Use of Online Dietary Recalls among Older UK Adults: A Feasibility Study of an Online Dietary Assessment Tool

This study examined the feasibility of including myfood24, an online 24-hour dietary recall tool, in a cohort studies of older adults. Participants (n = 319) were recruited during follow-up visits for the CHARIOT-Pro Sub-study, a prospective study of cognitively healthy adults aged 60–85 years at baseline. Email invitations were sent over three consecutive months, with weekly reminders. Multivariable regression models were applied to examine the number of recalls completed in relation to technology readiness (TR) scores and demographic characteristics. Ninety-four percent of people agreed to participate. Among participants, 67% completed at least one recall, and 48% completed two or more. Participants who completed multiple recalls reported higher self-confidence with technology and received a higher TR score than those who did not complete any recalls. A one-point higher TR score was associated with higher odds of completing three recalls compared to zero recalls (OR 1.70, 95% CI 0.96–3.01); this association was further attenuated after adjustment for demographic and other TR-related covariates (OR 1.35, 95% CI 0.63–2.88). This study demonstrates reasonable participation rates for a single myfood24 recall among older adults participating in a cohort study but suggests that further support may be required to obtain multiple recalls in this population.

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The Impact of Weather and Seasons on Falls and Physical Activity among Older Adults with Glaucoma: A Longitudinal Prospective Cohort Study

Sensors ◽

10.3390/s21103415 ◽

2021 ◽

Vol 21 (10) ◽

pp. 3415

Author(s):

Hursuong Vongsachang ◽

Aleksandra Mihailovic ◽

Jian-Yu E ◽

David S. Friedman ◽

Sheila K. West ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Fall Prevention ◽

Regression Models ◽

Activity Promotion ◽

Injurious Fall ◽

Multivariable Regression ◽

Multivariable Regression Models ◽

The Impact ◽

The Relationship

Understanding periods of the year associated with higher risk for falling and less physical activity may guide fall prevention and activity promotion for older adults. We examined the relationship between weather and seasons on falls and physical activity in a three-year cohort of older adults with glaucoma. Participants recorded falls information via monthly calendars and participated in four one-week accelerometer trials (baseline and per study year). Across 240 participants, there were 406 falls recorded over 7569 person-months, of which 163 were injurious (40%). In separate multivariable regression models incorporating generalized estimating equations, temperature, precipitation, and seasons were not significantly associated with the odds of falling, average daily steps, or average daily active minutes. However, every 10 °C increase in average daily temperature was associated with 24% higher odds of a fall being injurious, as opposed to non-injurious (p = 0.04). The odds of an injurious fall occurring outdoors, as opposed to indoors, were greater with higher average temperatures (OR per 10 °C = 1.46, p = 0.03) and with the summer season (OR = 2.69 vs. winter, p = 0.03). Falls and physical activity should be understood as year-round issues for older adults, although the likelihood of injury and the location of fall-related injuries may change with warmer season and temperatures.

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Abstract 51: Access to Primary Stroke Centers for Older Adults and Implications for Travel Times, and Mortality

Stroke ◽

10.1161/str.46.suppl_1.51 ◽

2015 ◽

Vol 46 (suppl_1) ◽

Author(s):

Kimon Bekelis ◽

Kendrew Wong ◽

Nancy Marth ◽

Weiping Zhou ◽

Jonathan Skinner

Keyword(s):

Regional Variation ◽

Fee For Service ◽

Travel Times ◽

Stroke Patients ◽

Multivariable Regression ◽

Potential Impact ◽

One Year ◽

Multivariable Regression Models ◽

Regionalization Of Care

Background: Regionalization of care to primary stroke centers (PSC) may improve outcomes for stroke patients. We evaluated the current access of Medicare stroke patients to PSC, and its potential impact on mortality. Methods: We performed a retrospective cohort study of a 100% sample of Medicare fee-for-service claims data for patients admitted with stroke in 2008-2009, with one-year follow-up through 2010. Population weighted centroids were created, helicopter pad locations were identified, and driving distances were calculated based on real road network data. Driving and flying speeds, dispatch, scene, and pre-hospital times were estimated using validated models, adjusted for population density. The association of 30-day mortality with travel times, and treatment at a PSC was investigated using multivariable regression models. Results: During the study period, 510,822 patients (mean age 79.6 years, 59.7% females) had a stroke. There was significant regional variation in our cohort, (Figure) with 8.6% of stroke patients having ground access to a PSC within 30 minutes, 14.9% from 30 to 45 minutes, 11.1% from 45 to 60 minutes, 43.9% from 1 to 4.5 hours, and 21.5% over 4.5 hours. The latter group could be limited to 0.1% of stroke patients, if existing helicopter services were used optimally. 164,485 (32.2%) patients received treatment in a PSC, and had modestly decreased mortality (OR, 0.97; 95% CI, 0.95-0.99). For this group, actual travel time to the PSC was not associated with mortality for patients within one hour of the PSC. On the contrary, travel times from 1 to 4.5 hours (OR, 1.15; 95% CI, 1.08-1.22), and over 4.5 hours (OR, 1.41; 95% CI, 1.29-1.54) were associated with increased mortality. Conclusions: There is significant regional variation in access to PSC for elderly stroke patients, with a potential impact on outcomes. Optimal use of helicopter services may address these disparities. Funding: NIH (P01-AG19783, and U01-AG046830-01).

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Self-reported dietary energy intake of normal weight, overweight and obese adolescents

Public Health Nutrition ◽

10.1017/s1368980008003108 ◽

2009 ◽

Vol 12 (2) ◽

pp. 222-227 ◽

Cited By ~ 54

Author(s):

Vivienne A Vance ◽

Sarah J Woodruff ◽

Linda J McCargar ◽

Janice Husted ◽

Rhona M Hanning

Keyword(s):

Energy Intake ◽

Weight Status ◽

Assessment Tool ◽

Dietary Assessment ◽

Total Sample ◽

Normal Weight ◽

Dietary Energy ◽

Web Based ◽

Dietary Recall ◽

The Mean

AbstractObjectiveThe purpose of the present paper was to assess dietary energy reporting as a function of sex and weight status among Ontario and Alberta adolescents, using the ratio of energy intake (EI) to estimated BMR (BMRest).DesignData were collected using the FBQ, a validated web-based dietary assessment tool (including a 24 h dietary recall, FFQ, and food and physical activity behavioural questions). BMI was calculated from self-reported height and weight and participants were classified as normal weight, overweight or obese. BMR was calculated using the WHO equations (based on weight). Reporting status was identified using the ratio EI:BMRest.SettingData were collected in public, Catholic and private schools in Ontario and Alberta, Canada.SubjectsA total of 1917 (n876 male andn1041 female) students (n934 grade 9 andn984 grade 10) participated.ResultsThe mean EI:BMRestratio across all participants was 1·4 (sd0·6), providing evidence of under-reporting for the total sample. Females under-reported more than males (t= 6·27,P< 0·001), and under-reporting increased with increasing weight status for both males (F= 33·21,P< 0·001) and females (F= 14·28,P< 0·001). After removing those who reported eating less to lose weight, the EI:BMRestwas 1·56 (sd0·6) for males and 1·4 (sd0·6) for females.ConclusionThe present study highlights methodological challenges associated with self-reported dietary data. Systematic differences in under-reporting of dietary intake by gender and weight status were observed using a web-based survey, similar to observations made using paper-based 24 h recalls and dietitian interviews.

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

Nutrients ◽

10.3390/nu10091147 ◽

2018 ◽

Vol 10 (9) ◽

pp. 1147 ◽

Cited By ~ 4

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.

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COVID-19 prevention behaviour over time in Australia: Patterns and long-term predictors from April to July 2020

10.1101/2021.02.04.21251165 ◽

2021 ◽

Author(s):

J Ayre ◽

E Cvejic ◽

K McCaffery ◽

T Copp ◽

S Cornell ◽

...

Keyword(s):

Regression Models ◽

High Adherence ◽

National Public Health ◽

Community Transmission ◽

Multivariable Regression ◽

Components Analysis ◽

Multivariable Regression Models ◽

Over Time

AbstractBackgroundIn Australia in March 2020 a national public health directive required that non-essential workers stay at home, except for essential activities. These restrictions began easing in May 2020 as community transmission slowed.PurposeThis study investigated changes in COVID-19 prevention behaviours from April-July 2020, and psychosocial predictors of these behaviours.Methods1,843 participants in Australia completed a national COVID-19 survey in April, with monthly follow-up over four months. Principal components analysis (PCA) combined self-reported adherence across seven prevention behaviours. Multivariable regression models explored baseline (April) correlates of behaviour in June (a period of low community transmission) and July (a period of increasing community transmission).ResultsOn average, participants agreed with statements of adherence for all behaviours (means all above 4 out of 7). PCA identified two behaviour types: ‘distancing’ (e.g. staying 1.5m away) and ‘hygiene’ (e.g. washing hands), explaining 28.3% and 24.2% of variance, respectively. Distancing declined each month (p’s<.001), whereas hygiene remained relatively stable. For distancing, stronger perceptions of societal risk, self-efficacy to maintain distancing, and greater perceived social obligation at baseline were associated with adherence in June and July (p’s<0.05). For hygiene, the only significant correlate of adherence in June and July was belief that one’s actions could prevent infection of family members (p<.001).ConclusionsHigh adherence to COVID-19 prevention behaviours were reported; however, distancing behaviours tended to decrease over time. Belief in social responsibility may be an important aspect to consider in encouraging distancing behaviours. Different policy approaches may be needed for different behavioural categories.

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

Nutrients ◽

10.3390/nu11010132 ◽

2019 ◽

Vol 11 (1) ◽

pp. 132 ◽

Cited By ~ 8

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.

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Development of a field-friendly automated dietary assessment tool and nutrient database for India

British Journal Of Nutrition ◽

10.1017/s0007114513001864 ◽

2013 ◽

Vol 111 (1) ◽

pp. 160-171 ◽

Cited By ~ 12

Author(s):

Carrie R. Daniel ◽

Kavita Kapur ◽

Mary J. McAdams ◽

Sujata Dixit-Joshi ◽

Niveditha Devasenapathy ◽

...

Keyword(s):

Assessment Tool ◽

Disease Risk ◽

Dietary Assessment ◽

Portion Size ◽

Health Study ◽

Eating Pattern ◽

Dietary Recall ◽

The North ◽

Asian Populations ◽

Nutrient Profiles

Studies of diet and disease risk in India and among other Asian-Indian populations are hindered by the need for a comprehensive dietary assessment tool to capture data on the wide variety of food and nutrient intakes across different regions and ethnic groups. The nutritional component of the India Health Study, a multicentre pilot cohort study, included 3908 men and women, aged 35–69 years, residing in three regions of India (New Delhi in the north, Mumbai in the west and Trivandrum in the south). We developed a computer-based, interviewer-administered dietary assessment software known as the ‘NINA-DISH (New Interactive Nutrition Assistant – Diet in India Study of Health)’, which consisted of four sections: (1) a diet history questionnaire with defined questions on frequency and portion size; (2) an open-ended section for each mealtime; (3) a food-preparer questionnaire; (4) a 24 h dietary recall. Using the preferred meal-based approach, frequency of intake and portion size were recorded and linked to a nutrient database that we developed and modified from a set of existing international databases containing data on Indian foods and recipes. The NINA-DISH software was designed to be easily adaptable and was well accepted by the interviewers and participants in the field. A predominant three-meal eating pattern emerged; however, patterns in the number of foods reported and the primary contributors to macro- and micronutrient intakes differed by region and demographic factors. The newly developed NINA-DISH software provides a much-needed tool for measuring diet and nutrient profiles across the diverse populations of India with the potential for application in other South Asian populations living throughout the world.

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Energy intake, energy required and mortality in an older population

Public Health Nutrition ◽

10.1017/s1368980016001750 ◽

2016 ◽

Vol 19 (17) ◽

pp. 3178-3184 ◽

Cited By ~ 4

Author(s):

Paul H Lee ◽

Choi-Wan Chan

Keyword(s):

Older Adults ◽

Energy Intake ◽

Cox Regression ◽

Economic Status ◽

Dietary Recall ◽

Hazard Ratios ◽

Co Morbidity ◽

All Cause Mortality ◽

Cvd Mortality

AbstractObjectivesThe present study evaluated the association between energy intake, energy required and mortality in older adults.DesignA cohort study with a mean of 10·67 (sd 4·74) years of follow-up. Participants completed a 24 h dietary recall. Energy required per day was computed by BMR. Deaths through 2006 were identified from the National Death Index. A Cox regression was used to estimate the hazard ratios (HR) of quantiles of energy intake and energy required on all-cause and CVD mortality, adjusting for demographics, socio-economic status and co-morbidity.SettingThe National Health and Nutrition Examination Survey (NHANES) III, 1988–1994.SubjectsA total of 4846 participants aged 60 years or above were analysed.ResultsWithin the follow-up period, there were a total of 2954 deaths (61·0 %), 51·9 % were caused by CVD. Relative to those in quartile 1 of energy intake, only quartile 4 was associated with all-cause mortality and CVD mortality with HR of 0·86 (95 % CI 0·77, 0·96, P=0·006) and 0·76 (95 % CI 0·65, 0·89, P=0·001), respectively. On the other hand, relative to those in quartile 1 of energy required, all quartiles of participants had a lower risk of all-cause mortality and CVD mortality. The interaction effects between energy intake and energy required with all-cause and CVD mortality were insignificant (P=0·70 and 0·61, respectively).ConclusionsIndependent of energy required, higher energy intake was associated with lower HR of both all-cause and CVD mortality in older adults.

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Depression is associated with self-rated frailty in older adults from an outpatient clinic: a prospective study

International Psychogeriatrics ◽

10.1017/s104161021800100x ◽

2018 ◽

Vol 31 (3) ◽

pp. 425-434 ◽

Cited By ~ 4

Author(s):

Ivan Aprahamian ◽

Claudia Kimie Suemoto ◽

Sumika Mori Lin ◽

Alaise Silva Santos de Siqueira ◽

Marina Maria Biella ◽

...

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Health Status ◽

Outpatient Clinic ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Estimating Equation ◽

Antidepressant Use ◽

A Prospective Study

ABSTRACTObjectives:The aim of the present study was to evaluate the association between depression and SSRI monotherapy and frailty both baseline and prospectively in older adults.Design:Prospective cohort study, 12-month follow-up.Setting:Geriatric outpatient clinic in São Paulo, Brazil.Participants:A total of 811 elderly adults aged 60 or older.Measurements:Depression was diagnosed as follows: (1) a diagnosis of major depression disorder (MDD) according to DSM-5; or (2) an incomplete diagnosis of MDD, referred to as minor or subsyndromic depression, plus Geriatric Depression Scale 15-itens ≥ 6 points, and social or functional impairment secondary to depressive symptoms and observed by relatives. Frailty evaluation was performed through the FRAIL questionnaire, which is a self-rated scale. Trained investigators blinded to the baseline assessment conducted telephone calls to evaluate frailty after 12-month follow-up. The association between depression and the use of SSRI with frailty was estimated through a generalized estimating equation adjusted for age, gender, total drugs, and number of comorbidities.Results:Depression with SSRI use was associated with frailty at baseline (OR 2.82, 95% CI = 1.69–4.69) and after 12 months (OR 2.75, 95% CI = 1.84–4.11). Additionally, depression with SSRI monotherapy was also associated with FRAIL subdomains Physical Performance (OR 1.99, 95% CI = 1.29–3.07) and Health Status (OR 4.64, 95% CI = 2.11–10.21). SSRI use, without significant depressive symptoms, was associated with subdomain Health Status (OR 1.52, 95% CI = 1.04–2.23).Conclusion:It appears that depression with SSRI is associated to frailty, and this association cannot be explained only by antidepressant use.

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Abstract P206: Diet Quality is Lower Among Adolescents Who Skip Lunch

Circulation ◽

10.1161/circ.141.suppl_1.p206 ◽

2020 ◽

Vol 141 (Suppl_1) ◽

Author(s):

Spencer M Clason ◽

Lori Spruance ◽

Leann Myers ◽

Keelia O'Malley ◽

Carolyn Johnson

Keyword(s):

Diet Quality ◽

Dietary Habits ◽

Assessment Tool ◽

Dietary Assessment ◽

School Setting ◽

Healthy Eating Index ◽

Dietary Quality ◽

Added Sugars ◽

Dietary Recall ◽

Quality Diet

Introduction: A healthy diet is key in preventing chronic diseases and black adults have higher rates of hypertension, obesity, and heart disease death rates compared to their white counterparts. Because dietary habits track from adolescence to adulthood, it is important to understand dietary habits of adolescents. This study aimed to examine the dietary quality among adolescents who skip lunch compared to those who do not. Methods: Data were collected in 2012 from 718 adolescents attending schools in New Orleans, Louisiana. Schools were high-poverty and closed-campus. Adolescents participated in a 24-hour dietary recall using the Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool and data were converted into Healthy Eating Index (HEI-10) scores (range 0-100; higher scores reflect higher quality diet). Mean scores were compared between students who skipped lunch and those who did not. Results: Of the 718 respondents, 88.3% were black and 15.3% of students skipped lunch. Students who ate lunch had a mean HEI score of 46.6 compared to a mean score of 41.7 for students who skipped lunch (p<0.001). Students who skipped lunch also had significantly lower intake of total vegetables, whole fruits, total dairy, total protein, and higher intake of empty calories (Solid fats, alcohols, and added sugars (SoFASS)). Conclusions: Skipping lunch was associated with lower quality diet, though diet quality was low among all students. Students who skip lunch are less likely to consume vegetables, whole fruits, whole grains, and proteins and have higher intake of SoFASS. Considering over 15% of the sample did not eat lunch in a closed-campus school setting, further research should consider how to encourage students to participate in the National School Lunch Program. Table 1. HEI score comparisons between those who skip and do not skip lunch.

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