Development and evaluation of a self-administered computerized 24-h dietary recall method for adolescents in Europe

Abstract

Objective: To describe the development of a European computerized 24-h dietary recall method for adolescents, and to investigate the feasibility of self-administration (self report) by comparison with administration by a dietician (interview). Methods: Two hundred and thirty-six adolescents (mean age 14.6 years (s.d. ¼ 1.7)) of eight European cities completed the 24-h recall (Young Adolescents Nutrition Assessment on Computer (YANA-C)) twice (once by self-report and once by interview). Results: A small but significant underestimate in energy (61 (s.e. ¼ 31) kcal) and fat (4.2 (s.e. ¼ 1.7) g) intake was found in the self-reports in comparison with the interviews; no significant differences were found for the intake of carbohydrates, proteins, fibre, calcium, iron and ascorbic acid. Spearman's correlations were highly significant for all nutrients and energy ranging between 0.86 and 0.91. Agreement in categorizing the respondents as consumers and non-consumers for the 29 food groups was high (kappa statistics X0.73). Percentage omissions were on average 3.7%; percentage intrusions: 2.0%. Spearman's correlations between both modes were high for all food groups, for the total sample (X0.76) as well as for the consumers only (X0.72). Analysing the consumer only, on an average 54% of the consumed amounts were exactly the same; nevertheless, only for one group 'rice and pasta' a significant difference in consumption was found. Conclusion: Adaptation, translation and standardization of YANA-C make it possible to assess the dietary intake of adolescents in a broad international context. In general, good agreement between the administration modes was found, the latter offering significant potential for large-scale surveys where the amount of resources to gather data is limited.

Nutrient intake of European adolescents: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study

“…The basic version was improved and culturally adapted by adding national dishes to reach a European standard (32) . The dietary data collection is organized in six meal occasions, i.e.…”

Validation of ‘POIBA-How do we eat?’ questionnaire in 9-10 years old schoolchildren

“…We designed two different questionnaires to assess the children’s normal food intake: POIBA-HDWE and POIBA-HDOCE, and used the 24-h recall computer program YANA-C as the gold standard [12]. …”

“…The questionnaire must be administrated to each child at least three times on three different days (including Monday to obtain a representation of a Sunday meal), and in different weeks in order to record average food intake for a whole week [12,13]. …”

“…An example of the latter is the software ‘Young Adolescents’ Nutrition Assessment on Computer’ (YANA-C), which allows children to log the food groups and portions they ate the previous day. This software has been further developed and validated for use in various European contexts, and can also be used as a gold standard [12,13]. …”

A systematic review of methods to assess intake of sugar-sweetened beverages among healthy European adults and children: a DEDIPAC (DEterminants of DIet and Physical Activity) study

“…From these forty-eight articles, sixteen articles were selected which best described the background to the project or the method used; one to three articles were typically selected per project, with the exception of the ToyBox study where articles obtained from authors were used in favour of the sourced article. Reviewing the reference lists yielded eighteen further articles in which the methods were described (29,(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55) .…”