Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country

Background: Image-based dietary assessment is a digital method relatively new in nutrition education. We aimed to evaluate the nutrient estimation skills of nutrition and dietetics students in Malaysia using image-based dietary assessment, and develop a tool to assess their image-based dietary asses...

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Main Authors: Yang, Wai Yew, Lim, Ker Shin, Fazal Rahman, Sapnah, Ng, Suet Chen, Tay, Wei Ni, Tan, Yi, Shankar, Pathiyil Ravi, Ong, Shu Hwa
Format: Article
Language:English
Published: Wolters Kluwer 2024
Online Access:http://psasir.upm.edu.my/id/eprint/112187/1/112187.pdf
http://psasir.upm.edu.my/id/eprint/112187/
https://educationforhealthjournal.org/index.php/efh/article/view/45
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spelling my.upm.eprints.1121872024-09-17T02:59:12Z http://psasir.upm.edu.my/id/eprint/112187/ Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country Yang, Wai Yew Lim, Ker Shin Fazal Rahman, Sapnah Ng, Suet Chen Tay, Wei Ni Tan, Yi Shankar, Pathiyil Ravi Ong, Shu Hwa Background: Image-based dietary assessment is a digital method relatively new in nutrition education. We aimed to evaluate the nutrient estimation skills of nutrition and dietetics students in Malaysia using image-based dietary assessment, and develop a tool to assess their image-based dietary assessment skills. Methods: The study was performed among undergraduate nutrition and dietetics students in two phases. Phase One (n=75) was conducted in four steps: 1) photography of food/beverage at two angles (45° and 90°) with and without a fiducial marker (ruler/dessert spoon); 2) study tool establishment; 3) pre-testing; and 4) conduct of the study. Incorporating changes from Phase One, 55 students participated in Phase Two. Participants were evaluated on their accuracy in recognizing and estimating portions and nutrients of a food/beverage. Data analysis included response frequency and percentages, and statistical differences (Wilcoxon Signed Rank test) in estimating nutrient content. Results: In both phases, the participants scored above 80% for the correct identification of most food items. Participants scored the lowest when estimating nutrient content in local snacks [median (IQR): Phase One, 12.5% (25.0); Phase Two, 16.7% (16.7)]. Participants in Phase One showed better nutrient estimation skills with both fiducial markers, however, no significant difference was observed in Phase Two [without: 21.1% (7.9%); with the dessert spoon: 19.0% (13.8%), p=0.197]. Participants’ knowledge, skills, and food images were the main barriers to accurate nutrient estimation. Conclusion: Our study found poor nutrient estimation skills among Malaysian undergraduate nutrition and dietetics students. These key findings warrant urgent attention to address this through innovative dietary assessment training on food and portion size from images. Wolters Kluwer 2024 Article PeerReviewed text en cc_by_nc_4 http://psasir.upm.edu.my/id/eprint/112187/1/112187.pdf Yang, Wai Yew and Lim, Ker Shin and Fazal Rahman, Sapnah and Ng, Suet Chen and Tay, Wei Ni and Tan, Yi and Shankar, Pathiyil Ravi and Ong, Shu Hwa (2024) Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country. Education for Health, 37 (3). pp. 235-242. ISSN 1357-6283; EISSN: 1469-5804 https://educationforhealthjournal.org/index.php/efh/article/view/45 10.62694/efh.2024.45
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: Image-based dietary assessment is a digital method relatively new in nutrition education. We aimed to evaluate the nutrient estimation skills of nutrition and dietetics students in Malaysia using image-based dietary assessment, and develop a tool to assess their image-based dietary assessment skills. Methods: The study was performed among undergraduate nutrition and dietetics students in two phases. Phase One (n=75) was conducted in four steps: 1) photography of food/beverage at two angles (45° and 90°) with and without a fiducial marker (ruler/dessert spoon); 2) study tool establishment; 3) pre-testing; and 4) conduct of the study. Incorporating changes from Phase One, 55 students participated in Phase Two. Participants were evaluated on their accuracy in recognizing and estimating portions and nutrients of a food/beverage. Data analysis included response frequency and percentages, and statistical differences (Wilcoxon Signed Rank test) in estimating nutrient content. Results: In both phases, the participants scored above 80% for the correct identification of most food items. Participants scored the lowest when estimating nutrient content in local snacks [median (IQR): Phase One, 12.5% (25.0); Phase Two, 16.7% (16.7)]. Participants in Phase One showed better nutrient estimation skills with both fiducial markers, however, no significant difference was observed in Phase Two [without: 21.1% (7.9%); with the dessert spoon: 19.0% (13.8%), p=0.197]. Participants’ knowledge, skills, and food images were the main barriers to accurate nutrient estimation. Conclusion: Our study found poor nutrient estimation skills among Malaysian undergraduate nutrition and dietetics students. These key findings warrant urgent attention to address this through innovative dietary assessment training on food and portion size from images.
format Article
author Yang, Wai Yew
Lim, Ker Shin
Fazal Rahman, Sapnah
Ng, Suet Chen
Tay, Wei Ni
Tan, Yi
Shankar, Pathiyil Ravi
Ong, Shu Hwa
spellingShingle Yang, Wai Yew
Lim, Ker Shin
Fazal Rahman, Sapnah
Ng, Suet Chen
Tay, Wei Ni
Tan, Yi
Shankar, Pathiyil Ravi
Ong, Shu Hwa
Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country
author_facet Yang, Wai Yew
Lim, Ker Shin
Fazal Rahman, Sapnah
Ng, Suet Chen
Tay, Wei Ni
Tan, Yi
Shankar, Pathiyil Ravi
Ong, Shu Hwa
author_sort Yang, Wai Yew
title Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country
title_short Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country
title_full Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country
title_fullStr Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country
title_full_unstemmed Image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country
title_sort image-based dietary assessment skills of undergraduate nutrition and dietetics students in a multicultural developing country
publisher Wolters Kluwer
publishDate 2024
url http://psasir.upm.edu.my/id/eprint/112187/1/112187.pdf
http://psasir.upm.edu.my/id/eprint/112187/
https://educationforhealthjournal.org/index.php/efh/article/view/45
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score 13.211869