Development and Validation of a Universal Eating Monitor (UEM) for Distinguishing the Intake of Multiple Foods and Macronutrients

开发和验证一种用于区分多种食物和宏量营养素摄入量的通用饮食监测器(UEM)

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Abstract

Background/Objectives: Dietary microstructure affects energy intake. Traditional Universal Eating Monitors (UEMs) offer accuracy but are limited for monitoring diverse diets. We developed the 'Feeding Table', a novel UEM that simultaneously tracks intake of up to 12 foods, enabling high-resolution monitoring of eating microstructure for multiple foods simultaneously. Methods: Forty-nine healthy volunteers participated: 15 (10 male, 8 female) in a location preference experiment and 31 (15 male, 16 female) in a standard meal test. The location preference study involved four weekly sessions. Participants received a standardized breakfast based on individual energy needs; lunch intake was measured 3 h later with food items in pseudo-randomized positions. The standard meal test occurred over two consecutive days to assess the Feeding Table's performance in monitoring eating behavior under standardized conditions. Results: In two consecutive days of standard meal tests, the Feeding Table showed reasonable day-to-day repeatability for energy and macronutrient intake (energy: r = 0.82; fat: r = 0.86; carbohydrate: r = 0.86; protein: r = 0.58). Among the four repeated intake measurements, the results demonstrated high intra-class correlation coefficients (ICCs: energy 0.94, protein 0.90, fat 0.90, and carbohydrate 0.93). No significant positional bias was observed (energy: p = 0.07; macronutrients: p = 0.70). Conclusions: The Feeding Table maintains UEM accuracy while enabling multi-food, real-time monitoring of dietary microstructure and food choice, offering enhanced precision for studying eating behaviors.

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