Feasibility of Assessing Diet with a Mobile Food  Record for Adolescents and Young Adults with  Down Syndrome.
Technology-based methods for assessing diet in those with disability remains largely unexplored. The aim was to assess the feasibility of assessing diet with an image-based mobile food record application (mFR) in 51 adolescents and young adults with Down syndrome (PANDs). Adherence was also assessed with the instruction to include a fiducial marker object in the before and after eating images. The PANDs sample completed a four-day mFR and results were compared with a sample of young adults from the Connecting Health and Technology study (CHAT, n = 244). Compared to the CHAT sample, PANDs participants reported more fruit (2.2 ± 1.8 versus 1.0 ± 0.9 serves respectively) and vegetables (2.4 ± 1.3 versus 1.9 ± 1.0 serves, respectively), but no differences in energy-dense nutrient-poor (EDNP) foods and beverages were observed. Compared to CHAT, PANDs participants captured fewer images with the mFR (4.9 ± 2.3 versus 4.0 ± 1.5 images, respectively). Adherence to the instruction to include the fiducial marker in images was lower for PANDs compared with the CHAT sample (90.3% versus 96.5%). Due to the quality of information captured in images and the high acceptability of the fiducial marker, the mFR shows great promise as a feasible method of assessing diet in adolescents and young adults with Down syndrome.
School of Public Health, Curtin University, Perth WA 6845, Australia. Helen.Leonard@telethonkids.org.au.|Telethon Kids Institute, University of Western Australia, West Perth WA 6872, Australia. Helen.Leonard@telethonkids.org.au.
Katherine E
KE
Bathgate
School of Public Health, Curtin University, Perth WA 6845, Australia. j.sherriff@curtin.edu.au.
Jill L
JL
Sherriff
Telethon Kids Institute, University of Western Australia, West Perth WA 6872, Australia. Helen.Leonard@telethonkids.org.au.
Helen
H
Leonard
School of Public Health, Curtin University, Perth WA 6845, Australia. S.Dhaliwal@curtin.edu.au.
Satvinder S
SS
Dhaliwal
School of Electrical and Computer Engineering, Purdue University, West Lafayette, IN 47907, USA. ace@ecn.purdue.edu.
Edward J
EJ
Delp
Epidemiology Program, University of Hawaii Cancer Center, Honolulu, HI 96813, USA and the Nutrition Program, Purdue University, West Lafayette, IN 47907, USA. CJBoushey@cc.hawaii.edu.
Carol J
CJ
Boushey
School of Public Health, Curtin University, Perth WA 6845, Australia. d.kerr@curtin.edu.au.
Deborah A
DA
Kerr
D000293:Adolescent; D000328:Adult; D001628:Beverages; D001823:Body Composition; D002648:Child; D003430:Cross-Sectional Studies; D004032:Diet; D015930:Diet Records; D004314:Down Syndrome; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D005638:Fruit; D006801:Humans; D008297:Male; D063731:Mobile Applications; D015596:Nutrition Assessment; D010781:Photography; D014675:Vegetables; D055815:Young Adult
mobile food record;   Down syndrome;  adolescents;  dietary assessment;  novel technology;  young adults