significant positive association with biomarker-based estimates of protein, K and Na. Vegetables and fish were not only the main contributors to total monetary diet cost (16.4% and 15.5%, respectively) but also were relatively strongly correlated with total monetary diet cost (Pearson's correlation coefficient: 0.70 and 0.68, respectively). Monetary cost of vegetables was significantly positively associated with all three nutrients, while that of fish showed a significant and positive association only with protein. Conclusions: Total monetary cost of self-reported diet was positively associated with biomarker-based estimates of protein, K and Na intake in Young Japanese women, and appeared mainly to be explained by the monetary costs of vegetables and fish.