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Open AccessArticle

Feasibility of Assessing Diet with a Mobile Food  Record for Adolescents and Young Adults with  Down Syndrome

School of Public Health, Curtin University, Perth WA 6845, Australia
Telethon Kids Institute, University of Western Australia, West Perth WA 6872, Australia
School of Electrical and Computer Engineering, Purdue University, West Lafayette, IN 47907, USA
Epidemiology Program, University of Hawaii Cancer Center, Honolulu, HI 96813, USA and the Nutrition Program, Purdue University, West Lafayette, IN 47907, USA
Author to whom correspondence should be addressed.
Nutrients 2017, 9(3), 273;
Received: 2 February 2017 / Accepted: 9 March 2017 / Published: 13 March 2017
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. View Full-Text
Keywords: mobile food record; novel technology; dietary assessment; young adults; adolescents;  Down syndrome mobile food record; novel technology; dietary assessment; young adults; adolescents;  Down syndrome
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Bathgate, K.E.; Sherriff, J.L.; Leonard, H.; Dhaliwal, S.S.; Delp, E.J.; Boushey, C.J.; Kerr, D.A. Feasibility of Assessing Diet with a Mobile Food  Record for Adolescents and Young Adults with  Down Syndrome. Nutrients 2017, 9, 273.

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