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dc.contributor.authorRecio Rodríguez, José I. 
dc.contributor.authorAgudo Conde, Cristina
dc.contributor.authorCalvo Aponte, Maria J. .
dc.contributor.authorGonzález Viejo, Natividad .
dc.contributor.authorFernández Alonso, Carmen
dc.contributor.authorMendizábal Gallastegui, Nere .
dc.contributor.authorRodríguez Martín, Beatriz .
dc.contributor.authorMaderuelo Fernández, José A.
dc.contributor.authorRodríguez Sánchez, Emiliano
dc.contributor.authorGómez Marcos, Manuel A.
dc.contributor.authorGarcía Ortiz, Luis
dc.contributor.authorOn Behalf of the EVIDENT Investigators
dc.date.accessioned2018-11-08T11:57:57Z
dc.date.available2018-11-08T11:57:57Z
dc.date.issued2018-10
dc.identifier.issn2072-6643
dc.identifier.urihttp://hdl.handle.net/10259/5001
dc.description.abstractBackground: 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 fatsen
dc.description.sponsorshipSpanish Ministry of Science and Innovation (MICINN) and the Carlos III 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 Castilla and León (GRS 1191/B/15, GRS 909/B/14, GRS 770/B/13) and the Infosalud Foundationen
dc.format.mimetypeapplication/pdf
dc.language.isoenges
dc.publisherMDPIen
dc.relation.ispartofNutrients. 2018, V. 10, n. 10, 1473en
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectdieten
dc.subjectsmartphone applicationsen
dc.subjectdiet recordsen
dc.subjectdietary fatsen
dc.subjectdietary carbohydratesen
dc.subjectgeneral populationen
dc.subject.otherNutriciónes
dc.subject.otherNutritionen
dc.titleThe effectiveness of a smartphone application on modifying the intakes of macro and micronutrients in primary care: a randomized controlled trial. The EVIDENT II Studyen
dc.typeinfo:eu-repo/semantics/article
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.relation.publisherversionhttps://doi.org/10.3390/nu10101473
dc.identifier.doi10.3390/nu10101473
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/PI13-00618
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/PI13-01526
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/PI13-00058
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/PI13-01635
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/PI13-02528
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/PI12-01474
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/RD12-0005
dc.relation.projectIDinfo:eu-repo/grantAgreement/MICINN/RD16-0007
dc.relation.projectIDinfo:eu-repo/grantAgreement/JCyL/1191-B-15
dc.relation.projectIDinfo:eu-repo/grantAgreement/JCyL/909-B-14
dc.relation.projectIDinfo:eu-repo/grantAgreement/JCyL/770-B-13
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersionen


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