Objectives: To develop a concise, simple tool for use by non-specialists to assess diet in children aged 3-7 years attending primary schools.
Design: A 24-hour food tick list covering all aspects of the diet and with a focus on fruit and vegetable consumption was developed. This was compared against a 24-hour semi-weighed food diary obtained for the same day as the tick list.
Setting: Six primary schools with a range of socio-economic and ethnic backgrounds from a large city in the north of England (Leeds).
Participants: One hundred and eighty children returned completed packs of information; a response rate of 77% of those who were willing to take part, 48% of those approached.
Results: On average, 2.4 items of fruit including juice (2.1 items as 5-a-day count) were eaten and 1.6 items of vegetables (excluding potato). Twenty-seven per cent and 36% of boys and 23% and 24% of girls reported not eating any fruit or vegetables, respectively, on the recording day. Correlations comparing the diary and tick list were high for both foods (range r=0.44 to 0.89) and nutrients (range r=0.41 to 0.68). The level of misclassification was much less than would be expected by chance. Parent and teacher evaluation of the tick list was very positive. Parents felt the tick list was easy and quick to complete.
Conclusion: The Child and Diet Evaluation Tool (CADET) tick list has been used successfully for rapid collection of food and nutrient information from children aged 3-7 years from diverse social and ethnic backgrounds. The tool has performed better than many food-frequency questionnaires in comparison to a food diary.
Christian MS, Evans CE, Nykjaer C, Hancock N, Cade JE. Christian MS, et al. Eur J Clin Nutr. 2015 Feb;69(2):234-41. doi: 10.1038/ejcn.2014.160. Epub 2014 Aug 20. Eur J Clin Nutr. 2015. PMID: 25139558
Eriksen K, Haraldsdóttir J, Pederson R, Flyger HV. Eriksen K, et al. Public Health Nutr. 2003 Feb;6(1):57-63. doi: 10.1079/PHN2002356. Public Health Nutr. 2003. PMID: 12581466 Clinical Trial.
Biltoft-Jensen A, Bysted A, Trolle E, Christensen T, Knuthsen P, Damsgaard CT, Andersen LF, Brockhoff P, Tetens I. Biltoft-Jensen A, et al. Br J Nutr. 2013 Jul 14;110(1):186-95. doi: 10.1017/S0007114512004746. Epub 2012 Nov 27. Br J Nutr. 2013. PMID: 23181984
Christian MS, Evans CE, Hancock N, Nykjaer C, Cade JE. Christian MS, et al. J Epidemiol Community Health. 2013 Apr;67(4):332-8. doi: 10.1136/jech-2012-201604. Epub 2012 Dec 19. J Epidemiol Community Health. 2013. PMID: 23254183 Clinical Trial.
Christian MS, Evans CEL, Cade JE. Christian MS, et al. Southampton (UK): NIHR Journals Library; 2014 Aug. Southampton (UK): NIHR Journals Library; 2014 Aug. PMID: 27466653 Free Books & Documents. Review.
Ilić A, Rumbak I, Brečić R, Colić Barić I, Bituh M. Ilić A, et al. Front Nutr. 2022 Aug 17;9:934295. doi: 10.3389/fnut.2022.934295. eCollection 2022. Front Nutr. 2022. PMID: 36061905 Free PMC article.
Vaughan KL, Cade JE, Hetherington MM, Cockroft JE, Heinen MM, Rippin H, Evans CEL. Vaughan KL, et al. Trials. 2022 Aug 1;23(1):618. doi: 10.1186/s13063-022-06558-5. Trials. 2022. PMID: 35915460 Free PMC article. Clinical Trial.
Buyco NG, Dorado JB, Azaña GP, Viajar RV, Aguila DV, Capanzana MV. Buyco NG, et al. Nutr Res Pract. 2022 Apr;16(2):217-232. doi: 10.4162/nrp.2022.16.2.217. Epub 2021 Sep 23. Nutr Res Pract. 2022. PMID: 35392527 Free PMC article.
Brennan SF, Lavelle F, Moore SE, Dean M, McKinley MC, McCole P, Hunter RF, Dunne L, O'Connell NE, Cardwell CR, Elliott CT, McCarthy D, Woodside JV. Brennan SF, et al. Int J Behav Nutr Phys Act. 2021 Feb 4;18(1):23. doi: 10.1186/s12966-021-01086-y. Int J Behav Nutr Phys Act. 2021. PMID: 33541372 Free PMC article. Clinical Trial.
Garden EM, Pallan M, Clarke J, Griffin T, Hurley K, Lancashire E, Sitch AJ, Passmore S, Adab P. Garden EM, et al. BMJ Open. 2020 Dec 22;10(12):e040833. doi: 10.1136/bmjopen-2020-040833. BMJ Open. 2020. PMID: 33371029 Free PMC article.