Department of Human Nutrition Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawai'i at Mānoa, 1955 East West Road, Agricultural Sciences 216, Honolulu, HI 96822, USA.
Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 677 Ala Moana Blvd., Honolulu, HI 96813, USA.
Nutrients. 2022 Mar 3;14(5):1075. doi: 10.3390/nu14051075.
The ability to comprehensively assess the diet of infants is essential for monitoring adequate growth; however, it is challenging to assess dietary intake with a high level of accuracy. Infants rely on surrogate reporting by caregivers. This study aimed to determine if surrogate reporters (e.g., caregivers) could use an image-based mobile food record adapted (baby mFR) to record infants' eating occasions, and via caregiver feedback, could assess the usability and feasibility of the baby mFR in recording infants' diets. This was a cross-sectional study in which surrogate reporters (e.g., caregivers) recorded all food and beverage intake (including human milk) of the infant over a 4-day period. Trained research staff evaluated all images submitted during data collection for different indicators of quality. All surrogate reporters were asked to complete a usability questionnaire at the end of the 4-day data collection period. Basic descriptive analyses were performed on the infants 3-12 months of age ( = 70). A total of 91% ( = 64) of surrogate reporters used the baby mFR to record their infants' eating occasions. The mean number of images submitted daily per participant via the mFR was 4.2 (SD 0.2). A majority of submitted images contained the fiducial marker and the food and/or beverage was completely visible. The mFR was found to be easy to use; however, suggestions were provided to increase utility of the application such as the inclusion of a bottle button and reminders. An image-based dietary assessment method using a mobile app was found to be feasible for surrogate reporters to record an infant's food and beverage intake throughout the day.
全面评估婴儿的饮食对于监测充足的生长至关重要；然而，要准确评估饮食摄入量具有挑战性。婴儿依赖照顾者的替代报告。本研究旨在确定替代报告者（例如，照顾者）是否可以使用基于图像的移动食物记录来记录婴儿的进食情况，并且通过照顾者的反馈，评估婴儿 mFR 在记录婴儿饮食方面的可用性和可行性。这是一项横断面研究，其中替代报告者（例如，照顾者）记录了婴儿在 4 天内的所有食物和饮料摄入（包括人乳）。经过培训的研究人员评估了在数据收集期间提交的所有图像，以评估不同的质量指标。在 4 天的数据收集期结束时，所有替代报告者都被要求完成一份可用性问卷。对 3-12 个月大的婴儿（n = 70）进行了基本描述性分析。共有 91%（n = 64）的替代报告者使用婴儿 mFR 记录婴儿的进食情况。每位参与者通过 mFR 每天提交的图像平均数量为 4.2（SD 0.2）。提交的图像中大多数包含基准标记，并且食物和/或饮料完全可见。mFR 被认为易于使用；然而，为了提高应用程序的实用性，提出了一些建议，例如添加奶瓶按钮和提醒。发现基于图像的使用移动应用程序的膳食评估方法可由替代报告者用于全天记录婴儿的食物和饮料摄入量。
