A Web-Based 24-H Dietary Recall Could Be a Valid Tool for the Indicative Assessment of Dietary Intake in Older Adults Living in Slovenia

Nutrients. 2019 Sep 16;11(9):2234. doi: 10.3390/nu11092234.

Abstract

The methodology used in dietary surveys could, to a large extent, follow the instructions of the European Food Safety Authority (EFSA), where 24-h dietary recall (24HDR) is recommended for (sub) population studies. However, it is necessary to examine the suitability of 24HDR for indicative dietary intake in older adults. This study aimed to compare participants' dietary intakes with the recommendations and to compare dietary intakes derived from a 24HDR using an OPEN web-based application to those obtained from reference weighed food records (WFRs). Forty-nine Slovenian residential home residents completed both assessments, and a comparison with dietary reference values was performed. Estimates from these two methods were compared and the correlations between them were assessed. The findings revealed that dietary intakes derived from the WFR method mostly differed from the recommended intakes. The 24HDR underestimated dietary intake compared to the WFR for 66% of monitored parameters, while 75% of these parameters were correlated, mostly at a moderate level (0.3-0.69). In conclusion, the diets of residential home residents in this study mostly differed from recommendations. Both methods for dietary intake assessment provided comparable results for most of the monitored parameters in expected deviations. A web-based 24HDR could be a valid tool for the indicative assessment of dietary intake in older adults. However, further validations are required.

Keywords: OPEN software; dietary assessment; dietary recall; older adults; residential homes; weighed food record.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Diet Records*
  • Eating*
  • Feeding Behavior*
  • Female
  • Geriatric Assessment / methods*
  • Homes for the Aged
  • Humans
  • Internet*
  • Male
  • Mental Recall*
  • Nursing Homes
  • Nutrition Assessment*
  • Nutritional Status*
  • Reproducibility of Results
  • Slovenia
  • Time Factors