The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia Biobank

Background: South Asia’s diverse food supply, food preparations, and eating behaviors require dietary instruments that reflect the consumption patterns of South Asians to enable context specific dietary assessment. Such instruments are not readily available for detailed dietary assessment at scale i...

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Main Authors: Divya Bhagtani, Birdem Amoutzopoulos, Toni Steer, David Collins, Suzanna Abraham, Bridget A Holmes, Baldeesh K Rai, Rajendra Pradeepa, Sara Mahmood, Abu Ahmed Shamim, Poorvee Mathur, Lathika Athauda, Laksara De Silva, Khadija I Khawaja, Vinitaa Jha, Anuradhani Kasturiratne, Prasad Katulanda, Malay K Mridha, Ranjit M Anjana, John C Chambers, Polly Page, Nita G Forouhi
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Current Developments in Nutrition
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Online Access:http://www.sciencedirect.com/science/article/pii/S2475299125000022
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author Divya Bhagtani
Birdem Amoutzopoulos
Toni Steer
David Collins
Suzanna Abraham
Bridget A Holmes
Baldeesh K Rai
Rajendra Pradeepa
Sara Mahmood
Abu Ahmed Shamim
Poorvee Mathur
Lathika Athauda
Laksara De Silva
Khadija I Khawaja
Vinitaa Jha
Anuradhani Kasturiratne
Prasad Katulanda
Malay K Mridha
Ranjit M Anjana
John C Chambers
Polly Page
Nita G Forouhi
author_facet Divya Bhagtani
Birdem Amoutzopoulos
Toni Steer
David Collins
Suzanna Abraham
Bridget A Holmes
Baldeesh K Rai
Rajendra Pradeepa
Sara Mahmood
Abu Ahmed Shamim
Poorvee Mathur
Lathika Athauda
Laksara De Silva
Khadija I Khawaja
Vinitaa Jha
Anuradhani Kasturiratne
Prasad Katulanda
Malay K Mridha
Ranjit M Anjana
John C Chambers
Polly Page
Nita G Forouhi
author_sort Divya Bhagtani
collection DOAJ
description Background: South Asia’s diverse food supply, food preparations, and eating behaviors require dietary instruments that reflect the consumption patterns of South Asians to enable context specific dietary assessment. Such instruments are not readily available for detailed dietary assessment at scale in South Asia. Objectives: We describe the adaptation, implementation, and performance evaluation of Intake24, an open-source digital 24-h dietary recall tool, for dietary assessment in South Asia. Methods: We adapted Intake24 for dietary assessment in the South Asia Biobank (SAB), a large population-based study in Bangladesh, India, Pakistan, and Sri Lanka. Intake24 adaptation encompassed the development of a South Asian food database with commonly consumed foods, linked with corresponding portion sizes, food probes, and nutrient information. Trained interviewers conducted the 24-h recalls. Performance of Intake24 was evaluated in 29,113 South Asian adults. Results: The South Asia Intake24 food database included 2283 items and demonstrated good coverage of foods consumed across SAB regions. Median recall completion time was 13 min. Quality control metrics showed 99% of recalls included >8 items and 8% had missing foods. Median energy intake was higher in younger individuals compared to older, and in males compared to females. Underweight participants reported lower energy intake, with no discernible difference across other BMI categories. Conclusions: Intake24 enables comprehensive dietary assessment in regions of South Asia and will facilitate the analysis of dietary patterns, food and nutrient intake, and their relationship with health outcomes among South Asians.
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spelling doaj-art-f6649ce5002748d4bc3482a6ea709dc32025-02-06T05:12:39ZengElsevierCurrent Developments in Nutrition2475-29912025-02-0192104543The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia BiobankDivya Bhagtani0Birdem Amoutzopoulos1Toni Steer2David Collins3Suzanna Abraham4Bridget A Holmes5Baldeesh K Rai6Rajendra Pradeepa7Sara Mahmood8Abu Ahmed Shamim9Poorvee Mathur10Lathika Athauda11Laksara De Silva12Khadija I Khawaja13Vinitaa Jha14Anuradhani Kasturiratne15Prasad Katulanda16Malay K Mridha17Ranjit M Anjana18John C Chambers19Polly Page20Nita G Forouhi21University of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United KingdomUniversity of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United KingdomUniversity of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United KingdomUniversity of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United KingdomUniversity of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United KingdomUniversity of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United KingdomDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United KingdomMadras Diabetes Research Foundation, Chennai, Tamil Nadu, IndiaDepartment of Endocrinology & Metabolism, Services Institute of Medical Sciences, Services Hospital, Lahore, PakistanCentre for Non-Communicable Diseases and Nutrition (CNCDN), BRAC James P Grant of Public Health, BRAC University, Dhaka, BangladeshOffice of Research, Max Super Speciality Hospital (Devki Devi Foundation), New Delhi, IndiaDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Ragama, Sri LankaDepartment of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri LankaDepartment of Endocrinology & Metabolism, Services Institute of Medical Sciences, Services Hospital, Lahore, PakistanOffice of Research, Max Super Speciality Hospital (Devki Devi Foundation), New Delhi, IndiaDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Ragama, Sri LankaDepartment of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri LankaCentre for Non-Communicable Diseases and Nutrition (CNCDN), BRAC James P Grant of Public Health, BRAC University, Dhaka, BangladeshMadras Diabetes Research Foundation, Chennai, Tamil Nadu, IndiaDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, SingaporeUniversity of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United KingdomUniversity of Cambridge, MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United Kingdom; Corresponding author.Background: South Asia’s diverse food supply, food preparations, and eating behaviors require dietary instruments that reflect the consumption patterns of South Asians to enable context specific dietary assessment. Such instruments are not readily available for detailed dietary assessment at scale in South Asia. Objectives: We describe the adaptation, implementation, and performance evaluation of Intake24, an open-source digital 24-h dietary recall tool, for dietary assessment in South Asia. Methods: We adapted Intake24 for dietary assessment in the South Asia Biobank (SAB), a large population-based study in Bangladesh, India, Pakistan, and Sri Lanka. Intake24 adaptation encompassed the development of a South Asian food database with commonly consumed foods, linked with corresponding portion sizes, food probes, and nutrient information. Trained interviewers conducted the 24-h recalls. Performance of Intake24 was evaluated in 29,113 South Asian adults. Results: The South Asia Intake24 food database included 2283 items and demonstrated good coverage of foods consumed across SAB regions. Median recall completion time was 13 min. Quality control metrics showed 99% of recalls included >8 items and 8% had missing foods. Median energy intake was higher in younger individuals compared to older, and in males compared to females. Underweight participants reported lower energy intake, with no discernible difference across other BMI categories. Conclusions: Intake24 enables comprehensive dietary assessment in regions of South Asia and will facilitate the analysis of dietary patterns, food and nutrient intake, and their relationship with health outcomes among South Asians.http://www.sciencedirect.com/science/article/pii/S2475299125000022dietIntake24dietary assessment24-h dietary recallSouth Asia
spellingShingle Divya Bhagtani
Birdem Amoutzopoulos
Toni Steer
David Collins
Suzanna Abraham
Bridget A Holmes
Baldeesh K Rai
Rajendra Pradeepa
Sara Mahmood
Abu Ahmed Shamim
Poorvee Mathur
Lathika Athauda
Laksara De Silva
Khadija I Khawaja
Vinitaa Jha
Anuradhani Kasturiratne
Prasad Katulanda
Malay K Mridha
Ranjit M Anjana
John C Chambers
Polly Page
Nita G Forouhi
The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia Biobank
Current Developments in Nutrition
diet
Intake24
dietary assessment
24-h dietary recall
South Asia
title The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia Biobank
title_full The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia Biobank
title_fullStr The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia Biobank
title_full_unstemmed The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia Biobank
title_short The Adaptation, Implementation, and Performance Evaluation of Intake24, a Digital 24-h Dietary Recall Tool for South Asian Populations: The South Asia Biobank
title_sort adaptation implementation and performance evaluation of intake24 a digital 24 h dietary recall tool for south asian populations the south asia biobank
topic diet
Intake24
dietary assessment
24-h dietary recall
South Asia
url http://www.sciencedirect.com/science/article/pii/S2475299125000022
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