EVIDENT Smartphone App, a New Method for the Dietary Record: Comparison With a Food Frequency Questionnaire.


Journal

JMIR mHealth and uHealth
ISSN: 2291-5222
Titre abrégé: JMIR Mhealth Uhealth
Pays: Canada
ID NLM: 101624439

Informations de publication

Date de publication:
08 02 2019
Historique:
received: 09 07 2018
accepted: 22 11 2018
revised: 30 10 2018
entrez: 9 2 2019
pubmed: 9 2 2019
medline: 9 2 2019
Statut: epublish

Résumé

More alternatives are needed for recording people's normal diet in different populations, especially adults or the elderly, as part of the investigation into the effects of nutrition on health. The aim of this study was to compare the estimated values of energy intake, macro- and micronutrient, and alcohol consumption gathered using the EVIDENT II smartphone app against the data estimated with a food frequency questionnaire (FFQ) in an adult population aged 18 to 70 years. We included 362 individuals (mean age 52 years, SD 12; 214/362, 59.1% women) who were part of the EVIDENT II study. The participants registered their food intake using the EVIDENT app during a period of 3 months and through an FFQ. Both methods estimate the average nutritional composition, including energy intake, macro- and micronutrients, and alcohol. Through the app, the values of the first week of food recording, the first month, and the entire 3-month period were estimated. The FFQ gathers data regarding the food intake of the year before the moment of interview. The intraclass correlation for the estimation of energy intake with the FFQ and the app shows significant results, with the highest values returned when analyzing the app's data for the full 3-month period (.304, 95% CI 0.144-0.434; P<.001). For this period, the correlation coefficient for energy intake is .233 (P<.001). The highest value corresponds to alcohol consumption and the lowest to the intake of polyunsaturated fatty acids (r=.676 and r=.155; P<.001), respectively. The estimation of daily intake of energy, macronutrients, and alcohol presents higher values in the FFQ compared with the EVIDENT app data. Considering the values recorded during the 3-month period, the FFQ for energy intake estimation (Kcal) was higher than that of the app (a difference of 408.7, 95% CI 322.7-494.8; P<.001). The same is true for the other macronutrients, with the exception g/day of saturated fatty acids (.4, 95% CI -1.2 to 2.0; P=.62). The EVIDENT app is significantly correlated to FFQ in the estimation of energy intake, macro- and micronutrients, and alcohol consumption. This correlation increases with longer app recording periods. The EVIDENT app can be a good alternative for recording food intake in the context of longitudinal or intervention studies. ClinicalTrials.gov NCT02016014; http://clinicaltrials.gov/ct2/show/NCT02016014 (Archived by WebCite at http://www.webcitation.org/760i8EL8Q).

Sections du résumé

BACKGROUND
More alternatives are needed for recording people's normal diet in different populations, especially adults or the elderly, as part of the investigation into the effects of nutrition on health.
OBJECTIVE
The aim of this study was to compare the estimated values of energy intake, macro- and micronutrient, and alcohol consumption gathered using the EVIDENT II smartphone app against the data estimated with a food frequency questionnaire (FFQ) in an adult population aged 18 to 70 years.
METHODS
We included 362 individuals (mean age 52 years, SD 12; 214/362, 59.1% women) who were part of the EVIDENT II study. The participants registered their food intake using the EVIDENT app during a period of 3 months and through an FFQ. Both methods estimate the average nutritional composition, including energy intake, macro- and micronutrients, and alcohol. Through the app, the values of the first week of food recording, the first month, and the entire 3-month period were estimated. The FFQ gathers data regarding the food intake of the year before the moment of interview.
RESULTS
The intraclass correlation for the estimation of energy intake with the FFQ and the app shows significant results, with the highest values returned when analyzing the app's data for the full 3-month period (.304, 95% CI 0.144-0.434; P<.001). For this period, the correlation coefficient for energy intake is .233 (P<.001). The highest value corresponds to alcohol consumption and the lowest to the intake of polyunsaturated fatty acids (r=.676 and r=.155; P<.001), respectively. The estimation of daily intake of energy, macronutrients, and alcohol presents higher values in the FFQ compared with the EVIDENT app data. Considering the values recorded during the 3-month period, the FFQ for energy intake estimation (Kcal) was higher than that of the app (a difference of 408.7, 95% CI 322.7-494.8; P<.001). The same is true for the other macronutrients, with the exception g/day of saturated fatty acids (.4, 95% CI -1.2 to 2.0; P=.62).
CONCLUSIONS
The EVIDENT app is significantly correlated to FFQ in the estimation of energy intake, macro- and micronutrients, and alcohol consumption. This correlation increases with longer app recording periods. The EVIDENT app can be a good alternative for recording food intake in the context of longitudinal or intervention studies.
TRIAL REGISTRATION
ClinicalTrials.gov NCT02016014; http://clinicaltrials.gov/ct2/show/NCT02016014 (Archived by WebCite at http://www.webcitation.org/760i8EL8Q).

Identifiants

pubmed: 30735141
pii: v7i2e11463
doi: 10.2196/11463
pmc: PMC6384535
doi:

Banques de données

ClinicalTrials.gov
['NCT02016014']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e11463

Informations de copyright

©Jose I Recio-Rodriguez, Carmela Rodriguez-Martin, Jesus Gonzalez-Sanchez, Emiliano Rodriguez-Sanchez, Carme Martin-Borras, Vicente Martínez-Vizcaino, Maria Soledad Arietaleanizbeaskoa, Olga Magdalena-Gonzalez, Carmen Fernandez-Alonso, Jose A Maderuelo-Fernandez, Manuel A Gomez-Marcos, Luis Garcia-Ortiz, EVIDENT Investigators. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 08.02.2019.

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Auteurs

Jose I Recio-Rodriguez (JI)

Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca, La Alamedilla Health Center, Salamanca, Spain.
Health Service of Castilla y León, Valladolid, Spain.
Primary Care Prevention and Health Promotion Research Network, Barcelona, Spain.
Faculty of Health Sciences, University of Burgos, Burgos, Spain.

Carmela Rodriguez-Martin (C)

Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca, La Alamedilla Health Center, Salamanca, Spain.
Health Service of Castilla y León, Valladolid, Spain.
Primary Care Prevention and Health Promotion Research Network, Barcelona, Spain.

Jesus Gonzalez-Sanchez (J)

Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca, La Alamedilla Health Center, Salamanca, Spain.
Health Service of Castilla y León, Valladolid, Spain.
Primary Care Prevention and Health Promotion Research Network, Barcelona, Spain.
Department of Nursing, University of Extremadura, Plasencia Campus, Salamanca, Spain.

Emiliano Rodriguez-Sanchez (E)

Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca, La Alamedilla Health Center, Salamanca, Spain.
Health Service of Castilla y León, Valladolid, Spain.
Primary Care Prevention and Health Promotion Research Network, Barcelona, Spain.

Carme Martin-Borras (C)

Department of Physical Activity and Sport Sciences, Faculty of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, Barcelona, Spain.
Department of Physical Therapy, Faculty of Health Sciences Blanquerna, Ramon Llull University, Barcelona, Spain.

Vicente Martínez-Vizcaino (V)

Center for Health and Social Research, University of Castilla-La Mancha, Cuenca, Spain.

Maria Soledad Arietaleanizbeaskoa (MS)

Primary Health Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Bilbao, Spain.

Olga Magdalena-Gonzalez (O)

Torre Ramona Health Center, Aragon Health Service, Zaragoza, Spain.

Carmen Fernandez-Alonso (C)

Casa del Barco Health Center, Castilla and León Health Service, Valladolid, Spain.

Jose A Maderuelo-Fernandez (JA)

Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca, La Alamedilla Health Center, Salamanca, Spain.
Health Service of Castilla y León, Valladolid, Spain.
Primary Care Prevention and Health Promotion Research Network, Barcelona, Spain.

Manuel A Gomez-Marcos (MA)

Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca, La Alamedilla Health Center, Salamanca, Spain.
Health Service of Castilla y León, Valladolid, Spain.
Primary Care Prevention and Health Promotion Research Network, Barcelona, Spain.
Department of Medicine, University of Salamanca, Salamanca, Spain.

Luis Garcia-Ortiz (L)

Primary Health Care Research Unit, Institute of Biomedical Research of Salamanca, La Alamedilla Health Center, Salamanca, Spain.
Health Service of Castilla y León, Valladolid, Spain.
Primary Care Prevention and Health Promotion Research Network, Barcelona, Spain.
Department of Biomedical and Diagnostic Sciences, University of Salamanca, Salamanca, Spain.
redIAPP: Spanish Research Network for Preventive Activities and Health Promotion in Primary Care, Salamanca, Spain.

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