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.

scholarly journals Development and Evaluation of a Web-Based Dietary Assessment Tool (Foodbook24) for Use in a Chinese Population in Ireland

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 196-196
Author(s):  
Shuhua Yang ◽  
Grace Bennett ◽  
Laura Bardon ◽  
Emma Feeney ◽  
Eileen Gibney
Keyword(s):  
Chinese Population ◽  
Assessment Tool ◽  
Adult Population ◽  
Dietary Assessment ◽  
Food Composition ◽  
Portion Size ◽  
Assessment Tools ◽  
Web Based ◽  
Evaluation Questionnaire ◽  
Food Composition Tables

Abstract Objectives Foodbook24 is a web-based, self-administered 24-h dietary recall tool initially developed for the Irish adult population. However, the application of this tool to the Chinese population is limited. This study aims to describe the development of Foodbook24 for Chinese population and conduct user evaluations of the developed Foodbook24. Methods Foodbook24 consists of different components including food list, food composition, portion size images alongside supplementary questionnaires such as demographic and evaluation questionnaire. Food items from China Food Composition Tables and Chinese grocery shops in Dublin, Ireland were used to expand the food list. Food composition data were derived from the Composition of Foods Integrated Dataset UK (CoFID), and China Food Composition Tables. Portion sizes of new foods were derived by determined mean reported intakes from the China Health and Nutrition Survey, and/or packaged portions of specific foods. All components were then translated to Chinese. Acceptability of the developed tool was assessed by n = 20 participants, Chinese aged 18 and over living in Ireland, following a traditional Chinese diet. Participants were asked to complete a food reflection, using a Pinterest board, whereby participants were asked to post photos of commonly consumed foods. This image board was then described by the participant using voice recording. The usability of the developed tool was assessed through 2 24 h dietary recalls using the developed Foodbook24 and a tool evaluation questionnaire. Results 383 new foods with compositions were added to Foodbook24’s original food list. 82 additional portion size images were created. Examination of participants’ likeability and compatibility with the tool is currently ongoing, and foods identified within the acceptability study will be added to the tool. Conclusions The use and applicability of novel dietary assessment tools, such as Foodbook24, need to be considered in all population groups in any given country, with wide and diverse eating habits. All elements (food list, portion size, food photos and language) need to be evaluated and considered before use to examine dietary intakes within an entire population. Funding Sources China Scholarship Council.

scholarly journals Rethinking the Use of Mobile Apps for Dietary Assessment in Medical Research

10.2196/15619 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e15619 ◽  
Author(s):  
Wael Khazen ◽  
Jean-François Jeanne ◽  
Laëtitia Demaretz ◽  
Florent Schäfer ◽  
Guy Fagherazzi
Keyword(s):  
Medical Research ◽  
Assessment Tool ◽  
Mobile Apps ◽  
Dietary Assessment ◽  
Ease Of Use ◽  
Assessment Tools ◽  
Dietary Behaviors ◽  
Mobile Technologies ◽  
Eating Occasions ◽  
Dietary Data

Food intake and usual dietary intake are among the key determinants of health to be assessed in medical research and important confounding factors to be accounted for in clinical studies. Although various methods are available for gathering dietary data, those based on innovative technologies are particularly promising. With combined cost-effectiveness and ease of use, it is safe to assume that mobile technologies can now optimize tracking of eating occasions and dietary behaviors. Yet, choosing a dietary assessment tool that meets research objectives and data quality standards remains challenging. In this paper, we describe the purposes of collecting dietary data in medical research and outline the main considerations for using mobile dietary assessment tools based on participant and researcher expectations.

scholarly journals Applying a meal coding system to 16-d weighed dietary record data in the Japanese context: towards the development of simple meal-based dietary assessment tools

2018 ◽  
Vol 7 ◽  
Author(s):  
Kentaro Murakami ◽  
M. Barbara E. Livingstone ◽  
Satoshi Sasaki ◽  
Naoko Hirota ◽  
Akiko Notsu ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Dietary Assessment ◽  
Food Group ◽  
Scientific Basis ◽  
Food Composition ◽  
Assessment Tools ◽  
Coding System ◽  
Nutrient Intakes ◽  
Dietary Record ◽  
Eating Occasions

AbstractData on the combination of foods consumed simultaneously at specific eating occasions are scarce, primarily due to a lack of assessment tools. We applied a recently developed meal coding system to multiple-day dietary intake data for assessing its ability to estimate food and nutrient intakes and characterise meal-based dietary patterns in the Japanese context. A total of 242 Japanese adults completed sixteen non-consecutive-day weighed dietary records, including 14 734 eating occasions (3788 breakfasts, 3823 lunches, 3856 dinners and 3267 snacks). Common food group combinations were identified by meal type to identify a range of generic meals. Dietary intake was calculated on the basis of not only the standard food composition database but also the substituted generic meal database. In total, eighty generic meals (twenty-three breakfasts, twenty-one lunches, twenty-four dinners and twelve snacks) were identified. The Spearman correlation coefficients between food group intakes calculated based on the standard food composition database and the substituted generic meal database ranged from 0·26 to 0·85 (median 0·69). The corresponding correlations for nutrient intakes ranged from 0·17 to 0·82 (median 0·61). A total of eleven meal patterns were established using principal components analysis, and these accounted for 39·1 % of total meal variance. Considerable variation in patterns was seen in meal type inclusion and choice of staple foods (bread, rice and noodles) and drinks, and also in meal constituents. In conclusion, this study demonstrated the usefulness of a meal coding system for assessing habitual diet, providing a scientific basis towards the development of simple meal-based dietary assessment tools.

scholarly journals Development and evaluation of image-series for portion size estimation in dietary assessment among adults

2021 ◽  
Vol 10 ◽  
Author(s):  
Lorentz Salvesen ◽  
Dagrun Engeset ◽  
Nina C. Øverby ◽  
Anine C. Medin
Keyword(s):  
Assessment Tool ◽  
Tertiary Education ◽  
Dietary Assessment ◽  
Portion Size ◽  
Estimation Accuracy ◽  
Size Estimation ◽  
Web Based ◽  
Food Items ◽  
Image Series ◽  
Portion Size Estimation

Abstract Portion size images are advantageous in dietary assessment. The aim of the present study was to develop and validate new culturally specific image-series for portion size estimation to be used in a new Norwegian version of a British web-based dietary assessment tool (myfood24). Twenty-three image-series of different foods, each containing seven portion size images, were created and validated in a group of adults (n 41, 58 % female) aged 19–44 (median 23), out of which 63 % had higher (tertiary) education. The participants compared 46 portions of pre-weighed foods to the portion size images (1886 comparisons in total). Portion size estimations were either classified as correct, adjacent or misclassified. The weight discrepancy in percentage between the chosen and the correct portion size image was also calculated. Mann–Whitney U tests were used to explore if portion size estimation accuracy differed across sample characteristics, or if it depended on how the foods were presented. For thirty-eight of the forty-six presented food items, the participants selected the correct or adjacent portion size image 98 % on average. The remaining eight food items were on average misclassified by 27 % of the participants. Overall, a mean weight discrepancy of 2⋅5 % was observed between the chosen and the correct portion size images. Females estimated portion size more accurately than males (P = 0⋅019). No other significant differences in estimation accuracy were observed. In conclusion, the new image-series performed satisfactorily, except for the image-series depicting bread, caviar spread and marzipan cake, which will be altered. The present study demonstrates the importance of validating portion size estimation tools.

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 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 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 School-Age Children Can Recall Some Foods and Beverages Consumed the Prior Day Using the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) without Assistance

2019 ◽  
Vol 149 (6) ◽  
pp. 1019-1026 ◽  
Author(s):  
Amanda Raffoul ◽  
Erin P Hobin ◽  
Jocelyn E Sacco ◽  
Kirsten M Lee ◽  
Jess Haines ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Dietary Assessment ◽  
School Setting ◽  
School Age Children ◽  
Older Children ◽  
Web Based ◽  
Plate Waste ◽  
Portion Sizes ◽  
Baby Carrots ◽  
Energy And Nutrient Intake

ABSTRACT Background Technological innovations allow for collection of 24-h recalls (24HRs) in a broader range of studies than previously possible. The web-based Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) has been shown to be feasible and to perform well in capturing true intake among adults. However, data to inform use with children are limited. Objective This observational feeding study was conducted to evaluate children's ability to accurately report a lunchtime meal using ASA24 without assistance. Methods The study was conducted among children (n = 100) aged 10–13 y within a school setting. Students were served an individual cheese pizza, baby carrots, ranch dip, yogurt, a cookie, and 1 choice of water, juice, or milk. Plate waste was collected and weighed. The next day, participants completed ASA24 and a sociodemographic questionnaire. Descriptive statistics were generated to determine match rates by food item and age, and linear regression analyses were conducted to examine associations between sociodemographic characteristics and accuracy of reported energy and nutrient intake. Associations between true and reported energy and nutrient intakes and portion sizes were assessed with use of t tests. Results Just under half (49%) of children fully completed ASA24 (median time, 41 min). Children reported an exact, close, or far match for 58% of all foods and beverages consumed, ranging from 29% for dip to 76% for pizza, but also reported some items not consumed as part of the study meal. Older children completed the recall in a shorter time than younger children (mean 31 among 13 y compared with 52 min among 10 y). Intakes of energy (39%), protein (33%), and sodium (78%) were significantly overestimated, whereas portion sizes for cookies (53%) and juice (69%) were underestimated. Conclusions Children can report some foods and drinks consumed using ASA24, but our findings suggest challenges with independent completion, necessitating research to examine strategies, such as training and resources, to support data quality.

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