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Rossi CE, Pinho MGM, Corrêa EN, de Abreu ÂH, Rech CR, Ferreira JRDC, de Vasconcelos FDAG. Neighborhood Availability and Use of Food, Physical Activity, and Social Services Facilities in Relation to Overweight and Obesity in Children and Adolescents. Food Nutr Bull 2023; 44:12-26. [PMID: 36601667 DOI: 10.1177/03795721221146215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To evaluate the association of a combined measure of availability and use of facilities from the food environment and overweight (including obesity) among schoolchildren, while taking into account the physical activity and social-assistance environments. METHODS Cross-sectional study with a probabilistic sample of schoolchildren aged 7 to 14 years living in a southern Brazilian city (n = 2026). Multilevel analyses were performed with overweight as outcome and the food environment as main exposure. Models were adjusted for the physical activity and social-assistance environments, as well as individual and other residential neighborhood characteristics. RESULTS Greater availability of restaurants around the home was associated with higher odds of overweight (odds ratio [OR] = 1.40; 95% CI = 1.06-1.85). Stronger associations were found for schoolchildren reporting to use restaurants (OR = 1.48; 95% CI = 1.15-1.90). This association remained significant after adjusting for the presence of other food retailers. Schoolchildren who had social-assistance facilities around their homes, but reported not to use them, showed consistently higher odds of being overweight (OR = 1.34; 95% CI = 1.01-1.78) as compared to schoolchildren who had these facilities near home and used them. The physical activity environment was not associated with the outcome. CONCLUSIONS Availability and use of the food and social-assistance environments were significantly associated with overweight (including obesity) among the schoolchildren. Future research should consider the use of environmental facilities in combination to their geographical availability. Our results highlight the need for policies that limit the access to obesogenic food outlets by children and adolescents.
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Affiliation(s)
| | - Maria Gabriela M Pinho
- Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands.,Upstream Team, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands
| | - Elizabeth Nappi Corrêa
- Universidade Federal de Santa Catarina. Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n-Centro de Ciências da Saúde, Trindade, Florianópolis-Santa Catarina, Brazil
| | - Ângelo Horta de Abreu
- Gis Especialist. Imagem-Enterprise for Geographic Intelligence Solutions. Belo Horizonte-Minas Gerais, Brazil
| | - Cassiano Ricardo Rech
- Programa de Pós-Graduação em Educação Física (PPGEF), Campus Universitário Trindade, Florianópolis-Santa Catarina, Brazil
| | | | - Francisco de Assis Guedes de Vasconcelos
- Universidade Federal de Santa Catarina. Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n-Centro de Ciências da Saúde, Trindade, Florianópolis-Santa Catarina, Brazil
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Accuracy of Reporting Food Intakes among Primary School Children Aged 7-9 Years. J Nutr 2023; 153:393-399. [PMID: 36913476 DOI: 10.1016/j.tjnut.2022.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 10/25/2022] [Accepted: 11/22/2022] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Accurate measurement of dietary intake throughout childhood is important to monitor children's growth and development and for their long-term health. However, measuring dietary intake in children is challenging because of misreporting, difficulties in establishing portion size, and heavy reliance on proxy reporters. OBJECTIVES This study aimed to determine the accuracy of self-reported food intake by primary school children aged 7-9 y. METHODS A total of 105 children (51% boys), aged 8.0 ± 0.8 y, were recruited from three primary schools in Selangor, Malaysia. Individual meal intakes during a school break time were determined using a food photography method as the reference method. The children were then interviewed the following day to assess their recall of their meal intakes the previous day. ANOVA and Kruskal-Wallis tests were used to determine mean differences in the accuracy of reporting food items and amount by age and weight status, respectively. RESULTS On average, the children achieved 85.8% match rate, 14.2% omission rate, and 3.2% intrusion rate for accuracy in reporting food items. The children also achieved 85.9% correspondence rate and 6.8% inflation ratio for accuracy in reporting food amounts. Children living with obesity had notably higher intrusion rates compared with normal weight children (10.6% vs. 1.9%) (P < 0.05). Children aged >9 y had notably higher correspondence rates, compared with children aged 7 y (93.3% vs. 78.8%) (P < 0.05). CONCLUSIONS The low omission and intrusion rates and the high correspondence rate indicate that primary school children aged 7-9 y are capable of self-reporting food intake accurately for a lunch meal without proxy assistance. However, to confirm children's abilities to report their daily food intakes, further studies should be conducted to assess the accuracy of children in reporting their food intakes for more than one meal in a day.
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3
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Hawkins M, Fuchs H, Watts E, Irvine Belson S, Snelling A. Development of a Nutrition Literacy Survey for Use among Elementary School Students in Communities with High Rates of Food Insecurity. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2021. [DOI: 10.1080/19320248.2021.1928577] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Melissa Hawkins
- Department of Health Studies, American University, College of Arts & Sciences, Washington, DC, USA
| | - Hannah Fuchs
- Department of Health Studies, American University, College of Arts & Sciences, Washington, DC, USA
| | - Erin Watts
- Department of Health Studies, American University, College of Arts & Sciences, Washington, DC, USA
| | | | - Anastasia Snelling
- Department of Health Studies, American University, College of Arts & Sciences, Washington, DC, USA
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Rhodes ET, Vernacchio L, Mitchell AA, Fischer C, Giacalone P, Ludwig DS, Ebbeling CB. A telephone intervention to achieve differentiation in dietary intake: a randomized trial in paediatric primary care. Pediatr Obes 2017; 12:494-501. [PMID: 27492865 PMCID: PMC5529253 DOI: 10.1111/ijpo.12171] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2016] [Revised: 05/23/2016] [Accepted: 06/27/2016] [Indexed: 01/12/2023]
Abstract
BACKGROUND Telehealth offers opportunities to extend clinical and research interventions for paediatric obesity. OBJECTIVES To assess utility of a telephone intervention, implemented through a national primary care paediatric research network, for promoting differentiation in dietary intake, consistent with either a low-glycemic load (Low GL) or Low Fat prescription, among overweight/obese school-age children. METHODS Five-week telephone dietary counselling intervention for parents of overweight/obese school-age children recruited through the Slone Center Office-based Research Network. Parent-child dyads were randomized to Low GL or Low Fat diet. Primary outcomes were dietary GL and dietary fat, adjusted for energy intake and assessed by 24-h dietary recall. RESULTS Subjects were randomized to Low GL (n = 11, 8.1 ± 1.7 years, 45.5% male) or Low Fat (n = 11, 8.2 ± 2.0 years, 36.4% male), with no baseline differences. Overall, 86% of subjects attended at least four of five counselling sessions, and study completion rate was 91% (based on completion of the final dietary recalls). Reported satisfaction was high. In adjusted analyses limited to 'recall completers,' reduction in dietary GL (g/1000 kcal) achieved within the Low GL group was significant (p = 0.01) and greater than the change in dietary GL in the Low Fat group (mean ± SE; -12.9 ± 4.4 vs. 5.1 ± 4.9, p = 0.03). Similarly, reduction in dietary fat (% of total energy) within the Low Fat group was significant (-5.6 ± 2.5, p = 0.046) but with no difference between groups (p = 0.25). CONCLUSION A telephone-based dietary intervention for overweight/obese children, implemented through a national paediatric research network, fostered prescribed dietary changes. ClinicalTrials.gov registration: NCT00620152.
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Affiliation(s)
- Erinn T. Rhodes
- Division of Endocrinology, Boston Children’s Hospital,
Boston, MA,Department of Pediatrics, Harvard Medical School, Boston, MA
| | - Louis Vernacchio
- Department of Pediatrics, Harvard Medical School, Boston, MA,Pediatric Physicians’ Organization at Children’s,
Boston Children’s Hospital, Boston, MA
| | - Allen A. Mitchell
- Slone Epidemiology Center, Boston University School of Medicine,
Boston, MA
| | - Corrine Fischer
- Division of Endocrinology, Boston Children’s Hospital,
Boston, MA
| | - Pamela Giacalone
- Division of Endocrinology, Boston Children’s Hospital,
Boston, MA,Harvard Longwood Psychiatry Residency Training Program, Boston
MA
| | - David S. Ludwig
- Division of Endocrinology, Boston Children’s Hospital,
Boston, MA,Department of Pediatrics, Harvard Medical School, Boston, MA
| | - Cara B. Ebbeling
- Division of Endocrinology, Boston Children’s Hospital,
Boston, MA,Department of Pediatrics, Harvard Medical School, Boston, MA
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Baxter SD, Smith AF, Hitchcock DB, Collins KL, Guinn CH, Smith AL, Finney CJ. The National Health and Nutrition Examination Survey's Food Insecurity Questionnaire Completed by Children: Effects of Assessment Mode (Classroom versus Interview). JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2017; 13:205-227. [PMID: 29904506 PMCID: PMC5995461 DOI: 10.1080/19320248.2017.1315325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The National Health and Nutrition Examination Survey's food insecurity questionnaire was administered to 155 children (77 African American, 65 White, 13 "Other" [7 Hispanic; 6 mixed races]) in grade 4 twice, 28-32 days apart. Test-retest reliabilities were modest and somewhat similar for assessment mode (classroom, interview) and subgroup variables (gender, race, socioeconomic status, academic achievement, body mass index percentile, social desirability). As academic achievement increased, White and Other children reported less food insecurity, and African-American children reported slightly less. As social desirability increased, White and African-American children reported slightly more food insecurity, and Other children reported substantially more. Although the questionnaire may be acceptable for use with diverse groups of children in grade 4, validation is needed.
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Affiliation(s)
- Suzanne D Baxter
- Research Professor, Institute for Families in Society, College of Social Work, University of South Carolina, 1600 Hampton Street, Suite 507, Columbia, SC, USA, 29208, orcid.org/0000-0002-9031-9087
| | - Albert F Smith
- Associate Professor, Department of Psychology, Cleveland State University, Cleveland, OH, USA, 44115, orcid.org/0000-0002-3442-8123
| | - David B Hitchcock
- Associate Professor, Department of Statistics, University of South Carolina, Columbia, SC, USA, 29208
| | - Kathleen L Collins
- Research Specialist (at the time of the study), Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208
| | - Caroline H Guinn
- Research Dietitian, Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208
| | - Alyssa L Smith
- Research Specialist II (at the time of the study), Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208
| | - Christopher J Finney
- Analyst, Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208; Manager, South Carolina Revenue and Fiscal Affairs Office, Health and Demographics, Columbia, SC, USA, 29201
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Tugault-Lafleur CN, Black JL, Barr SI. A Systematic Review of Methods to Assess Children's Diets in the School Context. Adv Nutr 2017; 8:63-79. [PMID: 28096128 PMCID: PMC5227974 DOI: 10.3945/an.116.013144] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
To evaluate the impact of school-based nutrition interventions, accurate and reliable methods are needed to assess what children eat at school. The primary objective of this study was to systematically review methodological evidence on the relative accuracy and reliability of dietary assessment methods used in the school context. The secondary objective was to assess the frequency of methods and analytical approaches used in studies reporting in-school dietary outcomes. Three health databases were searched for full-text English-language studies. Twenty-two methodological studies were reviewed. For school meal recalls, the majority of studies (n = 8 of 12) reported poor accuracy when accuracy was measured by using frequencies of misreported foods. However, when energy report rates were used as a measure of accuracy, studies suggested that children were able to accurately report energy intake as a group. Results regarding the accuracy of food-frequency questionnaires (FFQs) and food records (FRs) were promising but limited to a single study each. Meal observations offered consistently good interrater reliability across all studies reviewed (n = 11). Studies reporting in-school dietary outcomes (n = 47) used a broad range of methods, but the most frequently used methods included weighed FRs (n = 12), school meal recalls (n = 10), meal observations by trained raters (n = 8), and estimated FRs (n = 7). The range of dietary components was greater among studies relying on school meal recalls and FRs than among studies using FFQs. Overall, few studies have measured the accuracy of dietary assessment methods in the school context. Understanding the methodological characteristics associated with dietary instruments is vital for improving the quality of the evidence used to inform and evaluate the impact of school-based nutrition policies and programs.
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Affiliation(s)
- Claire N Tugault-Lafleur
- Food, Nutrition and Health, Faculty of Land and Food Systems, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jennifer L Black
- Food, Nutrition and Health, Faculty of Land and Food Systems, University of British Columbia, Vancouver, British Columbia, Canada
| | - Susan I Barr
- Food, Nutrition and Health, Faculty of Land and Food Systems, University of British Columbia, Vancouver, British Columbia, Canada
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7
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Smith AF, Baxter SD, Hitchcock DB, Finney CJ, Royer JA, Guinn CH. Cognitive ability, social desirability, body mass index and socioeconomic status as correlates of fourth-grade children's dietary-reporting accuracy. Eur J Clin Nutr 2016; 70:1028-33. [PMID: 27222153 PMCID: PMC5014604 DOI: 10.1038/ejcn.2016.43] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Revised: 01/24/2016] [Accepted: 02/02/2016] [Indexed: 11/09/2022]
Abstract
BACKGROUND/OBJECTIVES To investigate the relationship of reporting accuracy in 24-h dietary recalls to child-respondent characteristics-cognitive ability, social desirability, body mass index (BMI) percentile and socioeconomic status (SES). SUBJECTS/METHODS Fourth-grade children (mean age 10.1 years) were observed eating two school meals and interviewed about dietary intake for 24 h that included those meals. (Eight multiple-pass interview protocols operationalized the conditions of an experiment that crossed two retention intervals-short and long-with four prompts (ways of eliciting reports in the first pass)). Academic achievement-test scores indexed cognitive ability; social desirability was assessed by questionnaire; height and weight were measured to calculate BMI; nutrition-assistance program eligibility information was obtained to index SES. Reported intake was compared to observed intake to calculate measures of reporting accuracy for school meals at the food-item (omission rate; intrusion rate) and energy (correspondence rate; inflation ratio) levels. Complete data were available for 425 of 480 validation-study participants. RESULTS Controlling for manipulated variables and other measured respondent characteristics, for one or more of the outcome variables, reporting accuracy increased with cognitive ability (omission rate, intrusion rate, correspondence rate, P<0.001), decreased with social desirability (correspondence rate, P<0.0004), decreased with BMI percentile (correspondence rate, P=0.001) and was better by higher- than by lower-SES children (intrusion rate, P=0.001). Some of these effects were moderated by interactions with retention interval and sex. CONCLUSIONS Children's dietary-reporting accuracy is systematically related to such respondent characteristics as cognitive ability, social desirability, BMI percentile and SES.
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Affiliation(s)
- Albert F. Smith
- Department of Psychology, Cleveland State University, Cleveland, OH 44115, USA
| | - Suzanne Domel Baxter
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC 29208, USA
| | - David B. Hitchcock
- Department of Statistics, University of South Carolina, Columbia, SC 29208, USA
| | - Christopher J. Finney
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC 29208, USA
- South Carolina Revenue and Fiscal Affairs Office, Health and Demographics Section, Columbia, SC 29201, USA
| | - Julie A. Royer
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC 29208, USA
- South Carolina Revenue and Fiscal Affairs Office, Health and Demographics Section, Columbia, SC 29201, USA
| | - Caroline H. Guinn
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC 29208, USA
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Factors Related to the Accuracy of Self-Reported Dietary Intake of Children Aged 6 to 12 Years Elicited with Interviews: A Systematic Review. J Acad Nutr Diet 2016; 116:76-114. [DOI: 10.1016/j.jand.2015.08.024] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Accepted: 08/27/2015] [Indexed: 12/19/2022]
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Miller PH, Baxter SD, Royer JA, Hitchcock DB, Smith AF, Collins KL, Guinn CH, Smith AL, Puryear MP, Vaadi KK, Finney CJ. Children's Social Desirability: Effects of Test Assessment Mode. PERSONALITY AND INDIVIDUAL DIFFERENCES 2015; 83:85-90. [PMID: 25870465 PMCID: PMC4392397 DOI: 10.1016/j.paid.2015.03.039] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This study examined a recently developed short version of the Children's Social Desirability (CSD-S) scale with 157 fourth-grade children. Of interest was a) whether one-month test-retest reliability would vary as a function of test assessment mode (interview or classroom), gender, race, SES, and BMI percentile, and b) whether the degree of social desirability would vary as a function of these same variables. The CSD-S scale showed good test-retest reliability for both interview and classroom assessment modes (.85 and .83, respectively). Internal consistency also was good (first interview administration = .84; first classroom administration = .81). Reliability was good and did not vary significantly over assessment mode or any child subgroup variables, suggesting that the CSD-S scale is appropriate for general use. The interview mode elicited significantly more socially desirable answers than did the classroom mode. Social desirability did not differ across child subgroups. Some of these findings were examined, and replicated, on another sample. Thus, the CSD-S scale may be used with diverse groups of children to a) reliably assess a social desirability bias that may systematically bias other self-reports of interest to researchers and b) examine individual differences in degree of social desirability.
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Affiliation(s)
- Patricia H. Miller
- Department of Psychology, San Francisco State University, San Francisco, CA, USA, 94132
| | - Suzanne D. Baxter
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
| | - Julie A. Royer
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
- South Carolina Revenue and Fiscal Affairs Office, Health and Demographics Section, Columbia, SC, USA, 29201
| | - David B. Hitchcock
- Department of Statistics, University of South Carolina, Columbia, SC, USA, 29208
| | - Albert F. Smith
- Department of Psychology, Cleveland State University, Cleveland, OH, USA, 44115
| | - Kathleen L. Collins
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
| | - Caroline H. Guinn
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
| | - Alyssa L. Smith
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
| | - Megan P. Puryear
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
| | - Kate K. Vaadi
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
| | - Christopher J. Finney
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC, USA, 29208 (Baxter, 803-777-1824 extension 12)
- South Carolina Revenue and Fiscal Affairs Office, Health and Demographics Section, Columbia, SC, USA, 29201
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Kerr DA, Wright JL, Dhaliwal SS, Boushey CJ. Does an Adolescent's Accuracy of Recall Improve with a Second 24-h Dietary Recall? Nutrients 2015; 7:3557-68. [PMID: 25984743 PMCID: PMC4446767 DOI: 10.3390/nu7053557] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2015] [Revised: 04/29/2015] [Accepted: 05/06/2015] [Indexed: 11/16/2022] Open
Abstract
The multiple-pass 24-h dietary recall is used in most national dietary surveys. Our purpose was to assess if adolescents' accuracy of recall improved when a 5-step multiple-pass 24-h recall was repeated. Participants (n = 24), were Chinese-American youths aged between 11 and 15 years and lived in a supervised environment as part of a metabolic feeding study. The 24-h recalls were conducted on two occasions during the first five days of the study. The four steps (quick list; forgotten foods; time and eating occasion; detailed description of the food/beverage) of the 24-h recall were assessed for matches by category. Differences were observed in the matching for the time and occasion step (p < 0.01), detailed description (p < 0.05) and portion size matching (p < 0.05). Omission rates were higher for the second recall (p < 0.05 quick list; p < 0.01 forgotten foods). The adolescents over-estimated energy intake on the first (11.3% ± 22.5%; p < 0.05) and second recall (10.1% ± 20.8%) compared with the known food and beverage items. These results suggest that the adolescents' accuracy to recall food items declined with a second 24-h recall when repeated over two non-consecutive days.
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Affiliation(s)
- Deborah A Kerr
- School of Public Health, Curtin University, Perth, WA 6102, Australia.
| | - Janine L Wright
- School of Public Health, Curtin University, Perth, WA 6102, Australia.
| | | | - Carol J Boushey
- Epidemiology Program, University of Hawaii Cancer Centre, Honolulu, HI 96844, USA.
- Department of Nutrition Science, Purdue University, West Lafayette, IN 47907, USA.
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11
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Diep CS, Hingle M, Chen TA, Dadabhoy HR, Beltran A, Baranowski J, Subar AF, Baranowski T. The Automated Self-Administered 24-Hour Dietary Recall for Children, 2012 Version, for Youth Aged 9 to 11 Years: A Validation Study. J Acad Nutr Diet 2015; 115:1591-8. [PMID: 25887784 DOI: 10.1016/j.jand.2015.02.021] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Accepted: 02/16/2015] [Indexed: 11/15/2022]
Abstract
BACKGROUND Valid methods of diet assessment are important for nutrition research and practice, but can be difficult with children. OBJECTIVE To validate the 2012 version of the Automated Self-Administered 24-Hour Dietary Recall for Children (ASA24-Kids-2012), a self-administered web-based 24-hour dietary recall (24hDR) instrument, among children aged 9 to 11 years, in two sites. DESIGN Quasiexperimental. PARTICIPANTS/SETTING In one site, trained staff members observed and recorded foods and drinks consumed by children (n=38) during school lunch. The next day, the observed children completed both ASA24-Kids-2012 and an interviewer-administered 24hDR in a randomized order. Procedures in a second site (n=31) were similar, except observations occurred during dinner in a community location. STATISTICAL ANALYSES Foods were classified as matches (reported and consumed), intrusions (reported, but not consumed), or omissions (not reported, but consumed) for each participant. Rates of matches, intrusions, and omissions were calculated. Rates were compared between each recall method using repeated measures analysis of covariance. For matched foods, the authors determined correlation coefficients between observed and reported serving sizes. RESULTS Match, intrusion, and omission rates between ASA24-Kids-2012 and observed intakes in Site 1 were 37%, 27%, and 35%, respectively. Comparable rates for interviewer-administered 24hDRs were 57%, 20%, and 23%, respectively. In Site 2, match, intrusion, and omission rates between ASA24-Kids-2012 and observed intakes were 53%, 12%, and 36%, respectively, vs 76% matches, 9% intrusions, and 15% omissions for interviewer-administered 24hDRs. The relationship strength between reported and observed serving sizes for matched foods was 0.18 in Site 1 and 0.09 in Site 2 for ASA24-Kids-2012, and 0.46 in Site 1 and 0.11 in Site 2 for interviewer-administered 24hDRs. CONCLUSIONS ASA24-Kids-2012 was less accurate than interviewer-administered 24hDRs when compared with observed intakes, but both performed poorly. Additional research should assess the age at which children can complete recalls without the help of a parent or guardian, as well as elucidate under which circumstances recalls can reasonably be used among children.
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12
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Miller PH, Baxter SD, Hitchcock DB, Royer JA, Smith AF, Guinn CH. Test-retest reliability of a short form of the children's social desirability scale for nutrition and health-related research. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2014; 46:423-8. [PMID: 24418615 PMCID: PMC4092045 DOI: 10.1016/j.jneb.2013.11.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2013] [Revised: 11/01/2013] [Accepted: 11/07/2013] [Indexed: 05/12/2023]
Abstract
OBJECTIVE To examine test-retest reliability and internal consistency of the Children's Social Desirability Short (CSD-S) scale, consisting of 14 items from the Children's Social Desirability scale. METHODS The previously validated CSD-S scale was classroom administered to 97 fourth-grade children (80% African American; 76% low socioeconomic status) in 2 sessions a month apart. Each classroom administration lasted approximately 5 minutes. RESULTS The CSD-S scale showed acceptable levels of test-retest reliability (0.70) and internal consistency (.82 and .85 for the first and second administrations, respectively). Reliability was adequate within subgroups of gender, socioeconomic status, academic achievement, and body mass index percentile. Levels of social desirability did not differ across subgroups. CONCLUSIONS AND IMPLICATIONS Social desirability bias is a potential source of systematic response error in children's self-report assessments of nutrition and health-related behaviors. The CSD-S scale may be used with diverse groups of children to reliably and efficiently assess social desirability bias.
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Affiliation(s)
- Patricia H Miller
- Department of Psychology, San Francisco State University, San Francisco, CA.
| | - Suzanne D Baxter
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC
| | - David B Hitchcock
- Department of Statistics, University of South Carolina, Columbia, SC
| | - Julie A Royer
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC; South Carolina Budget and Control Board, Division of Research and Statistics, Columbia, SC
| | - Albert F Smith
- Department of Psychology, Cleveland State University, Cleveland, OH
| | - Caroline H Guinn
- Institute for Families in Society, College of Social Work, University of South Carolina, Columbia, SC
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Hébert JR, Hurley TG, Steck SE, Miller DR, Tabung FK, Peterson KE, Kushi LH, Frongillo EA. Considering the value of dietary assessment data in informing nutrition-related health policy. Adv Nutr 2014; 5:447-55. [PMID: 25022993 PMCID: PMC4085192 DOI: 10.3945/an.114.006189] [Citation(s) in RCA: 107] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
Dietary assessment has long been known to be challenged by measurement error. A substantial amount of literature on methods for determining the effects of error on causal inference has accumulated over the past decades. These methods have unrealized potential for improving the validity of data collected for research studies and national nutritional surveillance, primarily through the NHANES. Recently, the validity of dietary data has been called into question. Arguments against using dietary data to assess diet-health relations or to inform the nutrition policy debate are subject to flaws that fall into 2 broad areas: 1) ignorance or misunderstanding of methodologic issues; and 2) faulty logic in drawing inferences. Nine specific issues are identified in these arguments, indicating insufficient grasp of the methods used for assessing diet and designing nutritional epidemiologic studies. These include a narrow operationalization of validity, failure to properly account for sources of error, and large, unsubstantiated jumps to policy implications. Recent attacks on the inadequacy of 24-h recall-derived data from the NHANES are uninformative regarding effects on estimating risk of health outcomes and on inferences to inform the diet-related health policy debate. Despite errors, for many purposes and in many contexts, these dietary data have proven to be useful in addressing important research and policy questions. Similarly, structured instruments, such as the food frequency questionnaire, which is the mainstay of epidemiologic literature, can provide useful data when errors are measured and considered in analyses.
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Affiliation(s)
- James R Hébert
- Departments of Epidemiology and Biostatistics and Cancer Prevention and Control Program, and Center for Research in Nutrition and Health Disparities, University of South Carolina, Columbia, SC;
| | | | - Susan E Steck
- Departments of Epidemiology and Biostatistics and Cancer Prevention and Control Program, and Center for Research in Nutrition and Health Disparities, University of South Carolina, Columbia, SC
| | - Donald R Miller
- Department of Health Policy and Management, Boston University School of Public Health, Boston, MA; Center for Healthcare Organization and Implementation Research, Bedford Veterans Affairs Medical Center, Bedford, MA
| | - Fred K Tabung
- Departments of Epidemiology and Biostatistics and Cancer Prevention and Control Program, and
| | - Karen E Peterson
- Human Nutrition Program, Department of Environmental Health Sciences, School of Public Health and Center for Human Growth and Development, University of Michigan, Ann Arbor, MI; Department of Nutrition, Harvard School of Public Health, Boston, MA
| | - Lawrence H Kushi
- Division of Research, Kaiser Permanente Northern California, Oakland, CA; and School of Medicine, University of California, Davis, Sacramento, CA
| | - Edward A Frongillo
- Health Promotion, Education, and Behavior, Arnold School of Public Health, Center for Research in Nutrition and Health Disparities, University of South Carolina, Columbia, SC
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Van Hook J, Altman CE. Competitive Food Sales in Schools and Childhood Obesity: A Longitudinal Study. SOCIOLOGY OF EDUCATION 2012; 85:23-39. [PMID: 22611291 PMCID: PMC3352595 DOI: 10.1177/0038040711417011] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The vast majority of American middle schools and high schools sell what is known as "competitive foods", such as soft drinks, candy bars, and chips, to children. The relationship between consumption of sugar-sweetened drinks and snacks and childhood obesity is well established but it remains unknown whether competitive food sales in schools are related to unhealthy weight gain among children. We examined this association using data from the Early Childhood Longitudinal Study Kindergarten Cohort. Employing fixed effects models and a natural experimental approach, we found that children's weight gain between 5(th) and 8(th) grades was not associated with the introduction or the duration of exposure to competitive food sales in middle school. Also, the relationship between competitive foods and weight gain did not vary significantly by gender, race/ethnicity, or family SES, and remained weak and insignificant across several alternative model specifications. One possible explanation is that children's food preferences and dietary patterns are firmly established before adolescence. Also, middle school environments may dampen the effects of competitive food sales because they so highly structure children's time and eating opportunities.
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