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Validity of an AI-based Program to Identify Foods and Estimate Food Portion Size

Testing the Validity of an Artificial Intelligence-based Program to Identify Foods and Estimate Food Portion Size Among Adults, a Pilot Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05343585
Acronym
PortionSizeAI
Enrollment
24
Registered
2022-04-25
Start date
2022-04-27
Completion date
2022-06-03
Last updated
2023-11-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nutrition Assessment

Keywords

Nutrition Assessment

Brief summary

The purpose of this study is to test the accuracy of the Nutrition Artificial Intelligence in the Openfit app during meals in a controlled laboratory setting

Detailed description

For this pilot study, using a convenience sample, the investigators will recruit up to 25 adults to use the Nutrition AI technology in Openfit to identify and estimate portion size of foods plated in a laboratory setting at Pennington Biomedical Research Center (PBRC) and/or Louisiana State University (LSU). Laboratory members within the Ingestive Behavioral Laboratory will also test the ability of Nutrition AI to identify foods and to quantify foods provided in the laboratory. Meals will be simulated, and participants will not consume the foods provided.

Interventions

DEVICEPortionSize AI

For this pilot study, using a convenience sample, the investigators will recruit up to 25 adults to use the Nutrition AI technology in Openfit to identify and estimate portion size of foods provided in a laboratory setting at Pennington Biomedical Research Center (PBRC) and/or Louisiana State University (LSU). Laboratory members within the Ingestive Behavioral Laboratory will also test the ability of Nutrition AI to identify foods and to quantify foods provided in the laboratory. Meals will be simulated, and participants will not consume the foods provided.

Sponsors

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
CollaboratorNIH
Pennington Biomedical Research Center
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 62 Years
Healthy volunteers
Yes

Inclusion criteria

* Male or female * Aged 18-62 years * Self-reported body mass index (BMI) 18.5-50 kg/m2

Exclusion criteria

* Any condition or circumstance that could impede study completion * Unfamiliar with or not able to use an iPhone

Design outcomes

Primary

MeasureTime frameDescription
Identification of Food Plated Using the Openfit Mobile AppOne study visit of ~2 hoursAgreement surrounding identification of food and beverages provided compared with known identification, at the item level, and across all items where identification is determined by: 1) Nutrition AI without correction (automated), 2) Nutrition AI with user correction (semi-automated) For a food identified through the Nutrition AI to be considered an exact food match, the name of the food identified must match or be a close match to the food served. For example, a fruit cocktail identified as a fruit salad is an acceptable match. Proportions will be used to assess whether the percentage of food items plated that were correctly identified by Nutrition AI is different to the percentage of foods correctly identified by a criterion method (human rater). Descriptive data will also be used to describe the frequency at which food plated was correctly identified for all food items across all participants. In total there was 255 food items tested across all participants.
Portion Size Estimation (kcal) of Food Plated Using the Openfit Mobile AppOne study visit of ~2 hoursError between mean estimates of food plated (kcal) and known food plated (kcal), determined by: 1) Nutrition AI without user correction (automated), 2) Nutrition AI with user correction (semi-automated) Mean error and Bland-Altman analysis will be performed to determine errors in estimation of food plated from the Nutrition AI compared to estimations from the criterion measure (weighed food).
User Satisfaction of the Openfit Mobile App for Recording Food PlatedOne study visit of ~2 hoursAfter completing assessment of food plated, participants will complete a user satisfaction survey (USS). The USS was adapted from a previous version used to assess the usability of a mobile application for dietary assessment. The USS includes five quantitative questions and three open response questions. The quantitative questions will each be scored using a 6-point Likert scale, with 1 being the lowest and worst score, and 6 being the highest and best score. Data for each of the five quantitative responses in the USS will be averaged across participants and presented separately as mean (SD). Open responses will be evaluated using qualitative methods to identify common themes.
Usability of the Openfit Mobile App for Recording Food PlatedOne study visit of ~2 hoursParticipants will complete the Computer Usability Satisfaction Questionnaire (CSUQ). The CSUQ is frequently used to assess the usability of mobile applications. The CSUQ consists of 19 questions, each scored using a 7-point Likert scale (with 1 being the lowest and best score and 7 being the highest and worst score) and participants will rate satisfaction, usefulness, information quality, and interface quality of the Openfit app. The average of these 19 questions (1 being the best average score and 7 being the worst average score) provides an overall usability score.

Countries

United States

Participant flow

Participants by arm

ArmCount
Experimental
* Training and use of Openfit * Using the app to estimate food intake from simulated meals in a laboratory at PBRC or LSU (participants will not eat food during the meals) * Rating the usability and satisfaction of the app PortionSize AI: For this pilot study, using a convenience sample, the investigators will recruit up to 25 adults to use the Nutrition AI technology in Openfit to identify and estimate portion size of foods provided and simulated plate waste, and food intake in a laboratory setting at Pennington Biomedical Research Center (PBRC) and/or Louisiana State University (LSU). Laboratory members within the Ingestive Behavioral Laboratory will also test the ability of Nutrition AI to identify foods and to quantify foods provided, plate waste and food intake, in the laboratory. Meals will be simulated, and participants will not consume the foods provided.
24
Total24

Baseline characteristics

CharacteristicExperimental
Age, Continuous35.0 years
STANDARD_DEVIATION 9.5
Body Mass Index24.6 kg/m^2
STANDARD_DEVIATION 4.1
Education
Postgraduate degree
14 Participants
Education
Some College or Bachelor's Degree
10 Participants
Employment
Full time
22 Participants
Employment
Part time
2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
3 Participants
Race (NIH/OMB)
Black or African American
4 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
17 Participants
Region of Enrollment
United States
24 participants
Sex: Female, Male
Female
17 Participants
Sex: Female, Male
Male
7 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 24
other
Total, other adverse events
0 / 24
serious
Total, serious adverse events
0 / 24

Outcome results

Primary

Identification of Food Plated Using the Openfit Mobile App

Agreement surrounding identification of food and beverages provided compared with known identification, at the item level, and across all items where identification is determined by: 1) Nutrition AI without correction (automated), 2) Nutrition AI with user correction (semi-automated) For a food identified through the Nutrition AI to be considered an exact food match, the name of the food identified must match or be a close match to the food served. For example, a fruit cocktail identified as a fruit salad is an acceptable match. Proportions will be used to assess whether the percentage of food items plated that were correctly identified by Nutrition AI is different to the percentage of foods correctly identified by a criterion method (human rater). Descriptive data will also be used to describe the frequency at which food plated was correctly identified for all food items across all participants. In total there was 255 food items tested across all participants.

Time frame: One study visit of ~2 hours

ArmMeasureGroupValue (COUNT_OF_UNITS)
ExperimentalIdentification of Food Plated Using the Openfit Mobile AppFood items that were automatically identified as an exact match across all participants.118 Food items
ExperimentalIdentification of Food Plated Using the Openfit Mobile AppFood items that were semi-automatically identified as an exact match across all participants.221 Food items
Primary

Portion Size Estimation (kcal) of Food Plated Using the Openfit Mobile App

Error between mean estimates of food plated (kcal) and known food plated (kcal), determined by: 1) Nutrition AI without user correction (automated), 2) Nutrition AI with user correction (semi-automated) Mean error and Bland-Altman analysis will be performed to determine errors in estimation of food plated from the Nutrition AI compared to estimations from the criterion measure (weighed food).

Time frame: One study visit of ~2 hours

ArmMeasureGroupValue (MEAN)Dispersion
ExperimentalPortion Size Estimation (kcal) of Food Plated Using the Openfit Mobile AppEnergy of weighed meals.577 kcalStandard Deviation 150
ExperimentalPortion Size Estimation (kcal) of Food Plated Using the Openfit Mobile AppEnergy of automated estimates826 kcalStandard Deviation 490
ExperimentalPortion Size Estimation (kcal) of Food Plated Using the Openfit Mobile AppEnergy of semi-automated estimates769 kcalStandard Deviation 445
Primary

Usability of the Openfit Mobile App for Recording Food Plated

Participants will complete the Computer Usability Satisfaction Questionnaire (CSUQ). The CSUQ is frequently used to assess the usability of mobile applications. The CSUQ consists of 19 questions, each scored using a 7-point Likert scale (with 1 being the lowest and best score and 7 being the highest and worst score) and participants will rate satisfaction, usefulness, information quality, and interface quality of the Openfit app. The average of these 19 questions (1 being the best average score and 7 being the worst average score) provides an overall usability score.

Time frame: One study visit of ~2 hours

ArmMeasureValue (MEAN)Dispersion
ExperimentalUsability of the Openfit Mobile App for Recording Food Plated2.4 score on a scaleStandard Deviation 0.22
Primary

User Satisfaction of the Openfit Mobile App for Recording Food Plated

After completing assessment of food plated, participants will complete a user satisfaction survey (USS). The USS was adapted from a previous version used to assess the usability of a mobile application for dietary assessment. The USS includes five quantitative questions and three open response questions. The quantitative questions will each be scored using a 6-point Likert scale, with 1 being the lowest and worst score, and 6 being the highest and best score. Data for each of the five quantitative responses in the USS will be averaged across participants and presented separately as mean (SD). Open responses will be evaluated using qualitative methods to identify common themes.

Time frame: One study visit of ~2 hours

ArmMeasureGroupValue (MEAN)Dispersion
ExperimentalUser Satisfaction of the Openfit Mobile App for Recording Food PlatedHow satisfied are you with the app for identifying the food provided?4.1 score on a scaleStandard Deviation 1.3
ExperimentalUser Satisfaction of the Openfit Mobile App for Recording Food PlatedHow satisfied are you with the app for estimating the amount of food provided?4.0 score on a scaleStandard Deviation 1.5
ExperimentalUser Satisfaction of the Openfit Mobile App for Recording Food PlatedHow easy was it to use the app to identify the food provided?4.2 score on a scaleStandard Deviation 1.4
ExperimentalUser Satisfaction of the Openfit Mobile App for Recording Food PlatedHow easy was it to use the app for estimating the amount of food provided?4.0 score on a scaleStandard Deviation 1.6
ExperimentalUser Satisfaction of the Openfit Mobile App for Recording Food PlatedHow much did the training help prepare you for using the app?5.5 score on a scaleStandard Deviation 0.7

Source: ClinicalTrials.gov · Data processed: Feb 8, 2026