scholarly journals Development and Validation of a Sustainable Diet Index among Malaysian Adults: Protocol

2021 ◽  
Vol 50 (6) ◽  
pp. 1697-1705
Author(s):  
Nur Fadzlina Zulkefli ◽  
Ming Moy Foong
Keyword(s):  
Climate Change ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Dietary Guidelines ◽  
Food Record ◽  
Eating Occasion ◽  
Sustainable Diet ◽  
Development And Validation ◽  
Diet Behaviour ◽  
Serving Size

Adopting a sustainable diet is an alternative to address the pandemics of obesity, undernutrition and climate change that are threatening human health. Sustainable diet considers the health aspect as well as the environmental impact of diets. There is a scarcity of research on sustainable diet and lack validated tools for its measurement. This article aimed to describe the protocol on the development and validation of a Sustainable Diet Index (SDI) among Malaysian adults. A Sustainable Diet Index (SDI) was developed based on previous studies and available dietary guidelines on sustainable diet. Five indicators (rice, animal-based food, plant-based food, food waste and packaging) were included in the SDI. The index will be validated among Malaysian adults using mobile food record as the dietary assessment tool. The index has the potential to measure the level of healthy and sustainable diet behaviour of an individual. The use of mobile food record provides images of each eating occasion for the evaluation of serving size and the information on waste management. Health and environmental impacts from the diet can be evaluated through the integration of all indicators in the SDI. The index developed is novel and expected to provide a feasible measurement to assess the level of sustainable diet of an individual.

scholarly journals Accuracy and Cost-effectiveness of Technology-Assisted Dietary Assessment Comparing the Automated Self-administered Dietary Assessment Tool, Intake24, and an Image-Assisted Mobile Food Record 24-Hour Recall Relative to Observed Intake: Protocol for a Randomized Crossover Feeding Study (Preprint)

2021 ◽  
Author(s):  
Clare Whitton ◽  
Janelle D Healy ◽  
Clare E Collins ◽  
Barbara Mullan ◽  
Megan E Rollo ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Assessment Methods ◽  
Food Record ◽  
Chi Square ◽  
Feeding Study ◽  
Dietary Assessment Methods ◽  
24 Hour Recall ◽  
Chi Square Tests

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

scholarly journals Exploring the Feasibility of Use of An Online Dietary Assessment Tool (myfood24) in Women with Gestational Diabetes

Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1147 ◽  
Author(s):  
Carla Gianfrancesco ◽  
Zoe Darwin ◽  
Linda McGowan ◽  
Debbie Smith ◽  
Roz Haddrill ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Structured Interview ◽  
Clinical Population ◽  
Management Tool ◽  
Food Record ◽  
Dietary Recall ◽  
Lower Socioeconomic ◽  
System Usability Scale

myfood24 is an online 24 hr dietary recall tool developed for nutritional epidemiological research. Its clinical application has been unexplored. This mixed methods study explores the feasibility and usability of myfood24 as a food record in a clinical population, women with gestational diabetes (GDM). Women were asked to complete five myfood24 food records, followed by a user questionnaire (including the System Usability Scale (SUS), a measure of usability), and were invited to participate in a semi-structured interview. Of the 199 participants, the mean age was 33 years, mean booking body mass index (BMI) 29.7 kg/m2, 36% primiparous, 57% White, 33% Asian. Of these, 121 (61%) completed myfood24 at least once and 73 (37%) completed the user questionnaire; 15 were interviewed. The SUS was found to be good (mean 70.9, 95% CI 67.1, 74.6). Interviews identified areas for improvement, including optimisation for mobile devices, and as a clinical management tool. This study demonstrates that myfood24 can be used as an online food record in a clinical population, and has the potential to support self-management in women with GDM. However, results should be interpreted cautiously given the responders’ demographic characteristics. Further research to explore the barriers and facilitators of uptake in people from ethnic minority and lower socioeconomic backgrounds is recommended.

scholarly journals Validation of MEDFICTS Dietary Assessment Questionnaire in Turkish Population

2021 ◽  
pp. 1-13
Author(s):  
Zeynep Göktaş ◽  
Derya Dikmen ◽  
Neslişah Rakıcıoğlu
Keyword(s):  
Assessment Tool ◽  
Dietary Assessment ◽  
Turkish Population ◽  
Fat Intake ◽  
Food Record ◽  
Operating Characteristics ◽  
Roc Curve Analysis ◽  
Baked Goods ◽  
Fried Foods ◽  
Total Fat

Abstract Objective: The purpose of this study was to assess the validity of MEDFICTS (Meats, Eggs, Dairy, Fried foods, fat In baked goods, Convenience foods, fats added at the Table, Snacks) questionnaire in Turkish population. Design: MEDFICTS questionnaire is a brief dietary assessment tool developed as part of the National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) guidelines and it measures the adherence to Step 1 and Step 2 diets that are recommended for the prevention and treatment of cardiovascular diseases (CVD). MEDFICTS questionnaire was administered with 3-day food record to compare overall dietary fat intake. Setting: This study was conducted at the Hacettepe University (Ankara, Turkey) in 2017. Participants: Subjects were university students, recruited from several departments of Hacettepe University by trained dietitians. A total of 442 adults (249 females and 194 males) between the ages of 18-31 years participated in the study. Students with CVD were excluded. Results: Total fat intake ratio was higher than the recommended level for both males and females (39.4% and 39.9%, respectively). Mean MEDCISTS score was 66.3 ± 27.24 points. Total energy, total fat, SFA, and cholesterol intakes from 3-day food records within the different MEDFICTS diet groups significantly differed (p<0.001 for all). Receiver operating characteristics (ROC) curve analysis demonstrated that a cut-off point of 60 showed 80% sensitivity and 65% specificity. Conclusions: Our data indicates that MEDFICTS questionnaire is moderately accurate, however, sensitivity analysis did not demonstrate the recommended 40 points as an optimal cut-off point for Turkish population.

scholarly journals 439Reproducibility and relative validity of dietary patterns in older New Zealand adults

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Karen Mumme ◽  
Cath Conlon ◽  
Pamela von Hurst ◽  
Beatrix Jones ◽  
Jamie de Seymour ◽  
...  
Keyword(s):  
New Zealand ◽  
Dietary Patterns ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Principal Component ◽  
Weighted Kappa ◽  
Negative Slope ◽  
Food Groups ◽  
Food Record ◽  
Relative Validity

Abstract Background Valid and reproducible dietary patterns (DP) are necessary to assess relationships between diet and disease. This study, Researching Eating, Activity, and Cognitive Health (REACH), assessed the reproducibility and relative validity of DPs derived from a food frequency questionnaire (FFQ) in older New Zealand adults. Methods Participants (n = 294, 70±3yrs, 37% male), completed two identical 109-item FFQs to assess reproducibility. A 4-day food record (4DFR) was used to assess relative validity. After collapsing data into 57 food groups, DPs were derived using principal component analysis. Agreement of DP loadings were assessed using Tucker’s congruence coefficient. Agreement between derived DP scores from the FFQs and 4-DFR were assessed using Spearman correlation coefficients, weighted kappa statistic, and Bland-Altman analysis. Results Three similar DPs (‘Mediterranean style’, ‘Western’ and ‘prudent’) were identified from each dietary assessment tool. Congruence coefficients between DP loadings ranged from 0.66-0.80 (reproducibility) and 0.54-0.75 (validity). Correlations of DP scores ranged from 0.47-0.59 (reproducibility) and 0.33-0.43 (validity) (all P&lt;0.001); weighted kappa scores ranged from 0.40-0.48 (reproducibility) and 0.27-0.37 (validity); limits of agreement from ±1.79 to ± 2.09 (reproducibility) and ±2.09 to ± 2.27 (validity); a negative slope of bias was seen in the ‘prudent’ pattern for reproducibility and validity (P&lt;0.001). Conclusions The FFQ derived DPs demonstrated acceptable reproducibility and relative validity and can be used to examine associations between DPs and health outcomes in older New Zealand adults. Key Message Valid DPs improve evidence for assessing DP and health outcome associations.

scholarly journals A Novel Dietary Assessment Method to Measure a Healthy and Sustainable Diet Using the Mobile Food Record: Protocol and Methodology

Nutrients ◽  
2015 ◽  
Vol 7 (7) ◽  
pp. 5375-5395 ◽  
Author(s):  
Amelia Harray ◽  
Carol Boushey ◽  
Christina Pollard ◽  
Edward Delp ◽  
Ziad Ahmad ◽  
...  
Keyword(s):  
Dietary Assessment ◽  
Assessment Method ◽  
Food Record ◽  
Sustainable Diet ◽  
Dietary Assessment Method

The functionality and quality of nutrition-related mobile applications in China (Preprint)

2018 ◽  
Author(s):  
Yuan Li ◽  
Jingmin Ding ◽  
Yishan Wang ◽  
Chengyao Tang ◽  
Puhong Zhang
Keyword(s):  
Disease Management ◽  
Nutrition Education ◽  
Mobile Applications ◽  
Rating Scale ◽  
Dietary Guidelines ◽  
Diet Analysis ◽  
Innovative Technology ◽  
Nutritional Knowledge ◽  
Food Record

BACKGROUND There are an increasing number of mobile applications that provide dietary guidance in supporting healthy lifestyle and disease management. However, the characteristics of these nutrition-related apps are not well analyzed. OBJECTIVE This study aimed to evaluate the functionality and quality of nutrition-related apps in China. METHODS Mobile apps providing dietary guidance were screened in Chinese iOS and android app stores using stepwise searching criteria in November 2017. Primary review was conducted by extracting information from the description of apps. Free apps that contain all the information of diet and nutrition, with the last update after 1st Jan 2016 were downloaded for further analysis on the nutritional functionality features based on the framework of Chinese Dietary Guidelines and on the market related features as well. The user version of the Mobile Application Rating Scale (uMARS) was used to assess the quality of apps. RESULTS Among the 44 downloaded nutrition-related apps screened from 628 apps with dietary guidance content, only 11(25%) were aimed exclusively for dietary guidance, the others were aimed for fitness guidance (17, 39%), disease management (11, 25%) and maternal health (5, 11%) respectively. The nutritional functionalities of the 44 apps included nutritional information enquiry (40, 91%), nutrition education (35, 80%), food record (34, 77%), diet analysis (34, 77%), and personalized recipes (21, 48%). Twelve out of 44 apps contained all of the above five nutrition related functionalities. The diet analysis and suggestions were mainly focused on energy (33/44, 75%), less on other factors like dietary structure (10/44, 23%). About 96% (42/44) of the apps provided social communication functionality and 59% (26/44) of the apps supported user incentives. Eight out of 44 apps (18%) also applied intelligent recognition technology. Using 5-point uMARS as scales of quality, the median scores of the 44 apps was 3.6 (IQR = 0.7). CONCLUSIONS Most nutrition-related apps are developed in the service of health management other than for dietary guidance exclusively. Although basic energy balance theory was generally applied, the nutritional functionality of the nutrition-related apps is relatively limited and not individualized. More efforts should be taken to integrate with the scientific nutritional knowledge and innovative technology in developing an app followed with complete and personalized dietary guidance.

scholarly journals Hydrologic evaluation and effects of climate change on the Nong Han Lake Basin, northeastern Thailand

2019 ◽  
Vol 11 (4) ◽  
pp. 992-1000
Author(s):  
Jirawat Supakosol ◽  
Kowit Boonrawd
Keyword(s):  
Climate Change ◽  
Assessment Tool ◽  
Swat Model ◽  
Climate Projections ◽  
Lake Basin ◽  
Model Soil ◽  
Regional Climates ◽  
Water Assessment ◽  
Effective Water ◽  
Northeastern Thailand

Abstract The purpose of this study is to investigate the future runoff into the Nong Han Lake under the effects of climate change. The hydrological model Soil and Water Assessment Tool (SWAT) has been selected for this study. The calibration and validation were performed by comparing the simulated and observed runoff from gauging station KH90 for the period 2001–2003 and 2004–2005, respectively. Future climate projections were generated by Providing Regional Climates for Impacts Studies (PRECIS) under the A2 and B2 scenarios. The SWAT model yielded good results in comparison to the baseline; moreover, the results of the PRECIS model showed that both precipitations and temperatures increased. Consequently, the amount of runoff calculated by SWAT under the A2 and B2 scenarios was higher than that for the baseline. In addition, the amount of runoff calculated considering the A2 scenario was higher than that considering the B2 scenario, due to higher average annual precipitations in the former case. The methodology and results of this study constitute key information for stakeholders, especially for the development of effective water management systems in the lake, such as designing a rule curve to cope with any future incidents.

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.

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