Rose Meredith H, Streisand Randi, Aronow Laura, Tully Carrie, Martin Corby K, Mackey Eleanor
Children's National Medical Center.
The George Washington University.
Clin Pract Pediatr Psychol. 2018 Sep;6(3):270-277. doi: 10.1037/cpp0000240. Epub 2018 May 24.
Nutrition is a critical component of diabetes and other chronic diseases for young children. However, nutritional intake is burdensome to measure accurately and easily, making it difficult to evaluate in research or clinical contexts.
This pilot study examined the feasibility and acceptability of having parents of young children with T1D use the Remote Food Photography Method (RFPM) to measure breakfast nutrition.
Participants were 9 mothers of children ages 2-5 years (M=4.2), with a T1D duration of at least 1 year (M=2.4 years at diagnosis), representing diverse backgrounds (55.6% Caucasian; 44.4% African American; 55.6% married). During baseline and follow-up of a healthy eating and physical activity intervention for children with T1D, parents used the RFPM to capture before and after images of their children's breakfast. Feasibility and acceptability were assessed by adherence to taking photos, percent of usable photos, and participant satisfaction.
The RFPM was feasible across participants with high adherence rates (100% at baseline and 87% at follow-up) for sending usable photographs. Most participants reported satisfaction with the method.
Using the RFPM to assess nutrition in a small sample of young children with T1D was feasible and acceptable. Given the importance of assessing nutrition in young children with T1D as well as other chronic illnesses (e.g., cystic fibrosis, obesity), the RFPM may be a useful tool for both research and clinical data collection in lieu of other methods. More research is needed to evaluate reliability and validity of RFPM in pediatric populations.
营养是幼儿糖尿病及其他慢性病的关键组成部分。然而，准确且轻松地测量营养摄入量颇具难度，这使得在研究或临床环境中进行评估变得困难。
这项试点研究探讨了让1型糖尿病幼儿的父母使用远程食物摄影法（RFPM）来测量早餐营养的可行性和可接受性。
参与者为9名2至5岁儿童的母亲（平均年龄M = 4.2岁），1型糖尿病病程至少1年（诊断时平均病程M = 2.4年），代表了不同背景（55.6%为白种人；44.4%为非裔美国人；55.6%已婚）。在对1型糖尿病儿童进行健康饮食和体育活动干预的基线期和随访期，父母使用RFPM拍摄孩子早餐前后的照片。通过拍照的依从性、可用照片的百分比和参与者满意度来评估可行性和可接受性。
RFPM对所有参与者都是可行的，发送可用照片的依从率很高（基线期为100%，随访期为87%）。大多数参与者对该方法表示满意。
使用RFPM评估一小部分1型糖尿病幼儿的营养状况是可行且可接受的。鉴于评估1型糖尿病幼儿以及其他慢性病（如囊性纤维化、肥胖症）患者营养状况的重要性，RFPM可能是一种替代其他方法的有用工具，可用于研究和临床数据收集。需要更多研究来评估RFPM在儿科人群中的可靠性和有效性。
