RT info:eu-repo/semantics/article T1 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 A1 Recio Rodríguez, José I. A1 Agudo Conde, Cristina A1 Calvo Aponte, Maria J. . A1 González Viejo, Natividad . A1 Fernández Alonso, Carmen A1 Mendizábal Gallastegui, Nere . A1 Rodríguez Martín, Beatriz . A1 Maderuelo Fernández, José A. A1 Rodríguez Sánchez, Emiliano A1 Gómez Marcos, Manuel A. A1 García Ortiz, Luis A1 On Behalf of the EVIDENT Investigators K1 diet K1 smartphone applications K1 diet records K1 dietary fats K1 dietary carbohydrates K1 general population K1 Nutrición K1 Nutrition AB 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 PB MDPI SN 2072-6643 YR 2018 FD 2018-10 LK http://hdl.handle.net/10259/5001 UL http://hdl.handle.net/10259/5001 LA eng NO Spanish Ministry of Science and Innovation (MICINN) and the CarlosIII Health Institute/European Regional Development Fund (ERDF) (FIS: PI13/00618, PI13/01526, PI13/00058,PI13/01635, PI13/02528, PI12/01474; RETICS: RD12/0005, RD16/0007), Regional Health Management of Castillaand León (GRS 1191/B/15, GRS 909/B/14, GRS 770/B/13) and the Infosalud Foundation DS Repositorio Institucional de la Universidad de Burgos RD 22-dic-2024