Evaluation of the international standardized 24-h dietary recall methodology (GloboDiet) for potential application in research and surveillance within African settings

Elom Kouassivi Aglago, Edwige Landais, Geneviève Nicolas, Barrie Margetts, Catherine Leclercq, Pauline Allemand, Olaide Aderibigbe, Victoire Damienne Agueh, Paul Amuna, George Amponsah Annor, Jalila El Ati, Jennifer Coates, Brooke Colaiezzi, Ella Compaore, Hélène Delisle, Mieke Faber, Robert Fungo, Inocent Gouado, Asmaa El Hamdouchi, Waliou Amoussa Hounkpatin, Amoin Georgette Konan, Saloua Labzizi, James Ledo, Carol Mahachi, Segametsi Ditshebo Maruapula, Nonsikelelo Mathe, Muniirah Mbabazi, Mandy Wilja Mirembe, Carmelle Mizéhoun-Adissoda, Clement Diby Nzi, Pedro Terrence Pisa, Karima El Rhazi, Francis Zotor, Nadia Slimani, Elom Kouassivi Aglago, Edwige Landais, Geneviève Nicolas, Barrie Margetts, Catherine Leclercq, Pauline Allemand, Olaide Aderibigbe, Victoire Damienne Agueh, Paul Amuna, George Amponsah Annor, Jalila El Ati, Jennifer Coates, Brooke Colaiezzi, Ella Compaore, Hélène Delisle, Mieke Faber, Robert Fungo, Inocent Gouado, Asmaa El Hamdouchi, Waliou Amoussa Hounkpatin, Amoin Georgette Konan, Saloua Labzizi, James Ledo, Carol Mahachi, Segametsi Ditshebo Maruapula, Nonsikelelo Mathe, Muniirah Mbabazi, Mandy Wilja Mirembe, Carmelle Mizéhoun-Adissoda, Clement Diby Nzi, Pedro Terrence Pisa, Karima El Rhazi, Francis Zotor, Nadia Slimani

Abstract

Background: Collection of reliable and comparable individual food consumption data is of primary importance to better understand, control and monitor malnutrition and its related comorbidities in low- and middle-income countries (LMICs), including in Africa. The lack of standardised dietary tools and their related research support infrastructure remains a major obstacle to implement concerted and region-specific research and action plans worldwide. Citing the magnitude and importance of this challenge, the International Agency for Research on Cancer (IARC/WHO) launched the "Global Nutrition Surveillance initiative" to pilot test the use of a standardized 24-h dietary recall research tool (GloboDiet), validated in Europe, in other regions. In this regard, the development of the GloboDiet-Africa can be optimised by better understanding of the local specific methodological needs, barriers and opportunities. The study aimed to evaluate the standardized 24-h dietary recall research tool (GloboDiet) as a possible common methodology for research and surveillance across Africa.

Methods: A consultative panel of African and international experts in dietary assessment participated in six e-workshop sessions. They completed an in-depth e-questionnaire to evaluate the GloboDiet dietary methodology before and after participating in the e-workshop.

Results: The 29 experts expressed their satisfaction on the potential of the software to address local specific needs when evaluating the main structure of the software, the stepwise approach for data collection and standardisation concept. Nevertheless, additional information to better describe local foods and recipes, as well as particular culinary patterns (e.g. mortar pounding), were proposed. Furthermore, food quantification in shared-plates and -bowls eating situations and interviewing of populations with low literacy skills, especially in rural settings, were acknowledged as requiring further specific considerations and appropriate solutions.

Conclusions: An overall positive evaluation of the GloboDiet methodology by both African and international experts, supports the flexibility and potential applicability of this tool in diverse African settings and sets a positive platform for improved dietary monitoring and surveillance. Following this evaluation, prerequisite for future implementation and/or adaptation of GloboDiet in Africa, rigorous and robust capacity building as well as knowledge transfer will be required to roadmap a stepwise approach to implement this methodology across pilot African countries/regions.

Keywords: 24-h dietary recall; Africa; Dietary assessment; GloboDiet; Standardisation.

Figures

Fig. 1
Fig. 1
Flow chart for the participation in the evaluation. A total of 48 identified experts from various networks were invited, amongst whom 32 were available to participate in a session of the e-workshop. During the e-workshop sessions, the experts disconnected [5] were re-invited to watch online uploaded video and comments afterwards. A total of 29 experts completed the final questionnaire
Fig. 2
Fig. 2
Appreciation of quantification methods used in GloboDiet. The comments of the experts on the quantification methods available in GloboDiet were satisfactory. Standards units were evaluated as the most convenient method followed by picture books and household measures. Likewise, the three methods were considered as the most applicable in the African context. Overall, shape quantification was considered as the least applicable in Africa

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Source: PubMed

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