Development and Application of the Remote Food Photography Method to Measure Food Intake in Exclusively Milk Fed Infants: A Laboratory-Based Study.

Development and Application of the Remote Food Photography Method to Measure Food Intake in Exclusively Milk Fed Infants: A Laboratory-Based Study.
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DOI:
10.1371/journal.pone.0163833
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发表时间:
2016
期刊:
影响因子:
3.7
通讯作者:
Redman LM
Redman LM
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Altazan AD;Gilmore LA;Burton JH;Ragusa SA;Apolzan JW;Martin CK;Redman LM

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需要评估婴儿食物摄入量的准确方法来评估婴儿喂养方法与儿童肥胖风险之间的关系。目前的方法要么是主观的,要么在临床研究环境之外使用的能力有限。在对照研究中,与直接称重相比,评估RFPM评估模拟牛奶摄入量(包括能量、常量营养素和微量营养素摄入量)的准确性。招募个体来制备三份2液盎司、4液盎司、6液盎司和8液盎司的婴儿配方食品,并使用SmartIntake®应用程序在不同制备阶段(干粉配方食品、制备的配方食品和液体废物)拍摄照片。通过RFPM和直接称重获得瓶的克重。使用美国农业部国家营养素数据库作为标准参考,能量、常量营养素和微量营养素值由克重生成。由RFPM测量的粉末制备的配方奶粉的摄入量相当于所有食用量和每种食用量的7.5%等效范围内的称重摄入量。方法之间的平均差异因份量大小而异,RFPM在2 fl oz份量中低估摄入量1.6 ± 0.4 kcal,在4 fl oz份量中低估摄入量4.8 ± 0.6 kcal,在6 fl oz份量中低估摄入量6.2 ± 1.0 kcal,在8 fl oz份量中高估摄入量0.1 ± 1.2 kcal。Bland-Altman分析表明,RFPM高估了较低水平的食物摄入量,低估了较高水平的摄入量。考虑到仅准备好的配方奶粉瓶和含有配方奶粉废物的瓶的照片,以模拟即食配方奶粉和人类母乳,RFPM估计的摄入量相当于所有份量的直接称重摄入量的7.5%。RFPM在估计牛奶和配方奶的模拟摄入量方面具有比主观方法更高的准确性,并且与客观方法相比具有相似的准确性,对照顾者的负担较低。RFPM是一种可行的方法,可用于在受控环境中由护理人员测量纯母乳喂养婴儿的摄入量,并有可能在研究和临床实践中广泛使用。
Accurate methods of assessing food intake in infants are needed to assess the relationship between infant feeding practices and risk of childhood obesity. Current methods are either subjective or have limited ability for use beyond clinical research settings. To assess the accuracy of the RFPM to evaluate simulated milk intake including energy, macronutrient, and micronutrient intake compared to direct weighing within a controlled study. Individuals were recruited to prepare three 2 fl oz, 4 fl oz, 6 fl oz, and 8 fl oz servings of infant formula and to capture photographs at different stages of preparation (dry powdered formula, prepared formula, and liquid waste) using the SmartIntake® application. Gram weights of the bottles were obtained by the RFPM and direct weighing. Using the United States Department of Agriculture National Nutrient Database for Standard Reference, energy, macronutrient, and micronutrient values were generated from gram weights. Intake of formula prepared from powder measured by the RFPM was equivalent to weighed intake within 7.5% equivalence bounds among all servings and each serving size. The mean difference between methods varied among servings sizes with the RFPM underestimating intake by 1.6 ± 0.4 kcals in 2 fl oz servings, 4.8 ± 0.6 kcals in 4 fl oz servings, and 6.2 ± 1.0 kcals in 6 fl oz servings, and overestimating intake by 0.1 ± 1.2 kcals in 8 fl oz servings. Bland-Altman analysis showed that the RFPM overestimated intake at lower levels food intake and underestimated intake at higher levels. Considering photographs of only the prepared formula bottle and the bottle with formula waste to simulate ready-to-feed formula and human breast milk, intake estimated by the RFPM was equivalent to the directly weighed intake within 7.5% for all servings. The RFPM has higher accuracy than subjective methods and similar accuracy as compared to the objective methods in estimating simulated intake of milk and formula with lower burden to caregivers. The RFPM is a viable method for measuring intake in exclusively milk fed infants by caregivers in a controlled environment with potential for widespread use in research and clinical practice.
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发表时间: 2014-01-30
期刊: The New England journal of medicine
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