首页|一种新的即时性图像法膳食调查技术和效果评价

一种新的即时性图像法膳食调查技术和效果评价

STUDY ON ESTABLISHMENT AND EVALUATION OF A NOVEL METHOD FOR DIETARY ASSESSMENT WITH INSTANT PHOTOGRAPHY

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目的 研制一种新的基于即时性膳食图像的新膳食调查方法,并进行效果评价.方法 利用印有背景坐标和外围框线的矩形餐盘纸或台布,要求被调查者独自分餐进食,进餐前用数码照相机或具备拍照功能的智能手机,对放置在餐盘纸(布)上的食物从不同角度进行影像拍摄,进餐结束后再次对剩余食物进行影像记录.将拍摄的膳食影像文件,通过存储介质或远程传送的方式,发送给后方技术平台,由专门人员依据预先建立的相关估量参比食物图谱,对影像图片中的食物进行估重和膳食评价,从而完成膳食调查.给35名二年级大学生提供一餐经严格称重而烹制的膳食,进餐前按照上述方法对食物进行数码影像记录,次日再接受24h膳食回顾调查.研究中,备餐、供餐、24h膳食回顾以及图像法食物估重等环节的工作均由不同的调查者承担,各环节间信息完全隔离.归类汇总各位受试者各类食物和全部食物的供应量和摄入量,计算膳食营养素供应量和摄入量;比较两种调查方法获得数据与食物称量数据之间的差异,计算估重差值(d)和估重差值绝对值(D),再计算估重差率(d%)和绝对估重差率(D%),即估重差值d和估重差值绝对值D相当于实际称量重量的百分比;同时对两种调查方法数据分别与称重数据进行相关性分析,比较两组方法反映实际膳食情况的差异.结果 所开展的实验餐膳食共涉及大米、16种蔬菜、5种水果、瘦猪肉、鲅鱼和鸡蛋共24种食物.与24h回顾法数据相比,图像法估重数据与称重数据的相关性更好,图像法数据的分布更集中于线性趋势,与称重数据的差距更小,具有更小的标准差.基于各种食物的图像法估重数据计算的能量、蛋白质、维生素B1、维生素C和钙的摄入量数据,与称重数据的计算结果更接近,而且分布更集中,标准差更小.结论 与常规的24h回顾法比,应用新的即时性图像法膳食调查技术进行膳食调查,可以获得与称重数据更接近的食物消费量和营养素摄入量数据.
Objective This study was aimed to establish a novel method for dietary assessment with instant photography and to evaluate its efficiency.Methods The investigated subjects were asked to have diet separately.All foods for a meal were prepared and put with dishes on a papery tablecloth which was printed with gridline in one centimeter and square outline.The foods in dishes then were photographed in different shooting angle with a digital camera or a smart phone device.All dishes must be put inside background outline which must be shot into camera and appeared in photographs.The remainder foods were also photographically recorded after the meal.The digital image files were then transferred by storage medium or internet to a working group specialized on food quantitative estimation who was assisted with preformed reference food pictures.For an evaluation study,35 sophomores were recruited to be served with a meal of foods accurately weighed before cooking.The meal was photographed in the way described above for image quantification.The sophomores were also interviewed by separate investigators for 24 hour dietary recall.The food consumption was analyzed on bases of classificatory and total summation.Nutrient intake was calculated for each subject from the meal.The values obtained from the dietary recall and the image quantification were compared with values derived from weight method.Estimation difference (d) and estimation difference rate (%d) as well as absolute value of d (D) and %D were used to show the extent of estimation deviation.Correlation and regression analyses also were carried out on values between weight method and image quantification as well as dietary recall.Results Total 24 kinds of foods including rice,vegetables,fruits,pork,fish and egg,were included in the experimental meal for the evaluation study.Compared to the data from 24 h dietary recall,food weight estimated by image quantification was more correlated with weighed data,and had more concentrated linear distribution (smaller D and standard deviation,P<0.01 for total and all varieties of foods).Values of almost all the nutrients,including energy,protein,thiamine,ascorbic acid and calcium,calculated based on food weight from image quantification were more close to those of weighed data compared to the 24 h dietary recall (P<0.01).Conclusion The novel method for dietary assessment with instant photography (image quantification) is more effective than the conventional 24 h dietary recall to obtain food intake values close to weighed data.

dietary surveymethodologydietary assessment with photography24 hour dietary recall

汪之顼、张曼、武洁姝、孙丽洲、姜婷婷、宋成琳

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南京医科大学公共卫生学院儿少卫生与妇幼保健学系,南京211166

膳食调查 方法学 图像法食物估量 24 h膳食回顾

2014

营养学报
中国营养学会 军事医学科学院卫生学环境医学研究所

营养学报

CSTPCDCSCD北大核心
影响因子:0.654
ISSN:0512-7955
年,卷(期):2014.36(3)
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