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1. For the following questions, you will be using several methods to investigate the precision/ reliability of 50 individuals who completed replicate 24-hour recalls. Specifically,

1. For the following questions, you will be using several methods to investigate the precision/ reliability of 50 individuals who completed replicate 24-hour recalls. Specifically, you will be investigating the reproducibility of total fat intake (g) and Vitamin A intake (RAE) (mcg).

24 Hour Recall- Day 124 Hour Recall- Day 2FFQ
IDTotal Fat (g)Vitamin A (RAE) (mcg)Total Fat (g)Vitamin A (RAE) (mcg)Total Fat (g)
21005101.4212793.24200149.12
210064324539.724813.7
2100732.8619933.8616118.96
21008107.9545574.51816229.14
21009235.64835200.6532342.2
2101060.8742351.1339470.1
21012113.14336112.6889191.3
21013103.383821.7922209.6
2101470.6540658.7398973.68
2101545.7565089.1791311.5
2101670.7358657.2162878.66
2101770.0899.574.3215186.34
2101824.9214372.8298256
2101923.335622.011311.43
21020132.01965118.65145276.33
2102247.2334933.94406.77
21023141.27617112.32880223.75
2102443.8755349.76263050.76
2102538.286174.789389.48
2102698.4329213.3291218.4
21027114.4285996.79446189.47
2102848.2880446.6377663.26
21029115.8777186.131391278.54
2103142.2545936.857656.23
2103266.4516131.4123012.4
2103353.7420349.0958834.69
2103551.78132825.385139.12
2103666.3228360.9324641.6
2103775.8770682.6363648.65
2103893.0220115.95170188.42
2103946.02110852.39138297.43
2104040.6356654.355103.82
2104170.454441.6421436.6
2104342.0813852.61342106.6
2104549.17108694.117538.99
2104649.5444193.1985711.6
21047102.5110793.211423171.4
2104873.06346109.364569.34
2104982.8743777.5942152.23
2105057.434881.3527032.42
21051134.11808104.68308263.4
2105288.56407138.853138.2
2105418.374742.59473.68
2105585.8728344.98218114.68
21057115.96460187.68811197.56
2105863.6421445.3826541.73
2105922.9720388.5887499.4
2106035.86661119.62325.77
2106164.0665874.8417740.84
2106262.9635161.97137045.5
  1. The Recommended Dietary Allowance for Vitamin A is approximately 800 mcg for most individuals.Make a two-by-two table depicting how many individuals meet or exceed (greater than or equal to) the requirement when using data from the first 24-hour recall compared to the second 24-hour recall. Calculate crude agreement and Kappa and comment on the agreement between the two 24-hour recalls. (Note: do not calculate sensitivity, specificity, positive predictive value, etc.)

Day 2
Meet/Exceed RDADo Not Meet/ Exceed RDATotal
Day 1Meet/Exceed RDA
Do Not Meet/ Exceed RDA
Total

  1. The upper limit of the Acceptable Micronutrient Distribution Range for fat intake is 35% of total kilocalories for most individuals. For an individual consuming a 2,000-kilocalorie diet, that is approximately 75 grams of fat. make a two-by-two table depicting how many individuals meet or exceed (greater than or equal to) the requirement when using data from the first 24-hour recall compared to the second 24-hour recall. Calculate crude agreement and Kappa, then comment on the agreement between the two 24-hour recalls.(Note: do not calculate sensitivity, specificity, positive predictive value, etc.)
Day 2
Meet/ Exceed AMDRDo Not Meet/ Exceed AMDRTotal
Day 1Meet/Exceed AMDR
Do not meet/ Exceed AMDR
Total
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Crude agreement? Day 2 Crude agreement: Group I Group 2 Total What is the total that were grouped Group I A B identically on day 1 Day I & day 2? Group 2 C D Total = A + D Percent agreement Total = A+D / A+B+C+DCrude agreement - Proportion classified similarly by two assessment methods Crude agreement: Total= _35_+ _ Total = _ Proportion: =0.61 Kappa Statistic - Proportion classified similarly by two assessment methods, after accounting for chance agreement Steps: Tutorial: Video Example 1. Calculate Po (the observed proportional agreement) Po-Pe 2. Calculate Pe (the probability of random agreement) 1- Pe 3. Insert your calculations into the formula and solveKappa Statistic Step 1: Post Calculate Po (the observed proportional agreement) Mostly cooked Did not Total Po = proportion in agreement/total at home Mostly Po = 35+111_/ 238 cooked at 35 25 60 Pre home Po = 146/238 Did not 67 III 178 Po = 0.61 Total 102 136 238Kappa Statistic Step 2: Calculate Pe (the probability that the measures would randomly agree) P1: Probability of being in group 1 (energy req met) P2: Probability of being in group 2 (not met) P1 = Day 1 proportion in group 1*Day 2 proportion in group 1 P1= (_60 /_238 )*(_102_/_238_) = 0.11 P2=( 178 /_238 )*(_136 /_238 ) = _0.43 Pe = P1 + P2 = 0.11 + 0.43 = 0.54Kappa Statistic Step 3: Calculate kappa statistic by inserting values into formula K = (Po - Pe)/(1-Pe) Po -Pe K = (_0.61_-_0.54_)/ (1 - _0.54_) k= k = 0.17 1-PKappa Statistic Interpretation 0 Agreement equivalent to chance 0.1 =0.20 Slight agreement 021 =0.40 Fair agreement 0.4] =0.60 Moderate agreement 0.6]1 0.80 Substantial agreement 0.81 =0.99 Near perfect agreement Perfect agreement

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