scholarly journals A brief dietary assessment instrument for assessing target foods, nutrients and eating patterns

2001 ◽  
Vol 4 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Marian L Neuhouser ◽  
Ruth E Patterson ◽  
Alan R Kristal ◽  
Alison L Eldridge ◽  
Nancy C Vizenor

AbstractObjective:To develop and validate a new dietary assessment tool, the focused recall, and to use this to measure co-consumption of carotenoid-containing fruits and vegetables with savory snacks.Design:Participants completed a telephone-administered focused recall and a 24-hour recall on the same day. We compared mean estimates of fruit, vegetable, savory snack and carotenoid consumption from both instruments. We also assessed the ability of each method to measure co-consumption of carotenoids with full-fat, reduced/non-fat and olestra-containing savory snacks.Setting and subjects:Data are from 245 male and 244 female adult participants in the Olestra Post-Marketing Surveillance Study (OPMSS).Results:The mean (± SD) intake of fruit was 1.8 (1.1) servings day−1 from the focused recall and 1.6 (1.4) servings day−1 from the 24-hour recall (r = 0.56). The mean vegetable intake was 2.1 (1.3) and 2.2 (1.7) servings day−1 (r = 0.42), respectively, from each instrument. Estimates of total carotenoid and β-carotene intake were within 5% of each other (r = 0.63 for total carotenoids and r = 0.70 for β-carotene). Both instruments estimated that approximately 14% of total daily carotenoids were co-consumed with savory snacks (r = 0.63).Conclusions:The focused recall provides valid information about fruit, vegetable and savory snack consumption and allows researchers to examine associated eating patterns more easily.

2009 ◽  
Vol 12 (2) ◽  
pp. 222-227 ◽  
Author(s):  
Vivienne A Vance ◽  
Sarah J Woodruff ◽  
Linda J McCargar ◽  
Janice Husted ◽  
Rhona M Hanning

AbstractObjectiveThe purpose of the present paper was to assess dietary energy reporting as a function of sex and weight status among Ontario and Alberta adolescents, using the ratio of energy intake (EI) to estimated BMR (BMRest).DesignData were collected using the FBQ, a validated web-based dietary assessment tool (including a 24 h dietary recall, FFQ, and food and physical activity behavioural questions). BMI was calculated from self-reported height and weight and participants were classified as normal weight, overweight or obese. BMR was calculated using the WHO equations (based on weight). Reporting status was identified using the ratio EI:BMRest.SettingData were collected in public, Catholic and private schools in Ontario and Alberta, Canada.SubjectsA total of 1917 (n876 male andn1041 female) students (n934 grade 9 andn984 grade 10) participated.ResultsThe mean EI:BMRestratio across all participants was 1·4 (sd0·6), providing evidence of under-reporting for the total sample. Females under-reported more than males (t= 6·27,P< 0·001), and under-reporting increased with increasing weight status for both males (F= 33·21,P< 0·001) and females (F= 14·28,P< 0·001). After removing those who reported eating less to lose weight, the EI:BMRestwas 1·56 (sd0·6) for males and 1·4 (sd0·6) for females.ConclusionThe present study highlights methodological challenges associated with self-reported dietary data. Systematic differences in under-reporting of dietary intake by gender and weight status were observed using a web-based survey, similar to observations made using paper-based 24 h recalls and dietitian interviews.


2003 ◽  
Vol 6 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Karen Eriksen ◽  
Jóhanna Haraldsdóttir ◽  
Robert Pederson ◽  
Hanne Vig Flyger

AbstractObjective:To measure the effect of a school fruit and vegetable subscription on children's intake of fruit and vegetables after 5 weeks of intervention.Setting:Seven primary schools in Denmark.Design and methods: Intervention schools (n = 4) were offered a fruit and vegetable subscription comprising one piece per day. Control schools (n = 3) situated in another municipality were not offered the subscription. Intake of fruit and vegetables was measured at baseline and 5 weeks after the start of the subscription. Two methods were used for dietary assessment: a pre-coded 24-hour recall form including total food intake and a food-frequency questionnaire (FFQ) including only fruit and vegetables.Subjects:Children aged 6–10 years (n = 804 from intervention schools and n = 689 from control schools). Response rate in the dietary assessment was 31%.Results:At intervention schools 45% of the children enrolled in the subscription. After 5 weeks of intervention, both subscribers and non-subscribers had increased their intake of fruit by 0.4 (P = 0.019) and 0.3 (P = 0.008) pieces per school day, respectively, but no change was observed in vegetable intake. Total intake increased only for non-subscribers by 0.4 piece/school day (P = 0.008), mainly due to the consistent increase in fruit intake. No change in intake was measured at control schools. Only the 24-hour recall questionnaire was sensitive enough to pick up the changes of the subscription, whereas the FFQ was not.Conclusion:Five weeks with the subscription affected both subscribers and non-subscribers to increase intake of fruit. This may indicate that the subscription had an additional effect of stimulating parents of non-subscribers to supply their children with fruit. The results stress the importance of evaluating the effect of this type of programme, and the carefulness needed in designing the evaluation study.


2016 ◽  
Vol 14 (2) ◽  
pp. 158-177 ◽  
Author(s):  
Rhaine Borges Santos Pedreira ◽  
Saulo Vasconcelos Rocha ◽  
Clarice Alves dos Santos ◽  
Lélia Renata Carneiro Vasconcelos ◽  
Martha Cerqueira Reis

ABSTRACT Objective Assess the content validity of the Elderly Health Assessment Tool with low education. Methods The data collection instrument/questionnaire was prepared and submitted to an expert panel comprising four healthcare professionals experienced in research on epidemiology of aging. The experts were allowed to suggest item inclusion/exclusion and were asked to rate the ability of individual items in questionnaire blocks to encompass target dimensions as “not valid”, “somewhat valid” or “valid”, using an interval scale. Percent agreement and the Content Validity Index were used as measurements of inter-rater agreement; the minimum acceptable inter-rater agreement was set at 80%. Results The mean instrument percent agreement rate was 86%, ranging from 63 to 99%, and from 50 to 100% between and within blocks respectively. The Mean Content Validity Index score was 93.47%, ranging from 50 to 100% between individual items. Conclusion The instrument showed acceptable psychometric properties for application in geriatric populations with low levels of education. It enabled identifying diseases and assisted in choice of strategies related to health of the elderly.


2021 ◽  
Author(s):  
Clare Whitton ◽  
Janelle D Healy ◽  
Clare E Collins ◽  
Barbara Mullan ◽  
Megan E Rollo ◽  
...  

BACKGROUND The assessment of dietary intake underpins population nutrition surveillance and nutritional epidemiology and is essential to inform effective public health policies and programs. Technological advances in dietary assessment that use images and automated methods have the potential to improve accuracy, respondent burden, and cost; however, they need to be evaluated to inform large-scale use. OBJECTIVE The aim of this study is to compare the accuracy, acceptability, and cost-effectiveness of 3 technology-assisted 24-hour dietary recall (24HR) methods relative to observed intake across 3 meals. METHODS Using a controlled feeding study design, 24HR data collected using 3 methods will be obtained for comparison with observed intake. A total of 150 healthy adults, aged 18 to 70 years, will be recruited and will complete web-based demographic and psychosocial questionnaires and cognitive tests. Participants will attend a university study center on 3 separate days to consume breakfast, lunch, and dinner, with unobtrusive documentation of the foods and beverages consumed and their amounts. Following each feeding day, participants will complete a 24HR process using 1 of 3 methods: the Automated Self-Administered Dietary Assessment Tool, Intake24, or the Image-Assisted mobile Food Record 24-Hour Recall. The sequence of the 3 methods will be randomized, with each participant exposed to each method approximately 1 week apart. Acceptability and the preferred 24HR method will be assessed using a questionnaire. Estimates of energy, nutrient, and food group intake and portion sizes from each 24HR method will be compared with the observed intake for each day. Linear mixed models will be used, with 24HR method and method order as fixed effects, to assess differences in the 24HR methods. Reporting bias will be assessed by examining the ratios of reported 24HR intake to observed intake. Food and beverage omission and intrusion rates will be calculated, and differences by 24HR method will be assessed using chi-square tests. Psychosocial, demographic, and cognitive factors associated with energy misestimation will be evaluated using chi-square tests and multivariable logistic regression. The financial costs, time costs, and cost-effectiveness of each 24HR method will be assessed and compared using repeated measures analysis of variance tests. RESULTS Participant recruitment commenced in March 2021 and is planned to be completed by the end of 2021. CONCLUSIONS This protocol outlines the methodology of a study that will evaluate the accuracy, acceptability, and cost-effectiveness of 3 technology-enabled dietary assessment methods. This will inform the selection of dietary assessment methods in future studies on nutrition surveillance and epidemiology. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN12621000209897; https://tinyurl.com/2p9fpf2s INTERNATIONAL REGISTERED REPORT DERR1-10.2196/32891


2021 ◽  
pp. 026010602110263
Author(s):  
Velarie Ansu ◽  
Gregory Madden ◽  
Heidi Wengreen

Background: The FIT Game is a multicomponent school-based incentive program aimed at increasing children’s fruit and vegetable (FV) intake. There has been no previous report on how playing the game at school influences FV intake away from school. Aim: To examine children’s ( n=37) FV intake away from school while participating in the FIT Game program at school. Methods: FV intake away from school was assessed using the ASA24-Kids-2014 Dietary Assessment Tool. Paired samples t-tests and the generalized linear model repeated measures analysis of variance were used to examine the difference in children’s mean FV intake away from school. Results: During the final three days of the FIT Game intervention, we observed no change in FV consumption away from school (p=0.30). Similarly, no differences were observed between FV intake away from school before the implementation of the FIT Game and during the final three days (p=0.81). Conclusions: The FIT Game modestly decreased the children’s FV intake in a nonstatistically significant manner away from school. Our previous report showed an increase in children’s FV intake at school; thus, the net effect of the game was a significant increase in total daily FV intake.


2020 ◽  
Author(s):  
Claire M. Timon ◽  
Janette Walton ◽  
Albert Flynn ◽  
Eileen R. Gibney

BACKGROUND There are many constraints to conducting national food consumption surveys for the purposes of national nutrition surveillance including cost, time and participant burden. Validated Web-based dietary assessment technologies offer a potential solution to many if these constraints. OBJECTIVE This study investigated the feasibility of using a previously validated, Web-based 24-hour recall dietary assessment tool (Foodbook24) for the purposes of nutrition surveillance by comparing the demographic characteristics and the quality of dietary intake data collected from an online cohort of participants in Ireland to the most recent Irish National Adult Nutrition Survey (NANS). METHODS Irish adult participants (aged 18 and over) were recruited to use Foodbook24 (Web-based tool). Demographic and dietary intake (by means of 2 non-consecutive self-administered 24-hour recalls) data was collected using Foodbook24. Following completion of the study, the dietary intake data collected were statistically weighted to represent the population of participants that completed the National Adult and Nutrition Survey (NANS) (2011) to facilitate the controlled comparison of intake data. Demographic characteristics of survey respondents were investigated using descriptive statistics in SPSS V20. The controlled comparison of weighted mean daily nutrient intake data collected from the Foodbook24 Web-based study (n= 329 plausible reporters) and the mean daily nutrient intake data collected from NANS (n=1051 plausible reporters) was conducted using the Wilcoxon-Mann–Whitney U-test in Creme Nutrition® software. RESULTS The results of this analysis highlight many differences between the demographic characteristics between both sets of survey participants. Notable differences included a lower proportion of adults aged 65 years and over and a higher proportion of females participated in the Web-based Foodbook24 study relative to the NANS study. Similar ranges of mean daily intakes for the majority of nutrients and food groups were observed (e.g. Energy (kcal/day) and Carbohydrate (g/day)), although significant differences for some nutrient (e.g. Riboflavin (mg/10MJ) and Vitamin B12 (µg/10MJ)) and food groups were identified. A high proportion of participants (47%) reported a willingness to continue to use Foodbook24 for an additional 6-month period. CONCLUSIONS These findings suggest that by using targeted recruitment strategies in the future to ensure the recruitment of a more representative sample, there is potential for Web-based methodologies such as Foodbook24 to be used for nutrition surveillance efforts in Ireland. CLINICALTRIAL n/a


2012 ◽  
Vol 114 (9) ◽  
pp. 1325-1338
Author(s):  
B. Franchini ◽  
R. Poínhos ◽  
K. Klepp ◽  
M.D.V. de Almeida

PurposeThis paper's aim is to assess vegetable soup intake and its contribution to total vegetable intake among mothers of Portuguese schoolchildren as well as to examine the association between relative vegetable soup intake and sociodemographic characteristics.Design/methodology/approachA cross‐sectional survey was carried out in Portugal as part of the Pro Children study. In total 1,673 women, mothers of 11‐13 year old children, took part in the study. The vegetable intake and sociodemographic characteristics were collected with a self‐administered questionnaire in which a precoded 24‐hour recall was applied. The analysed sociodemographic characteristics were the number of people and composition of household, educational level, social class and region of residence. The associations between preferential or exclusive consumer mothers of vegetable soup (i.e. ≥50 per cent of total vegetable intake) and sociodemographic characteristics were analysed by a logistic regression model.FindingsThe mean intake of vegetable soup was 76.1 g/d and its contribution to total vegetable intake was approximately 45 per cent. The percentage of mothers that were preferential or exclusive consumers of vegetable soup was 41 per cent. Preferential or exclusive vegetable soup intake was less likely among mothers when the number of people in the household was less than four (vs 4; OR: 0.734, 95 per cent CI: 0.577‐0.934) and that did not live with their spouse/partner (OR: 0.617, 95 per cent CI: 0.424‐0.878).Originality/valueThe paper focuses on the consumption of vegetable soup, a traditional culinary preparation among Portuguese people. Also, it identifies factors associated with its consumption.


2019 ◽  
Author(s):  
Timur Osadchiy ◽  
Ivan Poliakov ◽  
Patrick Olivier ◽  
Maisie Rowland ◽  
Emma Foster

BACKGROUND Under-reporting because of the limitations of human memory is one of the key challenges in dietary assessment surveys that use the multiple-pass 24-hour recall. Research indicates that shortening a retention interval (ie, the time between the eating event and recall) reduces the burden on memory and may increase the accuracy of the assessment. OBJECTIVE This study aimed to explore the accuracy and acceptability of Web-based dietary assessment surveys based on a progressive recall, where a respondent is asked to record multiple recalls throughout a 24-hour period using the multiple-pass protocol and portion size estimation methods of the 24-hour recall. METHODS The experiment was conducted with a dietary assessment system, Intake24, that typically implements the multiple-pass 24-hour recall method where respondents record all meals they had for the previous day on a single occasion. We modified the system to allow respondents to add multiple recalls throughout the day using the multiple-pass protocol and portion size estimation methods of the 24-hour recall (progressive recall). We conducted a dietary assessment survey with 33 participants, where they were asked to record dietary intake using both 24-hour and progressive recall methods for weekdays only. We compared mean retention intervals (ie, the time between eating event and recall) for the 2 methods. To examine accuracy, we compared mean energy estimates and the mean number of reported foods. Of these participants, 23 were interviewed to examine the acceptability of the progressive recall. RESULTS Retention intervals were found to be, on average, 15.2 hours (SD 7.8) shorter during progressive recalls than those during 24-hour recalls. We found that the mean number of foods reported for evening meals for progressive recalls (5.2 foods) was significantly higher (<i>P</i>=.001) than that for 24-hour recalls (4.2 foods). The number of foods and the amount of energy reported for other meals remained similar across the 2 methods. In interviews, 65% (15/23) of participants said that the 24-hour recall is more convenient in terms of fitting in with their daily lifestyles, and 65% (15/23) of respondents indicated that they remembered meal content and portion sizes better with the progressive recall. CONCLUSIONS The analysis of interviews and data from our study indicate that progressive recalls provide minor improvements to the accuracy of dietary assessment in Intake24. Additional work is needed to improve the acceptability of progressive recalls in this system.


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