A review of research studies that focus on the validity of portion-siz
e measurement aids (PSMAs) was undertaken because guidelines for the u
se of PSMAs in studies of food intake have not been developed. Also, t
he accuracy of food quantity estimates may greatly influence the quali
ty of dietary intake data. Generally, the review indicated that differ
ences between the food quantity estimates obtained from different PSMA
s were not statistically significant. Research on PSMA accuracy was la
cking in several areas. Additional information is needed on the validi
ty of PSMAs particularly as it relates to PSMA use by different sociod
emographic groups. Little research has focused on the specific effects
that PSMAs have on quantity estimates or on subject perceptions of PS
MA use. Improved reporting of PSMAs in the literature is also needed.
Future research should be directed toward these issues so that PSMA gu
idelines can be developed. Until there is a more complete research bas
e, it is not possible at this time to establish guidelines for use of
PSMAs in clinical practice or in research settings.