Amanda Raffoul1, Erin P Hobin2, Jocelyn E Sacco3, Kirsten M Lee1, Jess Haines4, Paula J Robson5, Kevin W Dodd6, Sharon I Kirkpatrick1. 1. School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada. 2. Health Promotion, Chronic Disease and Injury Prevention, Public Health Ontario, Toronto, ON, Canada. 3. Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada. 4. Family Relations and Applied Nutrition, University of Guelph, Guelph, ON, Canada. 5. CancerControl Alberta, Edmonton, AB, Canada. 6. Division of Cancer Prevention, National Cancer Institute, Bethesda, MD.
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.
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.
Authors: Emma Foster; John N S Matthews; Michael Nelson; Julie M Harris; John C Mathers; Ashley J Adamson Journal: Public Health Nutr Date: 2006-06 Impact factor: 4.022
Authors: Amy F Subar; Victor Kipnis; Richard P Troiano; Douglas Midthune; Dale A Schoeller; Sheila Bingham; Carolyn O Sharbaugh; Jillian Trabulsi; Shirley Runswick; Rachel Ballard-Barbash; Joel Sunshine; Arthur Schatzkin Journal: Am J Epidemiol Date: 2003-07-01 Impact factor: 4.897
Authors: Suzanne Domel Baxter; Albert F Smith; Mark S Litaker; Michelle L Baglio; Caroline H Guinn; Nicole M Shaffer Journal: J Nutr Educ Behav Date: 2004 Mar-Apr Impact factor: 3.045
Authors: Traci A Bekelman; Susan L Johnson; Rachel I Steinberg; Corby K Martin; Katherine A Sauder; Sophie Luckett-Cole; Deborah H Glueck; Daniel S Hsia; Dana Dabelea Journal: J Acad Nutr Diet Date: 2021-11-10 Impact factor: 5.234
Authors: Paraskevi Massara; Carolyn Spiegel-Feld; Jill Hamilton; Jonathon L Maguire; Catherine Birken; Robert Bandsma; Elena M Comelli Journal: BMJ Open Date: 2022-05-09 Impact factor: 3.006
Authors: Traci A Bekelman; Corby K Martin; Susan L Johnson; Deborah H Glueck; Katherine A Sauder; Kylie K Harrall; Rachel I Steinberg; Daniel S Hsia; Dana Dabelea Journal: Br J Nutr Date: 2021-06-04 Impact factor: 3.718
Authors: Fang Fang Zhang; Michael Kelly; Mengxi Du; Jennifer G Welch; Nadine Santacruz; Jacqueline Rhoades; Christina Luongo Kamins; ZoAnn Dreyer; Michael E Scheurer Journal: Nutrients Date: 2019-11-02 Impact factor: 5.717
Authors: Sarah Yi Xuan Tan; Airu Chia; Ray Sugianto; Huiying Eunice Tong; Ian Yi Han Ang; Lynette Pei-Chi Shek; Seang Mei Saw; Falk Müller-Riemenschneider; Mary Foong-Fong Chong Journal: Nutrients Date: 2021-10-26 Impact factor: 5.717
Authors: Isobel Sharpe; Sharon I Kirkpatrick; Brendan T Smith; Charles D G Keown-Stoneman; Jessica Omand; Shelley Vanderhout; Jonathon L Maguire; Catherine S Birken; Laura N Anderson Journal: Pilot Feasibility Stud Date: 2021-06-11