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Title: Validation of the automated self-administered 24-hour dietary recall for children (ASA24-Kids) among 9- to 11-year-old youth

Author
item DIEP, CASSANDRA - Children'S Nutrition Research Center (CNRC)
item HINGLE, MELANIE - University Of Arizona
item CHEN, TZU - Children'S Nutrition Research Center (CNRC)
item DADABHOY, HAFZA - Children'S Nutrition Research Center (CNRC)
item BELTRAN, ALICIA - Children'S Nutrition Research Center (CNRC)
item BARANOWSKI, JANICE - Children'S Nutrition Research Center (CNRC)
item SUBAR, AMY - National Institutes Of Health (NIH)
item BARANOWSKI, TOM - Children'S Nutrition Research Center (CNRC)

Submitted to: Meeting Abstract
Publication Type: Abstract Only
Publication Acceptance Date: 3/1/2014
Publication Date: 5/21/2014
Citation: Diep, C., Hingle, M., Chen, T.A., Dadabhoy, H., Beltran, A., Baranowski, J., Subar, A., Baranowski, T. 2014. Validation of the automated self-administered 24-hour dietary recall for children (ASA24-Kids) among 9- to 11-year-old youth [abstract]. International Society of Behavioral Nutrition and Physical Activity Annual Conference, May 21-24, 2014, San Diego, California. Poster P075.

Interpretive Summary:

Technical Abstract: Our purpose was to validate ASA24-Kids-2012, a self-administered web-based 24-hour dietary recall (24hDR) among 9- to 11-year-old children. Sixty-nine children in two sites participated in the study. In one site, trained staff observed and recorded types and portions of foods and drinks consumed by children (n=38) during school lunch. The next day, participants completed ASA24-Kids-2012 and a dietitian-conducted 24hDR in a randomized order. Procedures in a second site (n=31) were similar, except observation occurred during dinner in a community location. Foods were classified as matches (reported and consumed), intrusions (reported but not consumed), or omissions (not reported but consumed) for each participant. Rates of matches, intrusions, and omissions were calculated; for matched foods, we determined correlation coefficients between observed and reported portion sizes. Match, intrusion, and omission rates between ASA24-Kids-2012 and observed intakes in site 1 were 32.7%, 29.6%, and 37.8%, respectively. Comparable rates for dietitian-conducted 24hDRs were 54.0%, 21.9%, and 24.1%, respectively. In site 2, match, intrusion, and omission rates between ASA24-Kids-2012 and observed intakes were 52.5%, 12.0%, and 35.5%, respectively, versus 76.0% matches, 9.4% intrusions, and 14.6% omissions for dietitian-conducted 24hDRs. The correlation between reported and observed portion sizes for matched foods was significantly less for ASA24-Kids-2012 than for dietitian-conducted 24hDRs. ASA24-Kids-2012 was less accurate than dietitian-conducted 24hDRs when compared to observed intakes, but both performed poorly. More research is needed to assess the age at which children can complete recalls, as well as other factors that might elucidate under which circumstances recalls can reasonably be used in children.