The Food Intake Recording Software System is Valid Among Fourth-grade Children

Baranowski, Tom; Islam, Noemi; Baranowski, Janice; Cullen, Karen Weber; Myres, Dawnell; Marsh, Tara; Moor, Carl de

doi:10.1016/s0002-8223(02)90088-x

Cited by 136 publications

(186 citation statements)

References 16 publications

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“…The findings of the present study add to previous WebCAAFE validation study results (22) and to other web-based 24 h recall/record validation studies in children using observation during school meals as a reference method (13,14,(16)(17)(18) .…”

Section: Discussionsupporting

confidence: 77%

Validity of WebCAAFE questionnaire for assessment of schoolchildren’s dietary compliance with Brazilian Food Guidelines

Kupek

Assis

Lobo

2016

Public Health Nutr.

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Objective: To estimate reporting bias of WebCAAFE, a web-based questionnaire for the assessment of food intake (recall of frequency of intake of thirty-two food items the day before) and physical activity in schoolchildren. Design: Cross-sectional study. Self-reported food intake on WebCAAFE was compared with direct observation of school meals in five public schools. Additional data included school grade, sex, BMI, socio-economic status and access to Internet at home. Poisson regression was used to calculate the reporting bias (WebCAAFE v. direct observation) and the sample size necessary to detect a statistically significant difference between WebCAAFE reports and at least 75 % compliance with the recommendations for a healthy diet. Setting: Intentional sample of five elementary public schools in Florianopolis, Brazil. Subjects: Schoolchildren (n 629) from 2nd to 5th grades. Results: Moderate bias magnitude was found for most food groups of interest. Frequency of consumption was not related to the bias. Sample sizes necessary to detect the compliance with dietary recommendations varied between four and seventy-four individuals for the different groups investigated. Conclusions: After adjusting for moderate bias, WebCAAFE may be used as a food questionnaire for evaluation of schoolchildren's food compliance on a group level, even with a relatively small sample size. The Strategic Action Plan to Tackle Non-Communicable Chronic Diseases in Brazil, 2011Brazil, -2022 , launched by the Ministry of Health in 2010, defined and prioritized actions and investments necessary to address non-communicable diseases in the next 10 years based on three principles: (i) surveillance, information, evaluation and monitoring; (ii) health promotion; and (iii) integral care. The aim is to diminish obesity rates in 5-9-year-old children and adolescents and to halt the rise of obesity in adults (≥18 years old) (1,2) . In Brazil, there are surveillance systems for adolescents (3) and adults (4) but none for 5-9-year-old-children whose overweight (including obesity) prevalence tripled between 1974 and 2009, from 11 % to over 33 % (5) . Therefore it is necessary to develop surveillance and monitoring systems to determine compliance with the obesity prevalence targets for 5-9-year-old children, set at 8 % for boys and 5 % for girls (2) .Periodic population-based surveys are the principal source of time trends in nutritional status and associated lifestyle factors such as diet and physical activity. Monitoring these parameters over the past decades has shown a dramatic increase in excess weight worldwide, especially in younger generations and children (6)(7)(8) . In many countries, the number and complexity of survey items covering these issues have also increased, incurring higher costs (9) . To strike the right balance between the rising costs and a growing need to update our knowledge on population diet and physical activity, it is of utmost importance to clarify what sort of decision could be made on the basis of such surveys an...

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Section: Discussionsupporting

confidence: 77%

Validity of WebCAAFE questionnaire for assessment of schoolchildren’s dietary compliance with Brazilian Food Guidelines

Kupek

Assis

Lobo

2016

Public Health Nutr.

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“…To our knowledge, only one other study has assessed the relative validity of a computer-administered food recall questionnaire among children and adolescents; 'the Food Intake Recording Software System (FIRSSt)' of Baranowski et al (2002) was somewhat less accurate than a dieticianconducted 24-h recall among fourth-grade children, nonetheless, the results were promising.…”

Section: Introductionmentioning

confidence: 99%

Young adolescents' nutrition assessment on computer (YANA-C)

Covents²,

et al. 2005

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Objective: To assess the relative validity and acceptability of the computerised 24-h recall 'Young Adolescent's Nutrition Assessment on Computer (YANA-C)'. Design: Food and nutrient intakes assessed with YANA-C were compared with food records (study 1) and 24-h dietary recall interviews (study 2). Main outcome measures: Intakes of food groups (fruit, fruit juice, vegetables, potatoes, bread, cereals, milk, cheese, other milk products, soft drinks, diet soft drinks, sugar/sweets, pastry/cookies, savoury snacks, butter/sauces, eggs, fish, meat) and nutrients (energy, carbohydrates, protein, fat, fiber, calcium, vitamin C and iron). Subjects and setting: A total of 237 pupils (11-14 y) from two primary and four secondary schools (study 1: n ¼ 136; study 2: n ¼ 101) in Belgium-Flanders. Results: YANA-C proved to agree well with both standard methods in categorizing subjects in consumers and nonconsumers (k study 1 ¼ 0.48-0.92; k study 2 ¼ 0.38-0.90). Spearman's correlations for energy and nutrient intakes ranged between 0.44 and 0.79 for study 1 and between 0.44 and 0.86 for study 2. Nutrient and energy intakes were in general (excluding calcium) significantly higher in YANA-C in comparison with the food record, but not in comparison with the interview (only fiber). Statistics used to investigate whether YANA-C agreed with the other methods in ranking portions/amounts in consumers only were fair to moderate for most of the food groups (weighted k study 1 ¼ 0.11-0.55; study 2 ¼ 0.04-0.73); amounts in consumers only, were significantly lower in YANA-C against both standards for cereals; amounts were significantly higher in YANA-C against the food record for milk, soft drinks, sugar/sweets and savoury snacks and against the interview for potatoes. Only a few pupils evaluated the program negatively. Conclusion: YANA-C is a promising method to collect detailed dietary information from young adolescents with relatively low staff resources, useful in many nutrition research applications.

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“…Computers are increasingly being used in dietary assessment (eg Johnson & Hackett, 1997;Baranowski et al, 2002;Bakker et al, 2003). They enhance data quality, eliminate the need for data entry and help to maintain children's attention (Hackett et al (1989); see also Cullen et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

Development and testing of a computerised 24-h recall questionnaire measuring fruit and snack consumption among 9–11 year olds

et al. 2005

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Objective: To evaluate the validity, reliability and sensitivity of a computerised single day 24-h recall questionnaire designed for the comparison of children's fruit and snack consumption at the group (school) level. Design: Relative validity and reliability were assessed in relation to (i) intake at school and (ii) intake throughout the whole day, using diary-assisted 24-h recall interviews and a 7-day test-retest procedure. Sensitivity was assessed in relation to intake by comparing results from schools with differing food policies, and by sex. Subjects and setting: Eight schools took part in the validity and reliability assessments, with 78 children completing the 24-h recall interviews and 195 children completing the test-retest procedure. A total of 43 schools (1890 children) took part in the sensitivity analysis. All children were aged 9-11 y. All schools were in South Wales and South-west England. Results: For fruit intake at school, the questionnaire showed fair levels of validity at the individual level (kappa ¼ 0.29). At the group level, there were little or no differences in fruit intake at school between the two measures and two occasions. The questionnaire was sufficiently sensitive to identify statistically significant differences between girls and boys, and between schools with different food policies. For snack intake at school, validity at the individual level was slightly lower (kappa ¼ 0.22-0.25), but the data remained of value in analyses at the group level. For fruit and snack intake throughout the whole day there was little agreement at the individual level (kappa ¼ 0.00-0.06), and at the group level there tended to be substantial differences between the two measures and two occasions. Conclusions: The computerised questionnaire is a quick and cost-effective means of assessing children's consumption of fruit at school. While further development is required to improve validity and reliability, it has the potential to be particularly useful in randomised controlled trials of school-based dietary interventions.

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The Food Intake Recording Software System is Valid Among Fourth-grade Children

Cited by 136 publications

References 16 publications

Validity of WebCAAFE questionnaire for assessment of schoolchildren’s dietary compliance with Brazilian Food Guidelines

Validity of WebCAAFE questionnaire for assessment of schoolchildren’s dietary compliance with Brazilian Food Guidelines

Young adolescents' nutrition assessment on computer (YANA-C)

Development and testing of a computerised 24-h recall questionnaire measuring fruit and snack consumption among 9–11 year olds

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