Clinical trial NCT01408784: A New Method for Self-assessment of Daily Calorie Intake
Official title: Evaluating the Validity of the "Categories" Method: a New Method for Self-report Assessment of Daily Calorie Intake
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Diet Records
Caloric Restriction
Keywords: calories
counting
obesity
overweight
categories
calorie
method
counting calories
lose weight
diet
energy balance
energy intake
24 hours recall
food intake
Lead sponsor: Assuta Hospital Systems
Sponsor class: OTHER
Collaborators: name: Maccabi Healthcare Services, Israel
name: Rabin Medical Center
First posted: 2011-08-03
Enrollment: 135
Sex: ALL
Minimum age (years): 21
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Community sample

Brief summary: The purpose of this study is to assess the validity of self-caloric evaluation, the "categories method" - a new method based on one categorical score per meal

Detailed description: Weight loss is mainly a result of reduction in daily caloric intake. Hence many people are interested in counting and tracking their daily caloric intake but In fact only 9% of people in the USA can accurately estimate the number of calories they eat (International Food Information Council Foundation, May 2011)

According to the well-known method the investigators need to know the caloric value of each and every component our dish or meal. For example: a Breakfast that contains a glass of orange juice, a small bagel, spread with cream cheese shall be calculated as : orange juice 90 kcal + bagel 192 kcal +cream cheese 98 kcal=total 380 kcal.

This method is very complicated, especially when the investigators need to calculate a dish that its ingredients are not straightforward such as: Cob salad or Shepherd's pie, Even a slice of pizza, it is very difficult to estimate the fat, carbohydrate or protein a piece of pie contains let alone the caloric volume.

The investigators proposed a new method called "The categories method": a single categorical estimation per meal based on a set of five categories:

Category 1 less than 200 kcal, Category 2 200-500 kcal, Category 3 501-800 kcal, Category 4 801-1200 kcal, Category 5 above 1200 kcal

After choosing the category the investigators use an average of the category (e.g., category 3: 500-800 Avg = 650 kcal). Using the same Breakfast description as above: this meal will be considered as category No. 2 (200-500 Kcal), and chicken and rice at the restaurant will considered as a category 4 (800-1200 Kcal).

This method simplifies the process of counting calories, especially with assembled or cooked meal, it makes it easier to track any given meal even to those how are not so familiar with the caloric value of a product.

Research protocol:Participates will interviewed face to face on 1 occasion to obtain 24 hours recall using 4 pass method include 1. Quick review of the meals. 2. Food items that may be forgotten 3. Time and place of each meal 4. Assessment of food quantities and dimensions using a photograph published by the Israeli Ministry

This method is implemented with U.S. Department of Agriculture (USDA) as part of nutritional surveys and is used for "MBT" Survey of the Israeli Ministry of Health

Using "Tzameret" software system (food composition program of the Israeli Ministry of Health) The investigators will input the 24HR recall food list and quantity to calculate caloric values for every meal and the total calorie intake.

Using the "Categories Method" the investigators will calculate the caloric value of a meal by giving the average value of each category (record in parentheses).

Finally, reliability of the "categories method" compare with the 24HR recall will statistically calculated.

Eligibility criteria: Inclusion Criteria:

* Ages 21-65
* Body mass index (BMI) between 20-45 kg/m2
* Workers of Maccabi Healthcare Services
* Members of Maccabi Healthcare Services

Exclusion Criteria:

-Clinical dietitians / Nutritionists

Primary outcomes:
measure: Total Calorie intake using "categories method"
timeFrame: 30-45 minutes
Secondary outcomes:
measure: Total calories per meal using "categories method"
timeFrame: 30-45 minutes
Other outcomes:
Locations:
city: Tel Aviv
country: Israel
facility: Maccabi Healthcare Services
Study officials:
affiliation: Maccabi Healthcare Services, Israel
name: Orit Klinger, MD
role: PRINCIPAL_INVESTIGATOR
References: