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<mods:namePart>Recio Rodríguez, José I.</mods:namePart>
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<mods:namePart>Agudo Conde, Cristina</mods:namePart>
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<mods:namePart>Calvo Aponte, Maria J. .</mods:namePart>
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<mods:namePart>González Viejo, Natividad .</mods:namePart>
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<mods:namePart>Fernández Alonso, Carmen</mods:namePart>
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<mods:namePart>Mendizábal Gallastegui, Nere .</mods:namePart>
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<mods:namePart>Rodríguez Martín, Beatriz .</mods:namePart>
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<mods:namePart>Maderuelo Fernández, José A.</mods:namePart>
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<mods:namePart>Rodríguez Sánchez, Emiliano</mods:namePart>
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<mods:namePart>Gómez Marcos, Manuel A.</mods:namePart>
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<mods:namePart>García Ortiz, Luis</mods:namePart>
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<mods:namePart>On Behalf of the EVIDENT Investigators</mods:namePart>
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<mods:dateAccessioned encoding="iso8601">2018-11-08T11:57:57Z</mods:dateAccessioned>
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<mods:dateAvailable encoding="iso8601">2018-11-08T11:57:57Z</mods:dateAvailable>
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<mods:dateIssued encoding="iso8601">2018-10</mods:dateIssued>
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<mods:identifier type="issn">2072-6643</mods:identifier>
<mods:identifier type="uri">http://hdl.handle.net/10259/5001</mods:identifier>
<mods:identifier type="doi">10.3390/nu10101473</mods:identifier>
<mods:abstract>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</mods:abstract>
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<mods:topic>diet</mods:topic>
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<mods:topic>smartphone applications</mods:topic>
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<mods:subject>
<mods:topic>diet records</mods:topic>
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<mods:topic>dietary fats</mods:topic>
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<mods:subject>
<mods:topic>dietary carbohydrates</mods:topic>
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<mods:subject>
<mods:topic>general population</mods:topic>
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<mods:titleInfo>
<mods: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</mods:title>
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