Abstract:From the results of in-house studies and a revision of practices reported in earlier literature, two 24-h face-to-face dietary recalls are recommended as the optimal method for the dietary assessment of migrant South Asians. To complement this assessment, ethnic-specific food frequency questionnaires such as that developed and successfully implemented among South Asians in the present study must be employed.
“…These included household utensils, 33 , 51 , 66 previously validated by Edington et al, 81 and food atlas photos, 38 previously validated by Nelson et al, 10 but the validation had been done in native (rather than ethnic minority) populations. This also applied to other PSEEs, such as those used in the Oslo Immigrant Health Study questionnaire 41 and the dietary habits survey used by Sun et al 30 (details in Tables S2 and S4 of the Supporting Information online, including original and follow-up data for 4 PSEEs 51 , 52 , 82 , 83 ). Figure 4 Quality measures reported across the 42 studies examined in this review .…”
Section: Resultsmentioning
confidence: 99%
“…Beyond the lack of absolute or relative measures of validity, reliability, or feasibility of some PSEEs 28 , 29 , 42 , 43 , 54 , 58 , 62 , 63 , 77 , 79 or the only partial validation of other PSEEs, 33 , 41 , 53 , 59 , 66 , 68 , 83 other limitations included the following: low sensitivity of the tool due to a small number of portion options or photos 11 , 17 , 25 , 26 , 29 , 32 , 40 , 43 , 52 , 55 , 65 ; grouping of mixed dishes and omission of food items in questionnaires 27 , 35 , 42 ; lack of breadth 28 ; requirement for high level of staff training or involvement 33 , 37 , 64 , 68 ; requirement for participants to be literate or skilled in operating equipment 33 , 37 or in performing numerical calculations 30 ; requirement for participants to possess specific technology 29 ; long time elapsed between dietary assessment with the new PSEE and the comparison method (which effectively means the 2 methods were comparing different things), or long time elapsed between test and re-test evaluations 26 , 38 , 40 ; and testing of PSEE in only one gender or age group 17 , 25 , 30–32 , 36–38 , 55 , 56 , 61 , 63 , 64 , 83 , 79 . Other issues were validation conducted in nonminority ethnic group populations 30 , 41 ; low retention rates 41 , 43 ; study not powered to detect ethnic subgroup differences 29 or validity/reliability 38 , …”
Context: Dietary assessment in minority ethnic groups is critical for surveillance programs and for implementing effective interventions. A major challenge is the accurate estimation of portion sizes for traditional foods and dishes. Objective: The aim of this systematic review was to assess records published up to 2014 describing a portion-size estimation element (PSEE) applicable to the dietary assessment of UK-residing ethnic minorities. Data sources, selection, and extraction: Electronic databases, internet sites, and theses repositories were searched, generating 5683 titles, from which 57 eligible full-text records were reviewed. Data analysis: Forty-two publications about minority ethnic groups (n = 20) or autochthonous populations (n = 22) were included. The most common PSEEs (47%) were combination tools (eg, food models and portion-size lists), followed by portion-size lists in questionnaires/guides (19%) and image-based and volumetric tools (17% each). Only 17% of PSEEs had been validated against weighed data. Conclusions: When developing ethnic-specific dietary assessment tools, it is important to consider customary portion sizes by sex and age, traditional household utensil usage, and population literacy levels. Combining multiple PSEEs may increase accuracy, but such methods require validation.
“…These included household utensils, 33 , 51 , 66 previously validated by Edington et al, 81 and food atlas photos, 38 previously validated by Nelson et al, 10 but the validation had been done in native (rather than ethnic minority) populations. This also applied to other PSEEs, such as those used in the Oslo Immigrant Health Study questionnaire 41 and the dietary habits survey used by Sun et al 30 (details in Tables S2 and S4 of the Supporting Information online, including original and follow-up data for 4 PSEEs 51 , 52 , 82 , 83 ). Figure 4 Quality measures reported across the 42 studies examined in this review .…”
Section: Resultsmentioning
confidence: 99%
“…Beyond the lack of absolute or relative measures of validity, reliability, or feasibility of some PSEEs 28 , 29 , 42 , 43 , 54 , 58 , 62 , 63 , 77 , 79 or the only partial validation of other PSEEs, 33 , 41 , 53 , 59 , 66 , 68 , 83 other limitations included the following: low sensitivity of the tool due to a small number of portion options or photos 11 , 17 , 25 , 26 , 29 , 32 , 40 , 43 , 52 , 55 , 65 ; grouping of mixed dishes and omission of food items in questionnaires 27 , 35 , 42 ; lack of breadth 28 ; requirement for high level of staff training or involvement 33 , 37 , 64 , 68 ; requirement for participants to be literate or skilled in operating equipment 33 , 37 or in performing numerical calculations 30 ; requirement for participants to possess specific technology 29 ; long time elapsed between dietary assessment with the new PSEE and the comparison method (which effectively means the 2 methods were comparing different things), or long time elapsed between test and re-test evaluations 26 , 38 , 40 ; and testing of PSEE in only one gender or age group 17 , 25 , 30–32 , 36–38 , 55 , 56 , 61 , 63 , 64 , 83 , 79 . Other issues were validation conducted in nonminority ethnic group populations 30 , 41 ; low retention rates 41 , 43 ; study not powered to detect ethnic subgroup differences 29 or validity/reliability 38 , …”
Context: Dietary assessment in minority ethnic groups is critical for surveillance programs and for implementing effective interventions. A major challenge is the accurate estimation of portion sizes for traditional foods and dishes. Objective: The aim of this systematic review was to assess records published up to 2014 describing a portion-size estimation element (PSEE) applicable to the dietary assessment of UK-residing ethnic minorities. Data sources, selection, and extraction: Electronic databases, internet sites, and theses repositories were searched, generating 5683 titles, from which 57 eligible full-text records were reviewed. Data analysis: Forty-two publications about minority ethnic groups (n = 20) or autochthonous populations (n = 22) were included. The most common PSEEs (47%) were combination tools (eg, food models and portion-size lists), followed by portion-size lists in questionnaires/guides (19%) and image-based and volumetric tools (17% each). Only 17% of PSEEs had been validated against weighed data. Conclusions: When developing ethnic-specific dietary assessment tools, it is important to consider customary portion sizes by sex and age, traditional household utensil usage, and population literacy levels. Combining multiple PSEEs may increase accuracy, but such methods require validation.
“…5---8 Furthermore, children of various Asian and Latino ethnic groups with distinct historical, migration, and social contexts are generally grouped together in research analyses, making it difficult to understand the ethnicity-specific salient roles that education, income, and acculturation may play in specific dietary practices. 9,10 Acculturation has been described as both a protective factor and a risk factor for healthy dietary practices among immigrants. For example, acculturation among Latinos has been associated with higher consumption of fruits and vegetables but also with higher rates of fast food and sugary food consumption in both pediatric and adult Latino populations.…”
Our findings suggest the need to disaggregate dietary profiles of Asian and Latino children and to consider nontraditional sociodemographic factors for messaging and counseling on healthy dietary practices among Asian populations.
“…A review by Burrows et al has indicated that weighed food records may provide the best dietary estimates for younger children from 0.5 to 4 years old [41]. However, the 24-h multiple-pass recall is less time consuming and is reportedly used more frequently among immigrant populations, along with FFQs [39,42]. The recalls were mainly performed face-to-face, which may be a benefit as potential misunderstandings can be easily clarified in a personal interview.…”
The aim of the present paper was to describe food and nutrient intake among 12-month-old Norwegian-Somali and Norwegian-Iraqi infants, with a focus on iron and vitamin D intake. A cross-sectional survey was conducted from August 2013 through September 2014. Eighty-nine mothers/infants of Somali origin and 77 mothers/infants of Iraqi origin residing in Eastern Norway participated in the study. Data were collected using two 24-h multiple-pass recalls. Forty percent of the Norwegian-Somali infants and 47% of the Norwegian-Iraqi infants were breastfed at 12 months of age (p = 0.414). Median energy percentages (E%) from protein, fat and carbohydrates were within the recommended intake ranges, except the level of saturated fats (12–13 E%). Median intakes of almost all micronutrients were above the recommended daily intakes. Most of the infants consumed iron-enriched products (81%) and received vitamin D supplements (84%). The median intakes of iron and vitamin D were significantly higher among infants receiving iron-enriched products and vitamin D supplements compared to infants not receiving such products (p < 0.001). The findings indicate that the food and nutrient intake of this group of infants in general seems to be in accordance with Norwegian dietary recommendations. Foods rich in iron and vitamin D supplements were important sources of the infants’ intake of iron and vitamin D and should continue to be promoted.
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