Objective: Visual estimation, which is one of methods of plate waste measurement to evaluate food intake, is generally used in food service facilities. The purpose of this study was to systematically review the process of visual estimation, and to examine its reliability, validity in measuring plate waste in food service facilities.
Methods: We utilized two databases (“Igaku chuo zassi” and CiNii) to identify Japanese articles, and two databases (PubMed and CINAHL complete) and manual search to identify English articles published between January 1981 and July 2013.
Results: Finally, 12 English articles were selected. Out of the 12 chosen articles, 5 were from hospitals, 3 were from nursing homes or long-term care facilities, 2 were from schools, and 2 were from other contexts. Most of the articles did not evaluate meals of different serving sizes. The correlation between the visual estimation method and the weighed method for measuring plate waste (g), as measured by the Pearson coefficient, ranged from 0.63 to 0.96, indicating sufficient criterion-related validity, the inter-rater reliability between three dietitians had been calculated (the Pearson coefficient ranged from 0.95~0.97). All the articles were found to have used different rating scales. Specifically, 1 used a 3-point scale, 1 used a 4-point scale, 3 used a 5-point scale, 3 used a 6-point scale, 2 used a 7-point scale, 1 used 12-point scale, and 2 used other scales.
Conclusion: The visual estimation method was appropriate if the serving sizes were uniform within individual facilities.
 View full abstract