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Development and evaluation of a self-administered computerized 24-h dietary recall method for adolescents in Europe
Mälardalen University, School of Health, Care and Social Welfare. (Helena study groupe)ORCID iD: 0000-0001-9604-462X
Department of Public Health, Ghent University, Belgium.
2008 (English)In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, no 32, p. 26-34Article in journal (Refereed) Published
Abstract [en]

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.¼1.7)) 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.¼31) kcal) and fat (4.2 (s.e.¼1.7) 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.

Place, publisher, year, edition, pages
Nature Publishing Group , 2008. no 32, p. 26-34
Keywords [en]
dietary assessment; computer; self-administration; 24-h recall; validation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mdh:diva-5216DOI: 10.1038/ijo.2008.180ISI: 000260999400006Scopus ID: 2-s2.0-56549091929OAI: oai:DiVA.org:mdh-5216DiVA, id: diva2:160138
Projects
Helena projektetAvailable from: 2009-02-18 Created: 2009-02-12 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Breakfast habits among European adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study
Open this publication in new window or tab >>Breakfast habits among European adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to study the associations of individual and socio-environmental factors with breakfast habits among adolescents on a European level.

 

Methods: The HELENA-study (Healthy Lifestyle in Europe by Nutrition in Adolescence) is a multi-centre cross-sectional, school-based study including 3528 adolescents (aged 12.5-17.49 years) from 10 European cities inEurope. Data was collected during the 2006-2007 academic year. Breakfast habits were assessed by a computerised, self-administered, 24-h recall and by questionnaires. The whole day dietary intake, measured with the computerised 24-h recall, was evaluated by comparing a self-administered and an interviewed 24-h recall. The socio-demographical factors used were sex, age, region inEurope (southern versus northern/central), mother and father’s education and occupation, family structure and family affluence. Body composition was measured with weight, height, waist circumference and skinfold thickness. Blood pressure, cardiorespiratory fitness, blood lipids, insulin and glucose were also measured.

 

Results: The evaluation between the self-administered and interview 24-h recall showed generally good agreement between the two methods. Few adolescents (4 %) had a ‘high-quality’ breakfast. Breakfast consumption on both recall days was reported among 77 % (24-h recall) and 55 % reported slightly disagreeing to strongly disagreeing with the statement ‘I often skip breakfast’. Younger adolescents, adolescents from the northern/central part of Europe and adolescents from families with high socio-demographical status were more likely to report consuming a ‘high-quality’ breakfast while breakfast consumption versus breakfast skipping were inappreciably associated with socio-demographical factors. Personal factors (‘hunger’, ‘taste of the food’ ‘concern for health’) and the socio-environmental factor (‘parents or guardian’) were the most important influences on the adolescents’ choice of food at breakfast. Regular ‘breakfast consumption’ was associated with higher cardiorespiratory fitness in both boys and girls, and with a healthier cardiovascular profile, especially in boys.

 

Conclusion: The public health implications of poor breakfast consumption habits are considerable. This work highlights the need to promote breakfast, especially a ‘high-quality’ breakfast, among adolescents, particularly older adolescents, adolescents from the southern part of Europe and adolescents from families with low socio-demographical status.

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2011. p. 59
Keywords
Breakfast; adolescents; socio-demographical factors; dietary assessment; 24-h recall; food groups; cardiovascular disease risk factors; Europe
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-13930 (URN)978-91-7457-424-1 (ISBN)
Public defence
2011-09-16, Red seminarium room, Plan 6, NOVUM, Karolinska Institutet, Huddinge, 09:00 (English)
Opponent
Supervisors
Projects
HELENA
Available from: 2012-01-09 Created: 2012-01-05 Last updated: 2015-02-04Bibliographically approved

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Hallström, Lena

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