EFSA/EU Menu Guidance Appendix 5.3.2 Example of a one-day food diary for infants based on the PANCAKE project 1 1 The content of this Appendix is used with permission of the PANCAKE consortium. (Ocké et al., 2012.)
EFSA/EU Menu Guidance Appendix 5.3.2 Food diary infants Everything your child drinks and eats on this day Day 1 ID-number: Day of birth: - - Day Month Year Day of the week: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date: - - Day Month Year 2
EFSA/EU Menu Guidance Appendix 5.3.2 Table of content Pages Introduction 3 Instructions for completing your child s food diary 4 The diary of your child to complete (guide sheet) 9 Breast-feeding 11 Infant formula 12 Other foods and drinks 14 Recipes of homemade dishes 17 Dietary supplements 19 Comments 20 3
EFSA/EU Menu Guidance Appendix 5.3.2 Introduction This is the food diary for your child (3-12 months) taking part in the Pancake study. On the front page it is noted which date you should fill in the diary. The diary serves as a preparation for the interview you will take part in. During this interview everything your child drank and ate during the day will be recorded and stored on a computer. The diary is the starting point for the interview. On the following date and time a study employee will visit you at your home for the interview: Date: Time: If you have any questions or require any further information, you can contact: Name: Telephone: E-mail: Please ensure to read the instructions carefully before filling in the diary 4
at home EFSA/EU Menu Guidance Appendix 5.3.2 Instructions for completing your child s food diary General The food diary is for recording everything your child drank or ate on the day noted on the front page. Only the food and drink consumed by the child (3-12 months) partaking in the study should be recorded not that of any other family members. If on the day selected your child has an unusual food intake due to an unusual event such as a illness or a party, you should still record his/her actual food intake and inform the study employee during the interview. Do not adjust the food intake of your child. You should feed your child as you would have done without a diary. The day starts at 6am on the date selected and ends at 6am the following morning (so a 24 hour period is monitored). Ensure to fill in the diary immediately after your child consumes any food or drink. This will make omission of consumed foods less likely. The picture book you received can be used to estimate the quantity of a food your child consumed. Ensure to pay attention to the information below each picture series to help you quantify accurately. If your child is away from you during any part of the diary day (, family etc.) please advise their caretakers of the study and ask they complete the food recording booklet. When you collect your child, ask for the recording booklet and check it has been filled in completely. If not, please ask for details of food and drink consumed and fill it in yourself. You are required to fill in the location of consumption. If the location differs from the categories specified in the diary (at home, daycare,, ) tick other and describe the location on the dotted line. Restaurant etc. includes snack bar, cafeteria, fast food restaurant, self-service restaurant, bar, café, brasserie etc. Example: Location, playground 5
at home EFSA/EU Menu Guidance Appendix 5.3.2 Three sections for different types of feeding There are three sections in the diary for different types of feeding. All sections are for the whole day. 1. Breast-feeding (page 11) If your child received breast-feeding (including drained breast milk given with a bottle) on the day of keeping the diary, you only have to indicate the time and the location of each feeding. Example You breast-fed your child at home at 6.30am. The next feeding was at the at 9 o clock with a bottle of drained breast milk. This should be completed as follows: Time (hour) Location 6.30 hr 9 hr, 2. Infant formula (page 12-13) For children fed with infant formula the time, location, full product name, quantity prepared and quantity left over should be recorded for every feeding. If you added anything to the formula, such as a thickener, you should also fill in the full product name of the addition and the amount added per feeding. You should also indicate the type of water you used for preparation of the formula. Example At 9pm you gave your child a bottle of Nutrilon forte 2 (Nutricia) at home and added 2 table spoons of Nutrilon Nutriton (Nutricia). You prepared the formula with boiled tap water. The total quantity of the prepared bottle was 210 ml. After the feeding 30 ml was left in the bottle. You would enter this as follows: 6
at home tap water, unboiled tap water, boiled bottled water other, namely EFSA/EU Menu Guidance Appendix 5.3.2 Time (hour) Location Full product name (brand and type) of infant formula Additions (thickeners etc.) Description of addition (type and brand) Quantity of addition (tablespoons added to the prepared quantity of formula) Type of water used Quantity of prepared formula (ml) Quantity of formula left over (ml of prepared formula) 21 hr Nutricia Nutrilon forte 2 Nutricia Nutrilon Nutriton.2.. tablespoon(s),.. 210.. ml.30.. ml 3. Other foods and drinks (page 14-16) This section is for all food and drink consumed by your child other than breast-feeding and infant formula. You are required to fill in the time and location of consumption, the food consumed with an extensive description, the preparation method used, and the quantity consumed. Please keep in mind the following attention points: Record every bite or sip consumed by your child and ensure to include all small items, e.g. small bites of a cake, little sweets, water consumed etc. In the column food or drink, briefly name the food consumed. In the column description of food or drink you are asked to describe specific details about the food. Please describe the food extensively, in a way that would make it possible to find the specific food in a store. Relevant to this description are: o The full product name: brand name, product type or flavour. o Specification on the composition: whole fat, low-fat, skimmed; sweetened with sugar or with artificial sweeteners; with added vitamins and/or minerals; light, etc. o Preservation method: fresh, deep-frozen, canned, dried, pasteurized, etc. o Type of packaging: glass, can, paper/carton, plastic, cardboard box, etc. If the food was prepared, you are also asked to describe the preparation method in this column, for instance boiled, fried, stir-fried, microwaved etc. Please also mention the type and brand name of fat you used for cooking. 7
at home EFSA/EU Menu Guidance Appendix 5.3.2 It would be helpful if you keep the empty packages of foods your child consumed during the day. In the column quantity consumed you should fill in the actual quantity consumed by your child. So if you served your child a whole glass of milk, but he/she drank only half of it, you would fill in ½ glass. You can describe the quantity your child consumed whichever way you find most convenient. There are different methods: o Using the picture book you received and writing down the picture number and letter. o In natural units, e.g. a slice of bread, a piece of fruit, etc. o In household measures, e.g. glasses, cups, bowls etc, or different types of spoons (table spoons, tea spoons etc.). o In grams or ml if mentioned on the package. Example At 12pm you gave your child a slice of brown bread (from the bakery shop, pre-sliced) with cheese spread (Eru kids, 12% fat, with extra calcium, in plastic tub) (no butter or margarine was used) and a glass of milk (a cardboard box of whole milk, Campina, pasteurized) at home. Your child drank the whole glass of milk, but ate only three quarters of the bread with cheese spread. This would be entered as follows: Time Location Food or drink Description of food or drink Quantity consumed (hour) (full product name (brand and type/flavour), composition (picture number letter; (fat and sugar, extra vitamins etc.), preservation method, glasses/cups etc.; packaging, preparation method, etc.) table-/teaspoons etc.; grams or ml) 12 hr 12 hr 12 hr Bread wheat bread, wholegrain, from bakery shop, pre-sliced, in plastic ¾ slice, picture S-004 Cheese spread Eru Kids, 12% fat, with extra calcium, in plastic tub ¾ Picture 707-C Milk Campina, whole pasteurized milk, cardboard box 1 glass Recipes (page 17-18) If your child consumed any home-prepared dishes, record the recipes on the pages at the end of the diary. Describe all the ingredients used (including cooking fat) as per the headings given and the quantity of each ingredient. Ensure to indicate if the quantity recorded included inedible parts. Also include raw and cooked weight if applicable. 8
EFSA/EU Menu Guidance Appendix 5.3.2 Example Your child consumed some part of your homemade Spaghetti Bolognese. You can fill this recipe in as follows: Name of the dish Ingredients Description of ingredients (full product name (brand and type/flavour), composition (fat and sugar, extra vitamins etc.), preservation method, packaging, preparation method, etc.) Spaghetti Bolognese spaghetti minced meat onion sweet pepper mixed Italian vegetables cooking fat tomato sauce Honig, white, dried, carton, boiled Beef, fresh, packed in foam/plastic, fried White, fresh, unpacked, stir-fried Green, in plastic, stir-fried Albert Heijn, ready to use, in plastic, stir fried Croma liquid Bertolli pasta sauce sun-dried tomatoes & oregano, in glass Quantity of the ingredients used for the total dish (If applicable indicate the raw and cooked weight. Indicate if the dish did or did not contain any inedible parts.) 350 grams (raw) 350 grams (raw) 1 onion, average size 1 pepper, large 250 grams (no inedible parts) 2 table spoons 400 grams NB: these examples are only meant to show how to complete the diary. It is not intended as an example of how your child should eat. Dietary supplements (page 19) On page 19 indicate if your child took any vitamins, minerals or other dietary supplements on this day. If applicable, give a full description of the supplement(s), and fill in the quantity consumed. Example Type of supplement Full brand- and sort name Quantity consumed at this day (e.g. drops, tablets, capsules, sachets) Vitamin D Davitamon D aquosum 10 drops Comments (page 20) On page 20 there is open space for comments. You can also use this page if you lack space in any other part of the diary. 9
EFSA/EU Menu Guidance Appendix 5.3.2 On the following pages the diary for your child starts. Guide sheet (label: start diary) 10
at home at home EFSA/EU Menu Guidance Appendix 5.3.2 Breast-feeding Did you breast-feed your child today? (including drained breast milk given with a bottle) no yes please fill in the time and location of the breast-feeding Time Location Time Location (hour) (hour) 11
at home tap water, unboiled tap water, boiled bottled water other, namely EFSA/EU Menu Guidance Appendix 5.3.2 Infant formula Did your child drink infant formula today? no yes please fill in all the information in the table below and on the next page Time (hour) Location Full product name (brand and type) of infant formula Additions (thickeners etc.) Description of addition (type and brand) Quantity of addition (tablespoons added to the prepared quantity of formula) Type of water used Quantity of prepared formula (ml) Quantity of formula left over (ml of prepared formula) 12
at home tap water, unboiled tap water, boiled bottled water other, namely EFSA/EU Menu Guidance Appendix 5.3.2 Time (hour) Location Full product name (brand and type) of infant formula Additions (thickeners etc.) Description of addition (type and brand) Quantity of addition (tablespoons added to the prepared quantity of formula) Type of water used Quantity of prepared formula (ml) Quantity of formula left over (ml of prepared formula) 13
at home EFSA/EU Menu Guidance Appendix 5.3.2 Other foods or drinks Did your child consume other food or drinks today? no yes please fill in all the information in the table below and on the next pages Time Location Food or drink Description of food or drink Quantity consumed (hour) (full product name (brand and type/flavour), composition (picture number letter; (fat and sugar, extra vitamins etc.), preservation method, glasses/cups etc.; packaging, preparation method, etc.) table-/teaspoons etc.; grams or ml) 14
at home EFSA/EU Menu Guidance Appendix 5.3.2 Time Location Food or drink Description of food or drink Quantity consumed (hour) (full product name (brand and type/flavour), composition (picture number letter; (fat and sugar, extra vitamins etc.), preservation method, glasses/cups etc.; packaging, preparation method, etc.) table-/teaspoons etc.; grams or ml) 15
at home EFSA/EU Menu Guidance Appendix 5.3.2 Time Location Food or drink Description of food or drink Quantity consumed (hour) (full product name (brand and type/flavour), composition (picture number letter; (fat and sugar, extra vitamins etc.), preservation method, glasses/cups etc.; packaging, preparation method, etc.) table-/teaspoons etc.; grams or ml) 16
EFSA/EU Menu Guidance Appendix 5.3.2 Recipes of homemade dishes Describe on these pages the recipes of any homemade dishes your child consumed. Please describe and quantify all the ingredients used. Name of the dish Ingredients Description of ingredients (full product name (brand and type/flavour), composition (fat and sugar, extra vitamins etc.), preservation method, packaging, preparation method, etc.) Quantity of the ingredients used for the total dish (If applicable indicate the raw and cooked weight. Indicate if the dish did or did not contain any inedible parts.) 17
EFSA/EU Menu Guidance Appendix 5.3.2 Name of the dish Ingredients Description of ingredients (full product name (brand and type/flavour), composition (fat and sugar, extra vitamins etc.), preservation method, packaging, preparation method, etc.) Quantity of the ingredients used for the total dish (If applicable indicate the raw and cooked weight. Indicate if the dish did or did not contain any inedible parts.) 18
EFSA/EU Menu Guidance Appendix 5.3.2 Dietary supplements Did your child take vitamins, minerals or other dietary supplements during this day? no yes please fill in all the supplements used in the table below Type of supplement Full brand- and sort name Quantity consumed at this day (e.g. drops, tablets, capsules, sachets) 19
EFSA/EU Menu Guidance Appendix 5.3.2 Comments: Thank you for completing this diary! 20