Evidence map›Paper›PMID 33761165›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2021

The accuracy of portion size estimation using food images and textual descriptions of portion sizes: an evaluation study.

Desiree A Lucassen, Romy F Willemsen, Anouk Geelen, Elske M Brouwer-Brolsma, Edith J M Feskens

Open access · hybridAbstract read
In one paragraph

Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Development and Validation of a Photographic Food Atlas for Portion Size Estimation and Educational Use in Türkiye.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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  4. Article
  5. Observational
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  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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  16. Design Issues in Personalized Nutrition Advice Systems.Journal of medical Internet research · 2023
    Article
  17. Article
  18. Response to Ahmed GJournal of nutritional science · 2023
    Article
  19. Article
  20. Development and validation of the FiberScreen: A short questionnaire to screen fibre intake in adults.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Desiree A LucassenDivision of Human Nutrition and Health, Wageningen University, The Netherlands.ORCID 0000-0001-9769-6566
Romy F WillemsenDivision of Human Nutrition and Health, Wageningen University, The Netherlands.
Anouk GeelenDivision of Human Nutrition and Health, Wageningen University, The Netherlands.
Elske M Brouwer-BrolsmaDivision of Human Nutrition and Health, Wageningen University, The Netherlands.
Edith J M FeskensDivision of Human Nutrition and Health, Wageningen University, The Netherlands.
Wageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInaccurate self-report of portion sizes is a major cause of measurement error in dietary assessment. To reduce this error, different portion size estimation aids (PSEAs) have been developed, including food images (image based, IB-PSE) and textual descriptions of portion sizes (text-based, TB-PSE). We assessed the accuracy of portion size estimation by IB-PSE and TB-PSE.

methodsTrue intake of one lunch was ascertained in forty participants. Self-reported portion sizes were assessed after 2 and 24 hours by means of TB-PSE and IB-PSE, in random order. Wilcoxon's tests were used to compare mean true intakes to reported intakes. Moreover, proportions of reported portion sizes within 10% and 25% of true intake were assessed. An adapted Bland-Altman approach was used to assess agreement between true and reported portion sizes. Analyses were conducted for all foods and drinks combined and for predetermined food types.

resultsNo significant differences were observed between reported portion sizes at 2 and 24 hours after lunch. Combining median relative errors of all foods items resulted in an overall 0% error rate for TB-PSE and 6% error rate for IB-PSE. Comparing reported portion sizes within 10% (31% vs. 13%) and 25% (50% vs. 35%) of the true intake showed a better performance for TB-PSE compared to IP-PSE, respectively. Bland-Altman plots indicated a higher agreement between reported and true intake for TB-PSE compared to IB-PSE.

conclusionsAlthough the use of TB-PSE still results in measurement error, our results suggest a more accurate dietary intake assessment with TB-PSE than IB-PSE.

Indexed as

Portion SizeSize PerceptionEnergy IntakeFoodHumansLunchNutrition AssessmentSelf ReportDietary assessmentFood imagesHousehold measuresPortion size estimationPSEAStandard portion sizes

Identifiers

PMID33761165
PMCPMC9291996
OpenAlexW3138131183

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.