A Qualitative Analysis of the Remote Food Photography Method and the Automated Self-Administered 24-hour Dietary Assessment Tool for Assessing Children’s Food Intake Reported by Parent Proxy

Author(s):  
Traci A. Bekelman ◽  
Susan L. Johnson ◽  
Rachel I. Steinberg ◽  
Corby K. Martin ◽  
Katherine A. Sauder ◽  
...  
2021 ◽  
pp. 1-26
Author(s):  
Traci A. Bekelman ◽  
Corby K. Martin ◽  
Susan L. Johnson ◽  
Deborah H. Glueck ◽  
Katherine A. Sauder ◽  
...  

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.


PLoS ONE ◽  
2016 ◽  
Vol 11 (9) ◽  
pp. e0163833 ◽  
Author(s):  
Abby D. Altazan ◽  
L. Anne Gilmore ◽  
Jeffrey H. Burton ◽  
Shelly A. Ragusa ◽  
John W. Apolzan ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Chathurika Dhanasekara ◽  
John Dawson ◽  
Corby Martin ◽  
Nik Dhurandhar

Abstract Objectives Studies using subjective assessment of food intake have reported associations of egg consumption with the intake of various food groups and nutrients, including positive associations with the intake of cholesterol, macronutrients, saturated fat, and total energy. Considering the substantial misreporting linked with subjective measures of food intake, we aimed to examine such associations of egg consumption in a setting with objectively measured food intake. Methods We assessed dietary intake using an ecological momentary assessment approach (i.e., Remote Food Photography Method, RFPM). Forty-eight healthy subjects (age 19–58 years; BMI 20.05–38.03 kg/m2; consume ≥1 egg per week) took ‘before’ and ‘after’ photographs of all food they consumed during consecutive 7 days using a smartphone app called SmartIntake®. Images were analyzed for nutrient content. Linear correlations between egg consumption and the intake of cholesterol, total energy, saturated fat, carbohydrate, protein, and that with Body Mass Index (BMI), were determined using R software. Results Egg consumption was positively related with cholesterol intake (r = 0.84, P < 0.001). Egg consumption was not significantly associated with the intake of total energy, saturated fat, carbohydrate, or protein. The association between egg consumption and BMI was also not significant (r = 0.25, P = 0.09). Conclusions Considering the higher cholesterol content in eggs, the positive association of egg consumption with cholesterol was expected. However, our objectively assessed findings contradict many of the other prevailing associations of egg consumption derived from subjective assessment of food intake. Our results showed that in this setting, egg consumption was not associated with greater intake of energy, saturated fat or other macronutrients. Funding Sources American Egg Board/Egg Nutrition Center


2021 ◽  
Author(s):  
Isobel Sharpe ◽  
Sharon Kirkpatrick ◽  
Brendan T Smith ◽  
Charles D.G. Keown-Stoneman ◽  
Jessica Omand ◽  
...  

Abstract Background: Robust measurement of dietary intake in population studies of children is critical to better understand the diet-health nexus. It is unknown whether parent proxy-report of children’s dietary intake through online 24-hour recalls is feasible in large cohort studies. Objectives: The primary objective of this study was to describe the feasibility of the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24) to measure parent proxy-reported child dietary intake. A secondary objective was to compare intake estimates with those from national surveillance. Methods: Parents of children aged 4-15 years participating in the TARGet Kids! research network in Toronto, Canada were invited by email to complete an online ASA24-Canada-2016 recall for their child, with a subsample prompted to complete a second recall about two weeks later. Descriptive statistics were reported for ASA24 completion characteristics and intake of several nutrients. Comparisons were made to the 2015 Canadian Community Health Survey (CCHS) 24-hour recall data. Results: A total of 163 parents completed the first recall and 46 completed the second, reflecting response rates of 35% and 59%, respectively. Seven (4%) first recalls and one (2%) second recall were excluded for ineligibility, missing data, or inadvertent parental self-report. The median number of foods reported on the first recall was 18.0 (interquartile range [IQR] 6.0) and median time to complete was 29.5 minutes (IQR 17.0). Nutrient intakes for energy, total fat, protein, carbohydrates, fiber, sodium, total sugars, and added sugars were similar across the two recalls and the CCHS. Conclusions: The ASA24 was found to be feasible for parent proxy-reporting of children’s intake and to yield intake estimates comparable to those from national surveillance, but strategies are needed to increase response rate and support completion to enhance generalizability.


Author(s):  
Reuben G. Stables ◽  
Andreas M. Kasper ◽  
S. Andy Sparks ◽  
James P. Morton ◽  
Graeme L. Close

The remote food photography method, often referred to as “Snap-N-Send” by sport nutritionists, has been reported as a valid method to assess energy intake in athletic populations. However, preliminary studies were not conducted in true free-living conditions, and dietary assessment was performed by one researcher only. The authors, therefore, assessed the validity of Snap-N-Send to assess the energy and macronutrient composition in experienced (EXP, n = 23) and inexperienced (INEXP, n = 25) sport nutritionists. The participants analyzed 2 days of dietary photographs, comprising eight meals. Day 1 consisted of “simple” meals based around easily distinguishable foods (i.e., chicken breast and rice), and Day 2 consisted of “complex” meals, containing “hidden” ingredients (i.e., chicken curry). The estimates of dietary intake were analyzed for validity using one-sample t tests and typical error of estimates (TEE). The INEXP and EXP nutritionists underestimated energy intake for the simple day (mean difference [MD] = −1.5 MJ, TEE = 10.1%; −1.2 MJ, TEE = 9.3%, respectively) and the complex day (MD = −1.2 MJ, TEE = 17.8%; MD = −0.6 MJ, 14.3%, respectively). Carbohydrate intake was underestimated by INEXP (MD = −65.5 g/day, TEE = 10.8% and MD = −28.7 g/day, TEE = 24.4%) and EXP (MD = −53.4 g/day, TEE = 10.1% and −19.9 g/day, TEE = 17.5%) for both the simple and complex days, respectively. Interpractitioner reliability was generally “poor” for energy and macronutrients. The data demonstrate that the remote food photography method/Snap-N-Send underestimates energy intake in simple and complex meals, and these errors are evident in the EXP and INEXP sport nutritionists.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Isobel Sharpe ◽  
Sharon I. Kirkpatrick ◽  
Brendan T. Smith ◽  
Charles D. G. Keown-Stoneman ◽  
Jessica Omand ◽  
...  

Abstract Background Robust measurement of dietary intake in population studies of children is critical to better understand the diet–health nexus. It is unknown whether parent proxy-report of children’s dietary intake through online 24-h recalls is feasible in large cohort studies. Objectives The primary objective of this study was to describe the feasibility of the Automated Self-Administered 24-h Dietary Assessment Tool (ASA24) to measure parent proxy-reported child dietary intake. A secondary objective was to compare intake estimates with those from national surveillance. Methods Parents of children aged 4–15 years participating in the TARGet Kids! research network in Toronto, Canada were invited by email to complete an online ASA24-Canada-2016 recall for their child, with a subsample prompted to complete a second recall about 2 weeks later. Descriptive statistics were reported for ASA24 completion characteristics and intake of several nutrients. Comparisons were made to the 2015 Canadian Community Health Survey (CCHS) 24-h recall data. Results A total of 163 parents completed the first recall, and 46 completed the second, reflecting response rates of 35% and 59%, respectively. Seven (4%) first recalls and one (2%) second recall were excluded for ineligibility, missing data, or inadvertent parental self-report. The median number of foods reported on the first recall was 18.0 (interquartile range (IQR) 6.0) and median time to complete was 29.5 min (IQR 17.0). Nutrient intakes for energy, total fat, protein, carbohydrates, fiber, sodium, total sugars, and added sugars were similar across the two recalls and the CCHS. Conclusions The ASA24 was found to be feasible for parent proxy-reporting of children’s intake and to yield intake estimates comparable to those from national surveillance, but strategies are needed to increase response rate and support completion to enhance generalizability.


2016 ◽  
Vol Volume 9 ◽  
pp. 311-322 ◽  
Author(s):  
Suzana Shahar ◽  
Dwi Budiningsari ◽  
Zahara Abd Manaf ◽  
Susetyowati Susetyowati

2019 ◽  
Vol 149 (1) ◽  
pp. 114-122 ◽  
Author(s):  
Sharon I Kirkpatrick ◽  
Patricia M Guenther ◽  
Deirdre Douglass ◽  
Thea Zimmerman ◽  
Lisa L Kahle ◽  
...  

ABSTRACT Background Evidence is lacking informing the use of the Automated Self-Administered 24-h Dietary Assessment Tool (ASA24) with populations characterized by low income. Objective This study was conducted among women with low incomes to evaluate the accuracy of ASA24 recalls completed independently and with assistance. Methods Three hundred and two women, aged ≥18 y and with incomes below the Supplemental Nutrition Assistance Program thresholds, served themselves from a buffet; amounts taken as well as plate waste were unobtrusively weighed to enable calculation of true intake for 3 meals. The following day, women completed ASA24-2016 independently (n = 148) or with assistance from a trained paraprofessional in a small group (n = 154). Regression modeling examined differences by condition in agreement between true and reported foods; energy, nutrient, and food group intakes; and portion sizes. Results Participants who completed ASA24 independently and those who received assistance reported matches for 71.9% and 73.5% (P = 0.56) of items truly consumed, respectively. Exclusions (consumed but not reported) were highest for lunch (at which participants consumed approximately 2 times the number of distinct foods and beverages compared with breakfast and dinner). Commonly excluded foods were additions to main dishes (e.g., tomatoes in salad). On average, excluded foods contributed 43.6 g (46.2 kcal) and 40.1 g (43.2 kcal) among those in the independent and assisted conditions, respectively. Gaps between true and reported intake were different between conditions for folate and iron. Within conditions, significant gaps were observed for protein, vitamin D, and meat (both conditions); vitamin A, iron, and magnesium (independent); and folate, calcium, and vegetables (assisted). For foods and beverages for which matches were reported, no difference in the gap between true and reported portion sizes was observed by condition (P = 0.22). Conclusions ASA24 performed relatively well among women with low incomes; however, accuracy was somewhat lower than previously observed among adults with a range of incomes. The provision of assistance did not significantly impact accuracy.


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