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A Mobile Phone Based Method to Assess Energy and Food Intake in Young Children: A Validation Study against the Doubly Labelled Water Method and 24 h Dietary Recalls.
Nutrients. 2016 Jan;8(1)
Publication Type
Christine Delisle Nyström
Elisabet Forsum
Hanna Henriksson
Ylva Trolle-Lagerros
Christel Larsson
Ralph Maddison
Toomas Timpka
Marie Löf
Nutrients. 2016 Jan;8(1)
Publication Type
Cell Phones
Child, Preschool
Diet - statistics & numerical data
Diet Records
Diet Surveys - instrumentation - methods
Energy intake
Energy Metabolism
Healthy Volunteers
Mental Recall
Mobile Applications - statistics & numerical data
Reproducibility of Results
Mobile phones are becoming important instruments for assessing diet and energy intake. We developed the Tool for Energy Balance in Children (TECH), which uses a mobile phone to assess energy and food intake in pre-school children. The aims of this study were: (a) to compare energy intake (EI) using TECH with total energy expenditure (TEE) measured via doubly labelled water (DLW); and (b) to compare intakes of fruits, vegetables, fruit juice, sweetened beverages, candy, ice cream, and bakery products using TECH with intakes acquired by 24 h dietary recalls. Participants were 39 healthy, Swedish children (5.5 ± 0.5 years) within the ongoing Mobile-based Intervention Intended to Stop Obesity in Preschoolers (MINISTOP) obesity prevention trial. Energy and food intakes were assessed during four days using TECH and 24 h telephone dietary recalls. Mean EI (TECH) was not statistically different from TEE (DLW) (5820 ± 820 kJ/24 h and 6040 ± 680 kJ/24 h, respectively). No significant differences in the average food intakes using TECH and 24 h dietary recalls were found. All food intakes were correlated between TECH and the 24 h dietary recalls (? = 0.665-0.896, p
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PubMed ID
26784226 View in PubMed
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Primary prevention of childhood obesity through counselling sessions at Swedish child health centres: design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial.
BMC Public Health. 2014;14:335
Publication Type
Nora Döring
Lena M Hansson
Elina Scheers Andersson
Benjamin Bohman
Maria Westin
Margaretha Magnusson
Christel Larsson
Elinor Sundblom
Mikaela Willmer
Margareta Blennow
Berit L Heitmann
Lars Forsberg
Sanna Wallin
Per Tynelius
Ata Ghaderi
Finn Rasmussen
BMC Public Health. 2014;14:335
Publication Type
Child Health Services - methods
Child, Preschool
Cluster analysis
Counseling - methods
Diet - methods
Feeding Behavior
Follow-Up Studies
Food Habits
Parents - education
Pediatric Obesity - prevention & control
Primary prevention - methods
Program Evaluation - methods
Questionnaires - standards
Reproducibility of Results
Childhood obesity is a growing concern in Sweden. Children with overweight and obesity run a high risk of becoming obese as adults, and are likely to develop comorbidities. Despite the immense demand, there is still a lack of evidence-based comprehensive prevention programmes targeting pre-school children and their families in primary health care settings. The aims are to describe the design and methodology of the PRIMROSE cluster-randomised controlled trial, assess the relative validity of a food frequency questionnaire, and describe the baseline characteristics of the eligible young children and their mothers.
The PRIMROSE trial targets first-time parents and their children at Swedish child health centres (CHC) in eight counties in Sweden. Randomisation is conducted at the CHC unit level. CHC nurses employed at the participating CHC received training in carrying out the intervention alongside their provision of regular services. The intervention programme, starting when the child is 8-9 months of age and ending at age 4, is based on social cognitive theory and employs motivational interviewing. Primary outcomes are children's body mass index and waist circumference at four years. Secondary outcomes are children's and mothers' eating habits (assessed by a food frequency questionnaire), and children's and mothers' physical activity (measured by accelerometer and a validated questionnaire), and mothers' body mass index and waist circumference.
The on-going population-based PRIMROSE trial, which targets childhood obesity, is embedded in the regular national (routine) preventive child health services that are available free-of-charge to all young families in Sweden. Of the participants (n?=?1369), 489 intervention and 550 control mothers (75.9%) responded to the validated physical activity and food frequency questionnaire at baseline (i.e., before the first intervention session, or, for children in the control group, before they reached 10 months of age). The food frequency questionnaire showed acceptable relative validity when compared with an 8-day food diary. We are not aware of any previous RCT, concerned with the primary prevention of childhood obesity through sessions at CHC that addresses healthy eating habits and physical activity in the context of a routine child health services programme.
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PubMed ID
24717011 View in PubMed
Less detail