2026-04-27T20:21:12Zhttps://riubu.ubu.es/oai/request

oai:riubu.ubu.es:10259/50012021-11-10T09:53:33Zcom_10259_4996com_10259_3989com_10259.4_106com_10259_2604col_10259_4999

00925njm 22002777a 4500 dc Recio Rodríguez, José I. author Agudo Conde, Cristina author Calvo Aponte, Maria J. . author González Viejo, Natividad . author Fernández Alonso, Carmen author Mendizábal Gallastegui, Nere . author Rodríguez Martín, Beatriz . author Maderuelo Fernández, José A. author Rodríguez Sánchez, Emiliano author Gómez Marcos, Manuel A. author García Ortiz, Luis author On Behalf of the EVIDENT Investigators author 2018-10 Background: This study evaluates the effectiveness of adding a diet smartphone application to standard counseling to modify dietary composition over the long term (12 months). Methods: A randomized, controlled, multicenter clinical trial was conducted involving the participation of 833 subjects from primary care clinics (415 to the intervention (counseling + application) group (IG) and 418 to the control (counseling) group (CG)). Both groups were counseled about a healthy diet and physical activity. For the 3-month intervention period, the IG was also trained to use a diet smartphone application that involved dietary self-monitoring and tailored feedback. Nutritional composition was estimated using a self-reported food frequency questionnaire. Results: An analysis of repeated measures revealed an interaction between the group and the percentages of carbohydrates (p = 0.031), fats (p = 0.015) and saturated fats (p = 0.035) consumed. Both groups decreased their energy intake (Kcal) at 12 months (IG: −114 (95% CI: −191 to −36); CG: −108 (95% CI: −184 to −31)). The IG reported a higher percentage intake of carbohydrates (1.1%; 95% CI: 0.1 to 2.0), and lower percentage intakes of fats (−1.0%; 95% CI: −1.9 to −0.1) and saturated fats (−0.4%; 95%CI: −0.8 to −0.1) when compared to the CG. Conclusions: Better results were achieved in terms of modifying usual diet composition from counseling and the diet smartphone application compared to counseling alone. This was evaluated by a self-reported questionnaire, which indicated an increased percentage intake of carbohydrates, and decreased percentage intakes of fats and saturated fats 2072-6643 http://hdl.handle.net/10259/5001 10.3390/nu10101473 diet smartphone applications diet records dietary fats dietary carbohydrates general population The effectiveness of a smartphone application on modifying the intakes of macro and micronutrients in primary care: a randomized controlled trial. The EVIDENT II Study