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A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method
A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method
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A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method
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A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method
A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method

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A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method
A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method
Journal Article

A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method

2009
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Overview
The aim of the present study was to report the first reliability and validity tests of the remote food photography method (RFPM), which consists of camera-enabled cell phones with data transfer capability. Participants take and transmit photographs of food selection and plate waste to researchers/clinicians for analysis. Following two pilot studies, adult participants (n 52; BMI 20–35 kg/m2 inclusive) were randomly assigned to the dine-in or take-out group. Energy intake (EI) was measured for 3 d. The dine-in group ate lunch and dinner in the laboratory. The take-out group ate lunch in the laboratory and dinner in free-living conditions (participants received a cooler with pre-weighed food that they returned the following morning). EI was measured with the RFPM and by directly weighing foods. The RFPM was tested in laboratory and free-living conditions. Reliability was tested over 3 d and validity was tested by comparing directly weighed EI to EI estimated with the RFPM using Bland–Altman analysis. The RFPM produced reliable EI estimates over 3 d in laboratory (r 0·62; P < 0·0001) and free-living (r 0·68; P < 0·0001) conditions. Weighed EI correlated highly with EI estimated with the RFPM in laboratory and free-living conditions (r>0·93; P < 0·0001). In two laboratory-based validity tests, the RFPM underestimated EI by − 4·7 % (P = 0·046) and − 5·5 % (P = 0·076). In free-living conditions, the RFPM underestimated EI by − 6·6 % (P = 0·017). Bias did not differ by body weight or age. The RFPM is a promising new method for accurately measuring the EI of free-living individuals. Error associated with the method is small compared with self-report methods.