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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

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Boon, M
  • Hulst, J
  • Colombo, C
  • Asseiceira, I
  • Garriga, M
  • Claes, I
  • Bulfamante, A
  • Janssens, HM
  • Vicente, S
  • Fornes, V
  • Zazzeron, L
  • van Schijndel, B
  • Woodcock, S
  • Pereira, L
  • de Boeck, K

Grupos

Abstract

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.

Datos de la publicación

ISSN/ISSNe:
2072-6643, 2072-6643

Nutrients  MDPI

Tipo:
Article
Páginas:
-
PubMed:
34073260
Factor de Impacto:
1,287 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 5

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Keywords

  • cystic fibrosis; nutrition; self-management; m-health; nutrients; diet; food groups; dietary habits

Financiación

European UnionEuropean Commission

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