Evaluation of New Technology-Based Tools for Dietary Intake Assessment—An ILSI Europe Dietary Intake and Exposure Task Force Evaluation

Background: New technology-based dietary assessment tools, including Web-based programs, mobile applications, and wearable devices, may improve accuracy and reduce costs of dietary data collection and processing. The International Life Sciences Institute (ILSI) Europe Dietary Intake and Exposure Task Force launched this project to evaluate new tools in order to recommend general quality standards for future applications. Methods: A comprehensive literature search identified technology-based dietary assessment tools, including those published in English from 01/2011 to 09/2017, and providing details on tool features, functions and uses. Each of the 43 tools identified (33 for research and 10 designed for consumer use) was rated on 25 attributes. Results: Most of the tools identified (79%) relied on self-reported dietary intakes. Most (91%) used text entry and 33% used digital images to help identify foods. Only 65% had integrated databases for estimating energy or nutrients. Fewer than 50% contained any features of customization and about half generated automatic reports. Most tools reported on usability or reported validity compared with another assessment method (77%). A set of Best Practice Guidelines was developed for reporting dietary assessment tools using new technology. Conclusions: Dietary assessment methods that utilize technology offer many advantages for research and are often preferable to consumers over more traditional methods. In order to meet general quality standards, new technology tools require detailed publications describing tool development, food identification and quantification, customization, outputs, food composition tables used, and usability/validity testing.

Download Full-text

P794 Nutritional assessment in inflammatory bowel disease (IBD): development of the Groningen IBD Nutritional Questionnaires (GINQ)

Journal of Crohn s and Colitis ◽

10.1093/ecco-jcc/jjz203.922 ◽

2020 ◽

Vol 14 (Supplement_1) ◽

pp. S624-S625

Author(s):

V Peters ◽

B Alizadeh ◽

J de Vries ◽

G Dijkstra ◽

M Campmans-Kuijpers

Keyword(s):

Inflammatory Bowel Disease ◽

Dietary Intake ◽

Bowel Disease ◽

Dietary Habits ◽

Nutritional Assessment ◽

Dietary Assessment ◽

Dietary Guidelines ◽

Assessment Tools ◽

Dietary Intakes ◽

Inflammatory Bowel

Abstract Background Diet plays a key role in the complex aetiology and treatment of inflammatory bowel disease (IBD). Most existing nutritional assessment tools neglect intakes of important foods consumed or omitted specifically by IBD patients or incorporate non-Western dietary habits, making development of appropriate dietary guidelines for (Western) IBD patients difficult. Hence, we developed a food frequency questionnaire (FFQ), the Groningen IBD Nutritional Questionnaires (GINQ-FFQ); suitable to assess dietary intake in IBD patients. Methods To develop the GINQ-FFQ multiple steps (Figure 1) were taken; identification of IBD specific foods, literature search and evaluation of current dietary assessment methods. Expert views were collected and in collaboration with Wageningen University, division of Human Nutrition and Health, this semi-quantitative FFQ was developed using standard methods to obtain a validate questionnaire. Next, the GINQ-FFQ was digitalised into a secure web-based environment which also embeds additional nutritional and IBD-related questions. Results The GINQ-FFQ is an online self-administered FFQ evaluating dietary intake over the past month as a proxy of habitual intake of the previous six months. The GINQ-FFQ consists of 121 questions on 218 food items. It takes about 45 min to fill out the GINQ-FFQ. Conclusion This paper describes the design process of the GINQ-FFQ which is newly developed to assess dietary intakes especially (but not exclusively) in IBD patients.

Download Full-text

Dietary Assessment Methods in Military and Veteran Populations: A Scoping Review

Nutrients ◽

10.3390/nu12030769 ◽

2020 ◽

Vol 12 (3) ◽

pp. 769 ◽

Cited By ~ 2

Author(s):

Rebecca A. Collins ◽

Bradley Baker ◽

Daisy H. Coyle ◽

Megan E. Rollo ◽

Tracy L. Burrows

Keyword(s):

Dietary Intake ◽

Scoping Review ◽

Military Personnel ◽

Dietary Assessment ◽

Assessment Method ◽

Dietary Guidelines ◽

Complex Nature ◽

Dietary Intakes ◽

Civilian Life ◽

Country Specific

Optimal dietary intake is important for the health and physical performance of military personnel. For military veterans, the complex nature of transition into civilian life and sub-optimal dietary intake is a leading contributor to the increased burden of disease. A scoping review was undertaken to determine what is known about the assessment and reporting of dietary intakes within both military and veteran populations. In addition, this review determines if studies reporting on the dietary intake of military personnel or veterans include comparisons with dietary guidelines. Six databases were searched to identify papers published from the database inception to April 2019. Observational and intervention studies were searched to identify if they assessed and reported whole dietary intake data, reported data exclusively for a military or veteran population, and included only healthy populations. A total of 89 studies were included. The majority of studies used one dietary assessment method (n = 76, 85%) with fewer using multiple methods (n = 13, 15%). The most frequent methodology used was food frequency questionnaires (FFQ) (n = 40, 45%) followed by 24-hour recalls (n = 8, 9%) and food records (n = 8, 9%). The main dietary outcomes reported were macronutrients: carbohydrate, protein, fat, and alcohol (n = 66, 74%) with total energy intake reported in n = 59 (66%). Fifty four (61%) studies reported a comparison with country-specific dietary guidelines and 14 (16%) reported a comparison with the country-specific military guidelines. In conclusion, dietary intake in military settings is most commonly assessed via FFQs and 24-hour recalls. Dietary intake reporting is mainly focused around intakes of energy and macronutrients. Most studies compare against dietary guidelines, however, comparison to specific military dietary guidelines is minimal.

Download Full-text

The effectiveness of nutrition education programmes on improving dietary intake in athletes: a systematic review

British Journal Of Nutrition ◽

10.1017/s0007114520003694 ◽

2020 ◽

pp. 1-15

Author(s):

Aimee Boidin ◽

Ryan Tam ◽

Lachlan Mitchell ◽

Gregory R. Cox ◽

Helen O’Connor

Keyword(s):

Systematic Review ◽

Dietary Intake ◽

Nutrition Education ◽

Well Being ◽

Assessment Method ◽

Control Group ◽

Dietary Intakes ◽

College Level ◽

Post Intervention ◽

Education Interventions

Abstract Nutrition education programmes for athletes aim to enhance nutrition knowledge and more importantly support positive dietary change to enhance performance, health and well-being. This systematic review assessed changes in the dietary intakes of athletes in response to nutrition education programmes. A search was conducted which included studies providing quantitative dietary intake assessment of athletes of any calibre aged between 12 and 65 years in response to a nutrition education programme. Standardised differences (effect sizes) were calculated (when possible) for each dietary parameter. The search yielded 6285 papers with twenty-two studies (974 participants (71·9 % female)) eligible for inclusion. Studies described athletes competing at high school (n 3) through to college level or higher (n 19). Study designs were either single arm with an intervention-only group (twelve studies; n 241) or double arm including an intervention and control group (ten studies; n 689). No control groups received an alternative or ‘sham’ intervention. Face-to-face lectures (9/22) and individual nutrition counselling (6/22) were the most common education interventions. Non-weighed, 3-d diet records (10/22) were the most frequently utilised dietary assessment method. Although 14/22 studies (n 5 single and n 9 double) reported significant change in at least one nutrition parameter, dietary changes were inconsistent. Poor study quality and heterogeneity of methods prohibit firm conclusions regarding overall intervention success or superior types of educational modalities. Of note, carbohydrate intakes ‘post-intervention’ when assessed often failed to meet recommended guidelines (12/17 studies). Given the substantial investment made in nutrition education interventions with athletes, there is a need for well-designed and rigorous research to inform future best practice.

Download Full-text

Nutritional Assessment in Inflammatory Bowel Disease (IBD)—Development of the Groningen IBD Nutritional Questionnaires (GINQ)

Nutrients ◽

10.3390/nu11112739 ◽

2019 ◽

Vol 11 (11) ◽

pp. 2739 ◽

Cited By ~ 1

Author(s):

Vera Peters ◽

Behrooz Z Alizadeh ◽

Jeanne HM de Vries ◽

Gerard Dijkstra ◽

Marjo JE Campmans-Kuijpers

Keyword(s):

Inflammatory Bowel Disease ◽

Dietary Intake ◽

Bowel Disease ◽

Dietary Habits ◽

Nutritional Assessment ◽

Dietary Assessment ◽

Dietary Guidelines ◽

Assessment Tools ◽

Dietary Assessment Methods ◽

Inflammatory Bowel

Diet plays a key role in the complex etiology and treatment of inflammatory bowel disease (IBD). Most existing nutritional assessment tools neglect intake of important foods consumed or omitted specifically by IBD patients or incorporate non-Western dietary habits, making the development of appropriate dietary guidelines for (Western) IBD patients difficult. Hence, we developed a food frequency questionnaire (FFQ), the Groningen IBD Nutritional Questionnaires (GINQ-FFQ); suitable to assess dietary intake in IBD patients. To develop the GINQ-FFQ, multiple steps were taken, including: identification of IBD specific foods, a literature search, and evaluation of current dietary assessment methods. Expert views were collected and in collaboration with Wageningen University, division of Human Nutrition and Health, this semi-quantitative FFQ was developed using standard methods to obtain a valid questionnaire. Next, the GINQ-FFQ was digitized into a secure web-based environment which also embeds additional nutritional and IBD related questions. The GINQ-FFQ is an online self-administered FFQ evaluating dietary intake, taking the previous month as a reference period. It consists of 121 questions on 218 food items. This paper describes the design process of the GINQ-FFQ which assesses dietary intake especially (but not exclusively) in IBD patients. Validation of the GINQ-FFQ is needed and planned in the near future.

Download Full-text

Observed Dietary Intake in Adults with Intellectual Disability Living in Group Homes

Nutrients ◽

10.3390/nu12010037 ◽

2019 ◽

Vol 12 (1) ◽

pp. 37

Author(s):

Nur Hana Hamzaid ◽

Helen T. O’Connor ◽

Victoria M. Flood

Keyword(s):

Intellectual Disability ◽

Dietary Intake ◽

Dietary Assessment ◽

Bed Rest ◽

Group Homes ◽

Dietary Intakes ◽

Limited Information ◽

Dietary Recommendations ◽

Convenience Sample ◽

Dairy Foods

Background: There is limited information on the dietary intakes of people with intellectual disability (ID) living in group homes. Objective: To describe and evaluate dietary intake in people with ID. Method: Dietary intake was assessed in a convenience sample of people with ID living in group homes. Dietary assessment used three-day weighed food records and digital food photography. Intakes were compared to the Nutrient Reference Values (NRVs) and dietary recommendations. Results: A sample of 33 adults, (men (M): n = 14; women (W): n = 19), mean age 51 ± 14 years, was recruited from seven group homes. Mean daily energy intake was low (M: 7.4 MJ; W: 7.0 MJ; p = 0.46), similar to levels recommended for bed rest. Many participants had intakes below the estimated average requirements (EARs) for the nutrients, magnesium (M: 86%; W: 63%), calcium (M: 43%; W: 78%), iodine (M: 43%; W: 47%) and zinc (M: 43%). Less than half of the recommended daily servings were consumed for vegetables (men and women) and dairy foods (women). Conclusion: Nutrient intake and diet quality of the participants in the group homes studied was poor. Education and policy to support healthier diets is required to improve dietary intake of people with intellectual disability, living in group homes.

Download Full-text

Quality of food-frequency questionnaire validation studies in the dietary assessment of children aged 12 to 36 months: a systematic literature review

Journal of Nutritional Science ◽

10.1017/jns.2017.12 ◽

2017 ◽

Vol 6 ◽

Cited By ~ 15

Author(s):

Amy Lovell ◽

Rhodi Bulloch ◽

Clare R. Wall ◽

Cameron C. Grant

Keyword(s):

Vitamin C ◽

Dietary Intake ◽

Validation Studies ◽

English Language ◽

Dietary Assessment ◽

Correlation Coefficients ◽

Reference Method ◽

Summary Score ◽

Dietary Intakes ◽

Short Term

AbstractA child's diet is an important determinant of growth and development. Because of this, the accurate assessment of dietary intake in young children remains a challenge. A systematic search of studies validating FFQ methodologies in children 12 to 36 months of age was completed. English-language articles published until March 2016 were searched using three electronic databases (MEDLINE, EMBASE and CINAHL). Quality assessment of the identified studies was carried out using The Reduced Summary Score and EURopean micronutrient RECommendations Aligned (EURRECA) scoring system. Seventeen studies were included and categorised according to whether they reflected long-term (≥7 d) or short-term (<7 d) intake, or used a biomarker. A total score for each micronutrient was calculated from the mean of the correlation coefficients weighted by the study quality score. At least three validation studies per micronutrient were required for inclusion. Fifteen studies (83 %) that considered validity of the FFQ in assessing nutrient intakes had quality scores from 2·5 to 6·0. Of those, ten (67 %) studies found FFQ to have good correlations in assessing dietary intake (>0·4). Of the nutrients with three or more studies available, FFQ validated using a reference method reflecting short-term intake had a good weighted correlation for Ca (0·51), and acceptable weighted correlations for vitamin C (0·31) and Fe (0·33). Semi-quantitative FFQ were shown to be valid and reproducible when estimating dietary intakes at a group level, and are an acceptable instruments for estimating intakes of Ca, vitamin C and Fe in children 12 to 36 months of age.

Download Full-text

Development of an Online Dietary Recall Tool Suitable for Use Among Ethnic Groups Living in Ireland: A Study Protocol

Current Developments in Nutrition ◽

10.1093/cdn/nzab035_012 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 104-104

Author(s):

Grace Bennett ◽

Shuhua Yang ◽

Laura Bardon ◽

Eileen Gibney

Keyword(s):

Dietary Assessment ◽

Accurate Method ◽

Food Composition ◽

Assessment Tools ◽

Dietary Intakes ◽

Diverse Range ◽

Population Groups ◽

Horizon 2020 ◽

Dietary Recall ◽

Research And Innovation

Abstract Objectives To develop Foodbook24, an online dietary recall tool, for use among various population groups in Ireland and compare its use to traditional dietary recall methods Methods The existing food list within Foodbook24 was expanded to include foods frequently consumed by Polish and Brazilian adults. Common foods consumed by the Irish population that were not included in the original food list were also added. The composition of foods per 100g, portion sizes and food portion images were collated for all additional foods. These data were retrieved from available national food composition and food consumption databases and other published sources. To test the completeness of the expanded food list n = 20 participants from each cohort (Irish, Polish, Brazilian) were recruited. Participants completed a personal reflection of their diet using a Pinterest Board of 30–40 images to represent foods they consume often, accompanied by an audio clip explaining food choices, eating patterns and how/where they prepare and serve their meals. Later participants completed two 24 hour dietary recalls using the modified Foodbook24 and an evaluation questionnaire to assess their likeability of the tool. A second cohort of n = 60 from each group were recruited to complete 24 hour dietary recalls using traditional interviewer led methods and Foodbook24, in a randomised manner, to test the comparability of food and nutrient intakes from each method Results A total of 136 additional Irish, 26 Polish and 34 Brazilian foods were added to Foodbook24. Examination of participants’ likeability and compatibility with the tool is ongoing. Food items commonly mentioned in the Pinterest study that are missing from the updated food list will be added and preliminary analysis on the 24 hour dietary recalls will be completed. Intakes recorded via interviewer led recalls and Foodbook24 will be compared and significant differences analysed to assess the compatibility of the updated Foodbook24 tool among populations in Ireland Conclusions Food choice varies between population groups. The use of novel dietary assessment tools, such as Foodbook24, should be assessed among a diverse range of groups before it is deemed an accurate method of examining dietary intakes of an entire population. Funding Sources Food Nutrition Security Cloud has received funding from the EU's Horizon 2020 Research and Innovation programme.

Download Full-text

Validation of Vitamin D-Specific Food Frequency Questionnaire against Food Records for Qatari Women

Foods ◽

10.3390/foods9020195 ◽

2020 ◽

Vol 9 (2) ◽

pp. 195 ◽

Cited By ~ 1

Author(s):

Vijay Ganji ◽

Reem Abu-Dbaa ◽

Haneen Othman ◽

Menatallah Zewein ◽

Tamara Al-Abdi ◽

...

Keyword(s):

Vitamin D ◽

Food Frequency Questionnaire ◽

Dietary Assessment ◽

Cost Effective ◽

The United States ◽

United States Department ◽

Dietary Intakes ◽

Food Frequency ◽

Food Records ◽

Food Composition Tables

The measurement of vitamin D nutritional status through dietary assessment is cost effective. Food frequency questionnaire (FFQ) is usually validated against food records (FR). There is no vitamin D-specific FFQ for Qatar population. The objective of this study was to develop a vitamin D-centric FFQ and validate FFQ against three-day FR for Qatar population. A quantitative FFQ based on vitamin D containing foods consumed in Qatar was developed. Vitamin D contents of foods were gathered from food labels and food composition tables from the United States Department of Agriculture. A vitamin D content database was developed for this study purpose. Dietary intakes while using FFQ and three-day FR were collected from 62 women. Vitamin D intakes from FFQ and three-day FR were validated with quartile comparison and Bland-Altman (BA) tests. BA plot showed an agreement between FFQ and three-day FR vitamin D intakes. The BA index was 3.23%, which is <5%, a commonly used standard for validation. Quartile correlation showed that ≈73% of subjects were within the same or adjacent quartile. In conclusion, an agreement was found between vitamin D intakes from FFQ and three-day FR in Qatari women. More studies are needed to validate the vitamin D-specific FFQ in Qatari population at large.

Download Full-text

Relative validity of FFQ to assess food items, energy, macronutrient and micronutrient intake in children and adolescents: a systematic review with meta-analysis

British Journal Of Nutrition ◽

10.1017/s0007114520003220 ◽

2020 ◽

pp. 1-27 ◽

Cited By ~ 1

Author(s):

Luisa Saravia ◽

Maria L. Miguel-Berges ◽

Iris Iglesia ◽

Marcus V. Nascimento-Ferreira ◽

Guillermo Perdomo ◽

...

Keyword(s):

Systematic Review ◽

Dietary Intake ◽

Children And Adolescents ◽

Meta Analysis ◽

Dietary Assessment ◽

Assessment Method ◽

Nutritional Epidemiology ◽

Healthy Children ◽

Relative Validity ◽

Dietary Assessment Method

Abstract FFQ are one of the most widely used tools of research into nutritional epidemiology, and many studies have been conducted in several countries using this dietary assessment method. The present study aimed to evaluate the relative validity of FFQ, in comparison with other methods, in assessing dietary intake of children and adolescents, through a systematic review. Four electronic databases (Embase, PubMed, Scopus and Web of Science) found sixty-seven articles, which met the inclusion criteria (healthy children and adolescents from 3 to 18 years of age; journal articles written in English, Spanish and Portuguese between 1988 and March 2019; results showing the comparison between the FFQ with other methods of assessment of dietary intake). The articles were analysed by two independent reviewers. A meta-analysis was conducted using correlation coefficients as estimate effects between the FFQ and the reference standard method. Subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity. In fifty-five of the sixty-seven studies, a single dietary assessment method was used to evaluate the FFQ; nine combined the two methods and three used three reference methods. The most widely used reference method was the 24-h recall, followed by the food record. The overall relative validity of the FFQ to estimate energy, macronutrient, certain micronutrient and certain food item intakes in children and adolescents may be considered weak. The study protocol was registered in PROSPERO under number CRD42016038706.

Download Full-text

Dietary assessment tools for developing countries for use in multi-centric, collaborative protocols

Public Health Nutrition ◽

10.1079/phn2002390 ◽

2002 ◽

Vol 5 (6a) ◽

pp. 955-968 ◽

Cited By ~ 9

Author(s):

Noel W Solomons ◽

Roxana Valdés-Ramos

Keyword(s):

Developing Countries ◽

Dietary Intake ◽

Developing Country ◽

Food Systems ◽

Dietary Assessment ◽

Data Gathering ◽

Eating Behaviour ◽

Assessment Tools ◽

Nutritional Anthropology ◽

Measurement Tools

AbstractIn recent years, increasing interest in the format of multi-centric studies among different populations in developing nations has evolved in the field of health surveys and epidemiology. Dietary intake data are most often part of these cross-cultural and cross-national collaborative efforts. Various questions have been raised about the appropriate endeavours for dietetics and nutritional sciences in developing societies, the instruments available for application, and the pitfalls and caveats in their use. An important consideration is that studies be hypothesis-driven and not mere ‘fishing expeditions’ of unfocused data gathering. All known dietary intake measurement tools are within the purview of developing country research, but they often must be adapted individually and differentially to suit a given population. In a multi-centric context, this is complicated. The watchword should be collecting comparable information across sites, not using identical approaches. Choice of dietary intake measurement tools must be honed to the hypotheses and assumptions, on the one hand, and the exigencies and pitfalls of working in the developing country milieu, in which linguistics, seasonality, migration, uncommonness of food systems and ethical considerations present barriers and caveats, on the other. Within the hypotheses, the assumptions regarding the penetration of the measured exposures must be borne in mind. Multi-centre studies in developing countries have relevance and importance in the context of food security, diet and disease, eating behaviour and satiety regulation, and nutritional anthropology.

Download Full-text