scholarly journals The potential of a Web-based, Self-Administered Dietary Assessment Tool (Foodbook24) for National Nutrition Surveillance. (Preprint)

2020 ◽  
Author(s):  
Claire M. Timon ◽  
Janette Walton ◽  
Albert Flynn ◽  
Eileen R. Gibney
Keyword(s):  
Dietary Intake ◽  
Nutrient Intake ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Demographic Characteristics ◽  
Food Groups ◽  
Nutrition Survey ◽  
Web Based ◽  
24 Hour Recall ◽  
Daily Intakes

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

scholarly journals Respondent Characteristics and Dietary Intake Data Collected Using Web-Based and Traditional Nutrition Surveillance Approaches: Comparison and Usability Study

10.2196/22759 ◽  
2021 ◽  
Vol 7 (4) ◽  
pp. e22759
Author(s):  
Claire M Timon ◽  
Janette Walton ◽  
Albert Flynn ◽  
Eileen R Gibney
Keyword(s):  
Dietary Intake ◽  
Nutrient Intake ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Daily Intake ◽  
Demographic Characteristics ◽  
Food Groups ◽  
Nutrition Survey ◽  
Web Based ◽  
The Web

Background There are many constraints to conducting national food consumption surveys for national nutrition surveillance, including cost, time, and participant burden. Validated web-based dietary assessment technologies offer a potential solution to many of these constraints. Objective This study aims to investigate the feasibility of using a previously validated, web-based, 24-hour recall dietary assessment tool (Foodbook24) for nutrition surveillance by comparing the demographic characteristics and the quality of dietary intake data collected from a web-based cohort of participants in Ireland to those collected from the most recent Irish National Adult Nutrition Survey (NANS). Methods Irish adult participants (aged ≥18 years) were recruited to use Foodbook24 (a web-based tool) between March and October 2016. Demographic and dietary intake (assessed by means of 2 nonconsecutive, self-administered, 24-hour recalls) data were collected using Foodbook24. Following the completion of the study, the dietary intake data collected from the web-based study were statistically weighted to represent the age-gender distribution of intakes reported in the NANS (2008-2010) to facilitate the controlled comparison of intake data. The demographic characteristics of the survey respondents were investigated using descriptive statistics. The controlled comparison of weighted mean daily nutrient intake data collected from the Foodbook24 web-based study (329 plausible reporters of a total of 545 reporters) and the mean daily nutrient intake data collected from the NANS (1051 plausible reporters from 1500 reporters) was completed using the Wilcoxon–Mann-Whitney U test in Creme Nutrition software. Results Differences between the demographic characteristics of the survey participants across the 2 surveys were observed. Notable differences included a lower proportion of adults aged ≥65 years and a higher proportion of females who participated in the web-based Foodbook24 study relative to the NANS study (P<.001). Similar ranges of mean daily intake for the majority of nutrients and food groups were observed (eg, energy [kilocalorie per day] and carbohydrate [gram per day]), although significant differences for some nutrients (eg, riboflavin [mg/10 MJ], P<.001 and vitamin B12 [µg/10 MJ], P<.001) and food groups were identified. A high proportion of participants (200/425, 47.1%) reported a willingness to continue using Foodbook24 for an additional 6 months. 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.

scholarly journals Use of a Web-Based Dietary Assessment Tool (RiksmatenFlex) in Swedish Adolescents: Comparison and Validation Study (Preprint)

2018 ◽  
Author(s):  
Anna Karin Lindroos ◽  
Jessica Petrelius Sipinen ◽  
Cecilia Axelsson ◽  
Gisela Nyberg ◽  
Rikard Landberg ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Dietary Intake ◽  
Correlation Coefficient ◽  
Energy Intake ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Fruit And Vegetables ◽  
Spearman Correlation ◽  
Whole Grain ◽  
Web Based

BACKGROUND A Web-based dietary assessment tool—RiksmatenFlex—was developed for the national dietary survey of adolescents in Sweden. OBJECTIVE This study aimed to describe the Web-based method RiksmatenFlex and to test the validity of the reported dietary intake by comparing dietary intake with 24-hour dietary recalls (recall interviews), estimated energy expenditure, and biomarkers. METHODS Adolescents aged 11-12, 14-15, and 17-18 years were recruited through schools. In total, 78 students had complete dietary information and were included in the study. Diet was reported a few weeks apart with either RiksmatenFlexDiet (the day before and a random later day) or recall interviews (face-to-face, a random day later by phone) in a cross-over, randomized design. At a school visit, weight and height were measured and blood samples were drawn for biomarker analyses. Students wore an accelerometer for 7 days for physical activity measurements. Dietary intake captured by both dietary methods was compared, and energy intake captured by both methods was compared with the accelerometer-estimated energy expenditure (EEest). Intake of whole grain wheat and rye and fruit and vegetables by both methods was compared with alkylresorcinol and carotenoid concentrations in plasma, respectively. RESULTS The mean of the reported energy intake was 8.92 (SD 2.77) MJ by RiksmatenFlexDiet and 8.04 (SD 2.67) MJ by the recall interviews (<italic>P</italic>=.01). Intake of fruit and vegetables was 224 (169) g and 227 (150) g, and whole grain wheat and rye intake was 12.4 (SD 13.2) g and 12.0 (SD 13.1) g, respectively; the intakes of fruit and vegetables as well as whole grain wheat and rye did not differ between methods. Intraclass correlation coefficients ranged from 0.57 for protein and carbohydrates to 0.23 for vegetables. Energy intake by RiksmatenFlexDiet was overreported by 8% (<italic>P</italic>=.03) but not by the recall interviews (<italic>P</italic>=.53) compared with EEest. The Spearman correlation coefficient between reported energy intake and EEest was 0.34 (<italic>P</italic>=.008) for RiksmatenFlexDiet and 0.16 (<italic>P</italic>=.21) for the recall interviews. Spearman correlation coefficient between whole grain wheat and rye and plasma total alkylresorcinol homologs was 0.36 (<italic>P</italic>=.002) for RiksmatenFlexDiet and 0.29 (<italic>P</italic>=.02) for the recall interviews. Spearman correlations between intake of fruit and vegetables and plasma carotenoids were weak for both dietary tools. The strongest correlations were observed between fruit and vegetable intake and lutein/zeaxanthin for RiksmatenFlexDiet (0.46; <italic>P</italic>&lt;.001) and for recall interviews (0.28; <italic>P</italic>=.02). CONCLUSIONS RiksmatenFlexDiet provides information on energy, fruit, vegetables, and whole grain wheat and rye intake, which is comparable with intake obtained from recall interviews in Swedish adolescents. The results are promising for cost-effective dietary data collection in upcoming national dietary surveys and other studies in Sweden. Future research should focus on how, and if, new technological solutions could reduce dietary reporting biases.

scholarly journals Assessing the Usability of the Automated Self-Administered Dietary Assessment Tool (ASA24) among Low-Income Adults

Nutrients ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. 132 ◽  
Author(s):  
Julia Kupis ◽  
Sydney Johnson ◽  
Gregory Hallihan ◽  
Dana Olstad
Keyword(s):  
Dietary Intake ◽  
Low Income ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Success Rates ◽  
Web Based ◽  
Dietary Recall ◽  
Usability Issue ◽  
Survey Responses

The Automated Self-Administered Dietary Assessment Tool (ASA24) is a web-based tool that guides participants through completion of a 24-h dietary recall and automatically codes the data. Despite the advantages of automation, eliminating interviewer contact may diminish data quality. Usability testing can assess the extent to which individuals can use the ASA24 to report dietary intake with efficiency, effectiveness, and satisfaction. This mixed-methods study evaluated the usability of the ASA24 to quantify user performance and to examine qualitatively usability issues in a sample of low-income adults (85% female, 48.2 years on average) participating in a nutrition coupon program. Thirty-nine participants completed a 24-h dietary recall using the ASA24. Audio and screen recordings, and survey responses were analyzed to calculate task times, success rates, and usability issue frequency. Qualitative data were analyzed thematically to characterize usability issues. Only one participant was able to complete a dietary recall unassisted. We identified 286 usability issues within 22 general usability categories, including difficulties using the search function, misunderstanding questions, and uncertainty regarding how to proceed to the next step; 71.4% of participants knowingly misentered dietary information at least once. Usability issues may diminish participation rates and compromise the quality of ASA24 dietary intake data. Researchers should provide on-demand technical support and designers should improve the intelligence and flexibility of the ASA24’s search functionality.

scholarly journals Use of a Web-Based Dietary Assessment Tool (RiksmatenFlex) in Swedish Adolescents: Comparison and Validation Study

10.2196/12572 ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. e12572 ◽  
Author(s):  
Anna Karin Lindroos ◽  
Jessica Petrelius Sipinen ◽  
Cecilia Axelsson ◽  
Gisela Nyberg ◽  
Rikard Landberg ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Dietary Intake ◽  
Correlation Coefficient ◽  
Energy Intake ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Fruit And Vegetables ◽  
Spearman Correlation ◽  
Whole Grain ◽  
Web Based

Background A Web-based dietary assessment tool—RiksmatenFlex—was developed for the national dietary survey of adolescents in Sweden. Objective This study aimed to describe the Web-based method RiksmatenFlex and to test the validity of the reported dietary intake by comparing dietary intake with 24-hour dietary recalls (recall interviews), estimated energy expenditure, and biomarkers. Methods Adolescents aged 11-12, 14-15, and 17-18 years were recruited through schools. In total, 78 students had complete dietary information and were included in the study. Diet was reported a few weeks apart with either RiksmatenFlexDiet (the day before and a random later day) or recall interviews (face-to-face, a random day later by phone) in a cross-over, randomized design. At a school visit, weight and height were measured and blood samples were drawn for biomarker analyses. Students wore an accelerometer for 7 days for physical activity measurements. Dietary intake captured by both dietary methods was compared, and energy intake captured by both methods was compared with the accelerometer-estimated energy expenditure (EEest). Intake of whole grain wheat and rye and fruit and vegetables by both methods was compared with alkylresorcinol and carotenoid concentrations in plasma, respectively. Results The mean of the reported energy intake was 8.92 (SD 2.77) MJ by RiksmatenFlexDiet and 8.04 (SD 2.67) MJ by the recall interviews (P=.01). Intake of fruit and vegetables was 224 (169) g and 227 (150) g, and whole grain wheat and rye intake was 12.4 (SD 13.2) g and 12.0 (SD 13.1) g, respectively; the intakes of fruit and vegetables as well as whole grain wheat and rye did not differ between methods. Intraclass correlation coefficients ranged from 0.57 for protein and carbohydrates to 0.23 for vegetables. Energy intake by RiksmatenFlexDiet was overreported by 8% (P=.03) but not by the recall interviews (P=.53) compared with EEest. The Spearman correlation coefficient between reported energy intake and EEest was 0.34 (P=.008) for RiksmatenFlexDiet and 0.16 (P=.21) for the recall interviews. Spearman correlation coefficient between whole grain wheat and rye and plasma total alkylresorcinol homologs was 0.36 (P=.002) for RiksmatenFlexDiet and 0.29 (P=.02) for the recall interviews. Spearman correlations between intake of fruit and vegetables and plasma carotenoids were weak for both dietary tools. The strongest correlations were observed between fruit and vegetable intake and lutein/zeaxanthin for RiksmatenFlexDiet (0.46; P<.001) and for recall interviews (0.28; P=.02). Conclusions RiksmatenFlexDiet provides information on energy, fruit, vegetables, and whole grain wheat and rye intake, which is comparable with intake obtained from recall interviews in Swedish adolescents. The results are promising for cost-effective dietary data collection in upcoming national dietary surveys and other studies in Sweden. Future research should focus on how, and if, new technological solutions could reduce dietary reporting biases.

scholarly journals Accuracy of Parental Reporting of Preschoolers’ Dietary Intake Using an Online Self-Administered 24-h Recall

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 987 ◽  
Author(s):  
Angela Wallace ◽  
Sharon Kirkpatrick ◽  
Gerarda Darlington ◽  
Jess Haines
Keyword(s):  
Dietary Intake ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Portion Size ◽  
Assessment Tools ◽  
Web Based ◽  
Plate Waste ◽  
Daycare Centre ◽  
Parental Reports ◽  
Eating Occasions

Parents are typically relied upon to report young children’s dietary intake. However, there has been limited research assessing the accuracy of such reports captured using novel dietary assessment tools. The purpose of the current study was to assess the validity of the web-based Automated Self-Administered 24-h Dietary Assessment Tool (ASA24-Canada) for capturing dietary intake among children aged two-five years (n = 40), using parental proxy reporting. The study was conducted in a daycare setting, allowing for standardization of foods and drinks offered and direct observation of intake. Parental-reported intake was compared to true intake for lunch and dinner, as well as an afternoon snack, on a single day. Each eating occasion, including plate waste, was unobtrusively documented. Parents were not present for lunch or the afternoon snack, but joined their children at the daycare centre for the dinner meal. The following day, parents reported their children’s intake from the previous 24-h period using ASA24-Canada. For the eating occasions assessed, parents reported exact or close matches for 79.2% (82.3% for lunch, 81.2% for the snack, and 77.4% for dinner) of the foods and beverages truly consumed by children. Estimates of intake for energy and macronutrients examined (carbohydrates, fat, and protein) based on parental reports were higher than those based on true (observed) intake. Our findings suggest that parents are able to report what their preschool children eat and drink relatively accurately. However, the accuracy of portion size estimates is low. Strategies to enhance portion size reporting are needed to improve parental proxy reporting.

A comparison of the Remote Food Photography Method and the Automated Self-Administered 24-hour Dietary Assessment Tool for measuring full day dietary intake among school-aged children

2021 ◽  
pp. 1-26
Author(s):  
Traci A. Bekelman ◽  
Corby K. Martin ◽  
Susan L. Johnson ◽  
Deborah H. Glueck ◽  
Katherine A. Sauder ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Energy Intake ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Ease Of Use ◽  
Self Report ◽  
Food Photography ◽  
Photography Method

Abstract The limitations of self-report measures of dietary intake are well known. Novel, technology-based measures of dietary intake may provide a more accurate, less burdensome alternative to existing tools. The first objective of this study was to compare participant burden for two technology-based measures of dietary intake among school-age children: the Automated-Self Administered 24-hour Dietary Assessment Tool-2018 (ASA24-2018) and the Remote Food Photography Method (RFPM). The second objective was to compare reported energy intake for each method to the Estimated Energy Requirement for each child, as a benchmark for actual intake. Forty parent-child dyads participated in 2, 3-day dietary assessments: a parent proxy-reported version of the ASA24 and the RFPM. A parent survey was subsequently administered to compare satisfaction, ease of use and burden with each method. A linear mixed model examined differences in total daily energy intake (TDEI) between assessments, and between each assessment method and the EER. Reported energy intake was 379 kcal higher with the ASA24 than the RFPM (p=0.0002). Reported energy intake with the ASA24 was 231 kcal higher than the EER (p = 0.008). Reported energy intake with the RFPM did not differ significantly from the EER (difference in predicted means = −148 kcal, p = 0.09). Median satisfaction and ease of use scores were 5 out of 6 for both methods. A higher proportion of parents reported that the ASA24 was more time consuming than the RFPM (74.4% vs. 25.6%, p = 0.002). Utilization of both methods is warranted given their high satisfaction among parents.

scholarly journals Energy, macronutrient and fatty acid intake of French elderly community dwellers and association with socio-demographic characteristics: data from the Bordeaux sample of the Three-City Study

2007 ◽  
Vol 98 (5) ◽  
pp. 1046-1057 ◽  
Author(s):  
Catherine Féart ◽  
Marthe A. Jutand ◽  
Sophie Larrieu ◽  
Luc Letenneur ◽  
Cécile Delcourt ◽  
...  
Keyword(s):  
Fatty Acid ◽  
Dietary Intake ◽  
Low Income ◽  
Educational Level ◽  
Dietary Habits ◽  
Dietary Assessment ◽  
The Elderly ◽  
Demographic Characteristics ◽  
Age Related ◽  
Total Fat

Few data are available regarding dietary habits of the elderly, in particular about fatty acid consumption, whereas these are major risk or protective factors of several age-related diseases. The aim of the present study was to characterise the dietary intake of a French elderly population in terms of energy, macronutrients and fatty acids based on their socio-demographic characteristics. The study population (age range 67·7–94·9 years) consisted of 1786 subjects from Bordeaux (France), included in the Three-City cohort. Dietary assessment was performed by a 24 h recall, allowing the estimation of energy, protein, carbohydrate, total fat, SFA, MUFA and PUFA intakes. Socio-demographic characteristics (age, sex, marital status, educational level and income), practice of sports and BMI were registered. Total energy intake (EI) was lower in women and in older participants ( ≥ 85 years) but higher in single subjects. Higher EI was associated with higher income, but not with educational level. Mean contribution of macronutrients to EI (protein 18 %, carbohydrate 46 % and total fat 31 %) was higher in women than men, except for alcohol. The oldest individuals consumed less protein and more mono- and disaccharides. Excess saturated fat intake (43 % of total fat), associated with a relative deficit in MUFA consumption (36 % of total fat), was observed. The mean 18 : 2n-6 : 18 : 3n-3 ratio was 9.9 and decreased with higher educational level. The present results suggest that being female, older age, being widowed and low income level could be considered as risk factors of inadequate dietary intake.

scholarly journals Evaluation of dietary intake assessed by the Dutch self-administered web-based dietary 24-h recall tool (Compl-eat™) against interviewer-administered telephone-based 24-h recalls

2017 ◽  
Vol 6 ◽  
Author(s):  
Saskia Meijboom ◽  
Martinette T. van Houts-Streppel ◽  
Corine Perenboom ◽  
Els Siebelink ◽  
Anne M. van de Wiel ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Large Scale ◽  
Alcohol Intake ◽  
Lower Number ◽  
Vitamin B ◽  
Food Groups ◽  
Web Based ◽  
The Web

AbstractSelf-administered web-based 24-h dietary recalls (24 hR) may save a lot of time and money as compared with interviewer-administered telephone-based 24 hR interviews and may therefore be useful in large-scale studies. Within the Nutrition Questionnaires plus (NQplus) study, the web-based 24 hR tool Compl-eat™ was developed to assess Dutch participants’ dietary intake. The aim of the present study was to evaluate the performance of this tool against the interviewer-administered telephone-based 24 hR method. A subgroup of participants of the NQplus study (20–70 years, n 514) completed three self-administered web-based 24 hR and three telephone 24 hR interviews administered by a dietitian over a 1-year period. Compl-eat™ as well as the dietitians guided the participants to report all foods consumed the previous day. Compl-eat™ on average underestimated the intake of energy by 8 %, of macronutrients by 10 % and of micronutrients by 13 % as compared with telephone recalls. The agreement between both methods, estimated using Lin's concordance coefficients (LCC), ranged from 0·15 for vitamin B1 to 0·70 for alcohol intake (mean LCC 0·38). The lower estimations by Compl-eat™ can be explained by a lower number of total reported foods and lower estimated intakes of the food groups, fats, oils and savoury sauces, sugar and confectionery, dairy and cheese. The performance of the tool may be improved by, for example, adding an option to automatically select frequently used foods and including more recall cues. We conclude that Compl-eat™ may be a useful tool in large-scale Dutch studies after suggested improvements have been implemented and evaluated.

scholarly journals Web‐based dietary assessment software for 24‐hour recall interview

2009 ◽  
Vol 23 (S1) ◽  
Author(s):  
Eunyoung Park ◽  
Sangah Shin ◽  
Soochan Hwang ◽  
Kyo‐Joon Lee ◽  
Myung‐Joo Lee ◽  
...  
Keyword(s):  
Dietary Assessment ◽  
Web Based ◽  
24 Hour Recall
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