2024-03-28T10:36:07Zhttps://riubu.ubu.es/oai/requestoai:riubu.ubu.es:10259/50012021-11-10T09:53:33Zcom_10259_4996com_10259_3989com_10259.4_106com_10259_2604col_10259_4999
2018-11-08T11:57:57Z
urn:hdl:10259/5001
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
Recio Rodríguez, José I.
Agudo Conde, Cristina
Calvo Aponte, Maria J. .
González Viejo, Natividad .
Fernández Alonso, Carmen
Mendizábal Gallastegui, Nere .
Rodríguez Martín, Beatriz .
Maderuelo Fernández, José A.
Rodríguez Sánchez, Emiliano
Gómez Marcos, Manuel A.
García Ortiz, Luis
On Behalf of the EVIDENT Investigators
diet
smartphone applications
diet records
dietary fats
dietary carbohydrates
general population
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
2018-11-08T11:57:57Z
2018-11-08T11:57:57Z
2018-10
info:eu-repo/semantics/article
2072-6643
http://hdl.handle.net/10259/5001
10.3390/nu10101473
eng
Nutrients. 2018, V. 10, n. 10, 1473
https://doi.org/10.3390/nu10101473
info:eu-repo/grantAgreement/MICINN/PI13-00618
info:eu-repo/grantAgreement/MICINN/PI13-01526
info:eu-repo/grantAgreement/MICINN/PI13-00058
info:eu-repo/grantAgreement/MICINN/PI13-01635
info:eu-repo/grantAgreement/MICINN/PI13-02528
info:eu-repo/grantAgreement/MICINN/PI12-01474
info:eu-repo/grantAgreement/MICINN/RD12-0005
info:eu-repo/grantAgreement/MICINN/RD16-0007
info:eu-repo/grantAgreement/JCyL/1191-B-15
info:eu-repo/grantAgreement/JCyL/909-B-14
info:eu-repo/grantAgreement/JCyL/770-B-13
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
Attribution 4.0 International
MDPI