Validation of a digital photographic method for assessment of dietary quality of school lunch sandwiches brought from home
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Validation of a digital photographic method for assessment of dietary quality of school lunch sandwiches brought from home. / Sabinsky, Marianne S; Toft, Ulla; Andersen, Klaus Kaae; Tetens, Inge.
I: Food & Nutrition Research, Bind 57, 20243, 2013.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Validation of a digital photographic method for assessment of dietary quality of school lunch sandwiches brought from home
AU - Sabinsky, Marianne S
AU - Toft, Ulla
AU - Andersen, Klaus Kaae
AU - Tetens, Inge
PY - 2013
Y1 - 2013
N2 - BACKGROUND: It is a challenge to assess children's dietary intake. The digital photographic method (DPM) may be an objective method that can overcome some of these challenges.OBJECTIVE: The aim of this study was to evaluate the validity and reliability of a DPM to assess the quality of dietary intake from school lunch sandwiches brought from home among children aged 7-13 years.DESIGN: School lunch sandwiches (n=191) were prepared to represent randomly selected school lunch sandwiches from a large database. All components were weighed to provide an objective measure of the composition. The lunches were photographed using a standardised DPM. From the digital images, the dietary components were estimated by a trained image analyst using weights or household measures and the dietary quality was assessed using a validated Meal Index of Dietary Quality (Meal IQ). The dietary components and the Meal IQ obtained from the digital images were validated against the objective weighed foods of the school lunch sandwiches. To determine interrater reliability, the digital images were evaluated by a second image analyst.RESULTS: Correlation coefficients between the DPM and the weighed foods ranged from 0.89 to 0.97. The proportion of meals classified in the same or an adjacent quartile ranged from 98% (starch) to 100% (fruits, vegetables, fish, whole grain, and Meal IQ). There was no statistical difference between fish, fat, starch, whole grains, and Meal IQ using the two methods. Differences were found for fruits and vegetables; Bland-Altman analyses showed a tendency to underestimate high amounts of these variables using the DPM. For interrater reliability, kappa statistics ranged from 0.59 to 0.82 across the dietary components and Meal IQ.CONCLUSIONS: The standardised DPM is a valid and reliable method for assessing the dietary quality of school lunch sandwiches brought from home.
AB - BACKGROUND: It is a challenge to assess children's dietary intake. The digital photographic method (DPM) may be an objective method that can overcome some of these challenges.OBJECTIVE: The aim of this study was to evaluate the validity and reliability of a DPM to assess the quality of dietary intake from school lunch sandwiches brought from home among children aged 7-13 years.DESIGN: School lunch sandwiches (n=191) were prepared to represent randomly selected school lunch sandwiches from a large database. All components were weighed to provide an objective measure of the composition. The lunches were photographed using a standardised DPM. From the digital images, the dietary components were estimated by a trained image analyst using weights or household measures and the dietary quality was assessed using a validated Meal Index of Dietary Quality (Meal IQ). The dietary components and the Meal IQ obtained from the digital images were validated against the objective weighed foods of the school lunch sandwiches. To determine interrater reliability, the digital images were evaluated by a second image analyst.RESULTS: Correlation coefficients between the DPM and the weighed foods ranged from 0.89 to 0.97. The proportion of meals classified in the same or an adjacent quartile ranged from 98% (starch) to 100% (fruits, vegetables, fish, whole grain, and Meal IQ). There was no statistical difference between fish, fat, starch, whole grains, and Meal IQ using the two methods. Differences were found for fruits and vegetables; Bland-Altman analyses showed a tendency to underestimate high amounts of these variables using the DPM. For interrater reliability, kappa statistics ranged from 0.59 to 0.82 across the dietary components and Meal IQ.CONCLUSIONS: The standardised DPM is a valid and reliable method for assessing the dietary quality of school lunch sandwiches brought from home.
KW - Food intake
KW - Packed lunches
KW - Diet assessment
KW - Children
U2 - 10.3402/fnr.v57i0.20243
DO - 10.3402/fnr.v57i0.20243
M3 - Journal article
C2 - 23858300
VL - 57
JO - Scandinavian Journal of Nutrition/Naringsforskning, Supplement
JF - Scandinavian Journal of Nutrition/Naringsforskning, Supplement
SN - 1102-6510
M1 - 20243
ER -
ID: 184200166