Ptomey Lauren T, Willis Erik A, Goetz Jeannine R, Lee Jaehoon, Sullivan Debra K, Donnelly Joseph E
Cardiovascular Research Institute, Division of Internal Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
Cardiovascular Research Institute, Division of Internal Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
Disabil Health J. 2015 Jan;8(1):146-50. doi: 10.1016/j.dhjo.2014.08.011. Epub 2014 Aug 29.
Dietary assessment of adolescents with intellectual and developmental disabilities (IDD) is challenging due to the limited cognitive abilities of this population.
The purpose of this study was to determine the feasibility of using of digital images to improve the estimates of energy and macronutrient intake from proxy-assisted 3-day food records in adolescents with IDD.
Participants used a mobile device to take photos of all food and beverages consumed over a three-day period and simultaneously completed a standard parent-assisted 3-day food record at two separate time points. A registered dietitian reviewed and recorded the differences between the standard record and the images. The proxy-assisted records and the photo-assisted records were analyzed separately.
One hundred and thirty eating occasions were entered (20 participants (age = 14.9 ± 2.2 yrs, 45.0% female)). Photo-assisted records captured significantly higher estimates of energy intake per eating occasion than regular proxy-assisted records (P = 0.001) as well as significantly greater grams of fat (P = 0.011), carbohydrates (P = 0.003), and protein (P = 0.004).
The use of photo-assisted diet records appears to be a feasible method to obtain substantial additional details about dietary intake that consequently may improve the overall estimates of energy and macronutrient intake when using proxy-assisted diet records in adolescents with IDD.
由于智力和发育障碍（IDD）青少年的认知能力有限，对其进行饮食评估具有挑战性。
本研究的目的是确定使用数字图像来改进对IDD青少年通过代理辅助3天食物记录得出的能量和宏量营养素摄入量估计值的可行性。
参与者使用移动设备拍摄三天内食用的所有食物和饮料的照片，并在两个不同时间点同时完成一份标准的家长辅助3天食物记录。一名注册营养师审查并记录标准记录与图像之间的差异。分别分析代理辅助记录和照片辅助记录。
共录入130次进食情况（20名参与者（年龄 = 14.9 ± 2.2岁，45.0%为女性））。照片辅助记录得出的每次进食能量摄入量估计值显著高于常规代理辅助记录（P = 0.001），脂肪（P = 0.011）、碳水化合物（P = 0.003）和蛋白质（P = 0.004）的克数也显著更高。
使用照片辅助饮食记录似乎是一种可行的方法，可以获取关于饮食摄入的大量额外详细信息，从而在对IDD青少年使用代理辅助饮食记录时可能改进能量和宏量营养素摄入量的总体估计。
