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Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool

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 suppo...

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Autores principales: Calvo-Lerma, Joaquim, Boon, Mieke, Hulst, Jessie, Colombo, Carla, Asseiceira, Inês, Garriga, María, Masip, Etna, Claes, Ine, Bulfamante, Anna, Janssens, Hettie M., Roca, Maria, Vicente, Saioa, Fornés, Victoria, Zazzeron, Laura, van Schijndel, Bo, Woodcock, Sandra, Pereira, Luisa, de Boeck, Kris, Ribes-Koninckx, Carmen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8229611/
https://www.ncbi.nlm.nih.gov/pubmed/34073260
http://dx.doi.org/10.3390/nu13061801
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author Calvo-Lerma, Joaquim
Boon, Mieke
Hulst, Jessie
Colombo, Carla
Asseiceira, Inês
Garriga, María
Masip, Etna
Claes, Ine
Bulfamante, Anna
Janssens, Hettie M.
Roca, Maria
Vicente, Saioa
Fornés, Victoria
Zazzeron, Laura
van Schijndel, Bo
Woodcock, Sandra
Pereira, Luisa
de Boeck, Kris
Ribes-Koninckx, Carmen
author_facet Calvo-Lerma, Joaquim
Boon, Mieke
Hulst, Jessie
Colombo, Carla
Asseiceira, Inês
Garriga, María
Masip, Etna
Claes, Ine
Bulfamante, Anna
Janssens, Hettie M.
Roca, Maria
Vicente, Saioa
Fornés, Victoria
Zazzeron, Laura
van Schijndel, Bo
Woodcock, Sandra
Pereira, Luisa
de Boeck, Kris
Ribes-Koninckx, Carmen
author_sort Calvo-Lerma, Joaquim
collection PubMed
description 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.
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spelling pubmed-82296112021-06-26 Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool Calvo-Lerma, Joaquim Boon, Mieke Hulst, Jessie Colombo, Carla Asseiceira, Inês Garriga, María Masip, Etna Claes, Ine Bulfamante, Anna Janssens, Hettie M. Roca, Maria Vicente, Saioa Fornés, Victoria Zazzeron, Laura van Schijndel, Bo Woodcock, Sandra Pereira, Luisa de Boeck, Kris Ribes-Koninckx, Carmen Nutrients Article 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. MDPI 2021-05-26 /pmc/articles/PMC8229611/ /pubmed/34073260 http://dx.doi.org/10.3390/nu13061801 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Calvo-Lerma, Joaquim
Boon, Mieke
Hulst, Jessie
Colombo, Carla
Asseiceira, Inês
Garriga, María
Masip, Etna
Claes, Ine
Bulfamante, Anna
Janssens, Hettie M.
Roca, Maria
Vicente, Saioa
Fornés, Victoria
Zazzeron, Laura
van Schijndel, Bo
Woodcock, Sandra
Pereira, Luisa
de Boeck, Kris
Ribes-Koninckx, Carmen
Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool
title Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool
title_full Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool
title_fullStr Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool
title_full_unstemmed Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool
title_short Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool
title_sort change in nutrient and dietary intake in european children with cystic fibrosis after a 6-month intervention with a self-management mhealth tool
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8229611/
https://www.ncbi.nlm.nih.gov/pubmed/34073260
http://dx.doi.org/10.3390/nu13061801
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