TY - JOUR
T1 - Change in nutrient and dietary intake in european children with cystic fibrosis after a 6-month intervention with a self-management mhealth tool
AU - Calvo-Lerma, Joaquim
AU - Boon, Mieke
AU - Hulst, Jessie
AU - Colombo, Carla
AU - Asseiceira, Inês
AU - Garriga, María
AU - Masip, Etna
AU - Claes, Ine
AU - Bulfamante, Anna
AU - Janssens, Hettie M.
AU - Roca, Maria
AU - Vicente, Saioa
AU - Fornés, Victoria
AU - Zazzeron, Laura
AU - van Schijndel, Bo
AU - Woodcock, Sandra
AU - Pereira, Luisa
AU - de Boeck, Kris
AU - Ribes-Koninckx, Carmen
N1 - Funding Information:
Acknowledgments: The authors acknowledge the European Union’s funding to conduct this project and especially thank the participants and their families for their effort and enthusiasm.
Funding Information:
Funding: This research was funded by the Horizon 2020 Research and Innovation Framework Programme of the European Union (PHC-26-2014, Self-management of health and disease: citizen engagement and mHealth), grant number 643806.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/5/26
Y1 - 2021/5/26
N2 - Cystic Fibrosis (CF) is a life-long genetic disease, causing increased energy needs and a healthy diet with a specific nutrient distribution. Nutritional status is an indicator of disease prognosis and survival. This study aimed at assessing the effectiveness of a self-management mobile app in supporting patients with CF to achieve the dietary goals set by the CF nutrition guidelines. A clinical trial was conducted in pancreatic insufficient children with CF, followed in six European CF centres, where the self-management app developed within the MyCyFAPP project was used for six months. To assess secondary outcomes, three-day food records were compiled in the app at baseline and after 3 and 6 months of use. Eighty-four subjects (mean 7.8 years old) were enrolled. Compared to baseline, macronutrient distribution better approximated the guidelines, with protein and lipid increasing by 1.0 and 2.1% of the total energy intake, respectively, by the end of the study. Consequently, carbohydrate intake of the total energy intake decreased significantly (−2.9%), along with simple carbohydrate intake (−2.4%). Regarding food groups, a decrease in ultra-processed foods was documented, with a concomitant increase in meat and dairy. The use of a self-management mobile app to self-monitor dietary intake could become a useful tool to achieve adherence to guideline recommendations, if validated during a longer period of time or against a control group.
AB - Cystic Fibrosis (CF) is a life-long genetic disease, causing increased energy needs and a healthy diet with a specific nutrient distribution. Nutritional status is an indicator of disease prognosis and survival. This study aimed at assessing the effectiveness of a self-management mobile app in supporting patients with CF to achieve the dietary goals set by the CF nutrition guidelines. A clinical trial was conducted in pancreatic insufficient children with CF, followed in six European CF centres, where the self-management app developed within the MyCyFAPP project was used for six months. To assess secondary outcomes, three-day food records were compiled in the app at baseline and after 3 and 6 months of use. Eighty-four subjects (mean 7.8 years old) were enrolled. Compared to baseline, macronutrient distribution better approximated the guidelines, with protein and lipid increasing by 1.0 and 2.1% of the total energy intake, respectively, by the end of the study. Consequently, carbohydrate intake of the total energy intake decreased significantly (−2.9%), along with simple carbohydrate intake (−2.4%). Regarding food groups, a decrease in ultra-processed foods was documented, with a concomitant increase in meat and dairy. The use of a self-management mobile app to self-monitor dietary intake could become a useful tool to achieve adherence to guideline recommendations, if validated during a longer period of time or against a control group.
UR - http://www.scopus.com/inward/record.url?scp=85106406070&partnerID=8YFLogxK
U2 - 10.3390/nu13061801
DO - 10.3390/nu13061801
M3 - Article
C2 - 34073260
AN - SCOPUS:85106406070
VL - 13
JO - Nutrients
JF - Nutrients
SN - 2072-6643
IS - 6
M1 - 1801
ER -