- Title
- Evaluation of a mobile phone image-based dietary assessment method in adults with type 2 diabetes
- Creator
- Rollo, Megan E.; Ash, Susan; Lyons-Wall, Philippa; Russell, Anthony W.
- Relation
- Nutrients Vol. 7, Issue 6, p. 4897-4910
- Publisher Link
- http://dx.doi.org/10.3390/nu7064897
- Publisher
- MDPI AG
- Resource Type
- journal article
- Date
- 2015
- Description
- Image-based dietary records have limited evidence evaluating their performance and use among adults with a chronic disease. This study evaluated the performance of a 3-day mobile phone image-based dietary record, the Nutricam Dietary Assessment Method (NuDAM), in adults with type 2 diabetes mellitus (T2DM). Criterion validity was determined by comparing energy intake (EI) with total energy expenditure (TEE) measured by the doubly-labelled water technique. Relative validity was established by comparison to a weighed food record (WFR). Inter-rater reliability was assessed by comparing estimates of intake from three dietitians. Ten adults (6 males, age: 61.2 ± 6.9 years old, BMI: 31.0 ± 4.5 kg/m2) participated. Compared to TEE, mean EI (MJ/day) was significantly under-reported using both methods, with a mean ratio of EI:TEE 0.76 ± 0.20 for the NuDAM and 0.76 ± 0.17 for the WFR. Correlations between the NuDAM and WFR were mostly moderate for energy (r = 0.57), carbohydrate (g/day) (r = 0.63, p < 0.05), protein (g/day) (r = 0.78, p < 0.01) and alcohol (g/day) (rs = 0.85, p < 0.01), with a weaker relationship for fat (g/day) (r = 0.24). Agreement between dietitians for nutrient intake for the 3-day NuDAM (Intra-class Correlation Coefficient (ICC) = 0.77–0.99) was lower when compared with the 3-day WFR (ICC = 0.82–0.99). These findings demonstrate the performance and feasibility of the NuDAM to assess energy and macronutrient intake in a small sample. Some modifications to the NuDAM could improve efficiency and an evaluation in a larger group of adults with T2DM is required.
- Subject
- diabetes; doubly labelled water; image-based dietary records; nutrition assessment
- Identifier
- http://hdl.handle.net/1959.13/1302723
- Identifier
- uon:20530
- Identifier
- ISSN:2072-6643
- Language
- eng
- Full Text
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