Health Survey and Health Promotion Centre, National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia.
Department of Biology, Biotechnical Faculty, University of Ljubljana, Večna pot 111, 1000 Ljubljana, Slovenia.
Nutrients. 2019 Sep 16;11(9):2234. doi: 10.3390/nu11092234.
The methodology used in dietary surveys could, to a large extent, follow the instructions of the European Food Safety Authority (EFSA), where 24-h dietary recall (24HDR) is recommended for (sub) population studies. However, it is necessary to examine the suitability of 24HDR for indicative dietary intake in older adults. This study aimed to compare participants' dietary intakes with the recommendations and to compare dietary intakes derived from a 24HDR using an OPEN web-based application to those obtained from reference weighed food records (WFRs). Forty-nine Slovenian residential home residents completed both assessments, and a comparison with dietary reference values was performed. Estimates from these two methods were compared and the correlations between them were assessed. The findings revealed that dietary intakes derived from the WFR method mostly differed from the recommended intakes. The 24HDR underestimated dietary intake compared to the WFR for 66% of monitored parameters, while 75% of these parameters were correlated, mostly at a moderate level (0.3-0.69). In conclusion, the diets of residential home residents in this study mostly differed from recommendations. Both methods for dietary intake assessment provided comparable results for most of the monitored parameters in expected deviations. A web-based 24HDR could be a valid tool for the indicative assessment of dietary intake in older adults. However, further validations are required.
膳食调查中所采用的方法在很大程度上可以遵循欧洲食品安全局(EFSA)的指示,该机构建议在(亚)人群研究中使用 24 小时膳食回顾法(24HDR)。然而,有必要检验 24HDR 对老年人指示性膳食摄入量评估的适用性。本研究旨在比较参与者的膳食摄入量与推荐摄入量,并比较使用开放式网络应用程序进行的 24HDR 得出的膳食摄入量与参考称重食物记录(WFR)得出的摄入量。49 名斯洛文尼亚养老院居民完成了这两项评估,并与膳食参考值进行了比较。比较了这两种方法的估计值,并评估了它们之间的相关性。研究结果表明,WFR 方法得出的膳食摄入量与推荐摄入量大多存在差异。与 WFR 相比,24HDR 对 66%监测参数的膳食摄入量估计值偏低,而 75%的参数具有相关性,大多处于中等水平(0.3-0.69)。综上所述,本研究中养老院居民的饮食大多与建议不符。两种膳食摄入量评估方法在预期偏差范围内,对大多数监测参数都提供了可比的结果。基于网络的 24HDR 可能是评估老年人指示性膳食摄入量的有效工具,但需要进一步验证。