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<dc:creator>Recio Rodríguez, José I.</dc:creator>
<dc:creator>Agudo Conde, Cristina</dc:creator>
<dc:creator>Calvo Aponte, Maria J. .</dc:creator>
<dc:creator>González Viejo, Natividad .</dc:creator>
<dc:creator>Fernández Alonso, Carmen</dc:creator>
<dc:creator>Mendizábal Gallastegui, Nere .</dc:creator>
<dc:creator>Rodríguez Martín, Beatriz .</dc:creator>
<dc:creator>Maderuelo Fernández, José A.</dc:creator>
<dc:creator>Rodríguez Sánchez, Emiliano</dc:creator>
<dc:creator>Gómez Marcos, Manuel A.</dc:creator>
<dc:creator>García Ortiz, Luis</dc:creator>
<dc:creator>On Behalf of the EVIDENT Investigators</dc:creator>
<dc:date>2018-10</dc:date>
<dc:description>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</dc:description>
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<dc:identifier>http://hdl.handle.net/10259/5001</dc:identifier>
<dc:language>eng</dc:language>
<dc:publisher>MDPI</dc:publisher>
<dc:title>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</dc:title>
<dc:type>info:eu-repo/semantics/article</dc:type>
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