Examining the Accuracy and Use of Portion Size Estimation Aids in Parents of Children With Obesity: A Randomized

Aislin R Mushquash1, Allison M Rasquinha2, Alinda Friedman3

  • 1Department of Psychology, Lakehead University, Thunder Bay, Ontario, Canada.

Insights

Parents using portion size estimation aids (PSEAs) showed poor accuracy, though 2D aids improved estimates for some foods. Dietitians can enhance portion estimation skills.

Area of Science:

  • Pediatric Nutrition
  • Dietary Assessment
  • Behavioral Science

Background:

  • Accurate portion size estimation is crucial for managing pediatric weight.
  • Portion Size Estimation Aids (PSEAs) are tools designed to assist individuals in estimating food quantities.
  • Previous research has explored the effectiveness of various dietary assessment tools.

Purpose of the Study:

  • To evaluate parents' accuracy in using two-dimensional (2D) versus three-dimensional (3D) PSEAs for estimating portion sizes.
  • To assess the practical use of PSEAs by parents in a home environment.
  • To identify factors influencing the accuracy of portion size estimation.

Main Methods:

  • A randomized controlled trial involving 37 parents of children in a weight management clinic.
  • Participants were assigned to use either 2D or 3D PSEAs.
  • Estimation accuracy was measured by percent absolute accuracy across different food types.

Main Results:

  • Significant main effects for group, food type, and group-by-food type interaction were observed (P < .05).
  • Two-dimensional PSEAs resulted in more accurate portion size estimates for amorphous foods.
  • Overall, parents demonstrated poor accuracy in estimating portion sizes, despite finding PSEAs useful and being satisfied with them.

Conclusions:

  • Two-dimensional PSEAs enhance portion estimation accuracy for amorphous foods compared to 3D PSEAs.
  • Parents' ability to accurately estimate portion sizes using PSEAs remains a challenge.
  • The findings underscore the importance of healthcare professionals, such as dietitians and nutrition educators, in improving portion estimation skills.
Abstract

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