Dietary Food Record Charts and digital photography effectively estimate hospital meal consumption.

IF 2.9 Q3 NUTRITION & DIETETICS Clinical nutrition ESPEN Pub Date : 2025-01-17 DOI:10.1016/j.clnesp.2025.01.034

Clémence Séverine Marie Schumacker, Michelle Carmen Paulus, Yente Florine Niké Boelens, Arthur Raymond Hubert van Zanten, Imre Willemijn Kehinde Kouw

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Abstract

Background & aims: Optimal nutritional intake is essential to support nutritional status and improve recovery in hospital patients. To monitor adequate food intake in patients, reliable and accessible methods to quantify patient food intake accurately are needed. The present study aims to compare the accuracy of two methods, Food Record Charts (FRCs) and Digital Photography (DP), in estimating food intake with the gold standard of Weighed Food Records (WFRs).

Methods: Thirty nurses, healthcare assistants, and researchers participated in a single-blind, prospective study to estimate food consumption using both FRCs and DP for 27 different hospital meals (6 breakfasts, 6 lunches, 6 dinners, and 9 snacks) consisting of 108 different food items. FRCs and DP estimates were compared to WFRs using the average estimations of all participants. Bland-Altman plots were used to identify any discrepancies in the accuracy of food intake estimation.

Results: FRCs overestimated food consumption by 3.2 ± 14.7 % and DP by 4.7 ± 15.8 % compared to WFRs. The Bland-Altman plots showed limited variation. Similar results were found when analyzing energy and protein content subcategories, the consumed amount, food categories, and food consistency. The inter-rater agreement was W = 0.733 (P = 0.000) and W = 0.682 (P = 0.000) for FRCs and DP, respectively.

Conclusions: FRCs and DP are accurate methods for quantifying food consumption in hospital meals compared to WFRs, with an overestimation of food consumption by less than 5 %.

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膳食记录图表和数码摄影有效估算医院膳食消耗。

背景与目的：优化营养摄入对改善住院患者的营养状况和促进康复至关重要。为了监测患者足够的食物摄入量，需要可靠和方便的方法来准确量化患者的食物摄入量。本研究旨在比较食物记录图（FRCs）和数码摄影（DP）两种方法在以称重食物记录金标准（WFRs）估算食物摄入量方面的准确性。方法：30名护士、保健助理和研究人员参与了一项单盲、前瞻性研究，使用FRCs和DP估计27种不同的医院膳食（6种早餐、6种午餐、6种晚餐和9种零食）的食物消耗，包括108种不同的食物。使用所有参与者的平均估计值将FRCs和DP估计值与wfr进行比较。Bland-Altman图用于确定食物摄入量估计准确性中的任何差异。结果：与WFRs相比，FRCs高估了食物消耗3.2±14.7%，DP高估了4.7±15.8%。Bland-Altman图显示有限的变异。在分析能量和蛋白质含量子类别、消耗量、食物类别和食物一致性时，也发现了类似的结果。FRCs和DP的评分间一致性分别为W=0.733 （P=0.000）和W=0.682 （P=0.000）。结论：与WFRs相比，FRCs或DP是量化医院膳食食物消耗的准确方法，对食物消耗的高估不到5%。

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.