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      Development of a UK Online 24-h Dietary Assessment Tool: myfood24

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          Abstract

          Assessment of diet in large epidemiological studies can be costly and time consuming. An automated dietary assessment system could potentially reduce researcher burden by automatically coding food records. myfood24 (Measure Your Food on One Day) an online 24-h dietary assessment tool (with the flexibility to be used for multiple 24 h-dietary recalls or as a food diary), has been developed for use in the UK population. Development of myfood24 was a multi-stage process. Focus groups conducted with three age groups, adolescents (11–18 years) ( n = 28), adults (19–64 years) ( n = 24) and older adults (≥65 years) ( n = 5) informed the development of the tool, and usability testing was conducted with beta (adolescents n = 14, adults n = 8, older adults n = 1) and live (adolescents n = 70, adults n = 20, older adults n = 4) versions. Median system usability scale (SUS) scores (measured on a scale of 0–100) in adolescents and adults were marginal for the beta version (adolescents median SUS = 66, interquartile range (IQR) = 20; adults median SUS = 68, IQR = 40) and good for the live version (adolescents median SUS = 73, IQR = 22; adults median SUS = 80, IQR = 25). Myfood24 is the first online 24-h dietary recall tool for use with different age groups in the UK. Usability testing indicates that myfood24 is suitable for use in UK adolescents and adults.

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          The Automated Self-Administered 24-hour dietary recall (ASA24): a resource for researchers, clinicians, and educators from the National Cancer Institute.

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            Using intake biomarkers to evaluate the extent of dietary misreporting in a large sample of adults: the OPEN study.

            This paper describes the Observing Protein and Energy Nutrition (OPEN) Study, conducted from September 1999 to March 2000. The purpose of the study was to assess dietary measurement error using two self-reported dietary instruments-the food frequency questionnaire (FFQ) and the 24-hour dietary recall (24HR)-and unbiased biomarkers of energy and protein intakes: doubly labeled water and urinary nitrogen. Participants were 484 men and women aged 40-69 years from Montgomery County, Maryland. Nine percent of men and 7% of women were defined as underreporters of both energy and protein intake on 24HRs; for FFQs, the comparable values were 35% for men and 23% for women. On average, men underreported energy intake compared with total energy expenditure by 12-14% on 24HRs and 31-36% on FFQs and underreported protein intake compared with a protein biomarker by 11-12% on 24HRs and 30-34% on FFQs. Women underreported energy intake on 24HRs by 16-20% and on FFQs by 34-38% and underreported protein intake by 11-15% on 24HRs and 27-32% on FFQs. There was little underreporting of the percentage of energy from protein for men or women. These findings have important implications for nutritional epidemiology and dietary surveillance.
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              Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women.

              National surveys of food intake rely on the 24-h dietary recall method for assessing the nutrient intakes of Americans. This observational validation study was conducted under controlled conditions to test the effectiveness of the US Department of Agriculture (USDA) 5-step multiple-pass method for dietary recall; to test the ability of normal weight, overweight, and obese women to recall food intake; and to test the accuracy of macronutrient recall. Women (n = 49) aged 21-65 y with a body mass index (in kg/m(2)) of 20-45 selected all meals and snacks for 1 d from a wide variety of foods. A 24-h dietary recall with the use of the USDA 5-step multiple-pass method was administered by telephone the following day. Analysis of variance and covariance tested the overall accuracy of recall and the effect of BMI on dietary recall. As a population, the women overestimated their energy and carbohydrate intakes by 8-10%. No significant differences between mean actual and recalled intakes of energy and the macronutrients were observed in the obese women. Normal-weight and overweight women significantly (P < 0.01) overestimated their energy, protein, and carbohydrate intakes. Recalled fat intake was not significantly different from actual intake in women across the BMI range studied. The USDA 5-step multiple-pass method effectively assessed mean energy intake within 10% of mean actual intake on the previous day. Obese women more accurately recalled food intake than did overweight and normal-weight women despite undereating on the day of the study.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                27 May 2015
                June 2015
                : 7
                : 6
                : 4016-4032
                Affiliations
                [1 ]Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, Leeds LS2 9JT, UK; E-Mails: ml09saa@ 123456leeds.ac.uk (S.A.A.); m.morris@ 123456leeds.ac.uk (M.A.M.); n.hancock@ 123456leeds.ac.uk (N.H.); c.e.l.evans@ 123456leeds.ac.uk (C.E.E.); n.a.alwan@ 123456soton.ac.uk (N.A.A.); j.e.cade@ 123456leeds.ac.uk (J.E.C.)
                [2 ]School of Food Science and Nutrition, King Abdul-Aziz University, PO Box 42807, 21551 Jeddah, Saudi Arabia
                [3 ]Centre for Spatial Analysis and Policy, School of Geography, University of Leeds, Leeds LS2 9JT, UK
                [4 ]Global eHealth Unit, Department of Primary Care and Public Health, London School of Public Health, Imperial College London, London W6 8RP, UK; E-Mails: zeinab.mulla@ 123456imperial.ac.uk (U.Z.M.); p.wark@ 123456imperial.ac.uk (P.A.W.)
                [5 ]Academic Unit of Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK
                [6 ]Division of Biostatistics, Leeds Institute of Genetics, Health and Therapeutics, University of Leeds, Leeds LS2 9JT, UK; E-Mail: d.c.greenwood@ 123456leeds.ac.uk
                [7 ]Molecular Epidemiology Unit, Leeds Institute of Genetics, Health and Therapeutics, University of Leeds, Leeds LS2 9JT, UK; E-Mail: l.j.hardie@ 123456leeds.ac.uk
                [8 ]Nutrition and Dietetic Research Group, Department of Investigative Medicine, Hammersmith Hospital, Imperial College London, London W12 0NN, UK; E-Mail: g.frost@ 123456imperial.ac.uk
                Author notes
                [†]

                These authors contributed equally to this work.

                [* ]Author to whom correspondence should be addressed; E-Mail: m.carter@ 123456leeds.ac.uk ; Tel.: +1-113-343-8908; Fax: +1-113-343-2982.
                Article
                nutrients-07-04016
                10.3390/nu7064016
                4488770
                26024292
                4c484eb1-4c4e-4674-b5d0-5a8f0281ac1a
                © 2015 by the authors; licensee MDPI, Basel, Switzerland.

                This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 24 March 2015
                : 11 May 2015
                Categories
                Article

                Nutrition & Dietetics
                dietary assessment,24-h dietary recall,nutrition assessment
                Nutrition & Dietetics
                dietary assessment, 24-h dietary recall, nutrition assessment

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