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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Main Authors: Joaquim Calvo-Lerma, Mieke Boon, Jessie Hulst, Carla Colombo, Inês Asseiceira, María Garriga, Etna Masip, Ine Claes, Anna Bulfamante, Hettie M. Janssens, Maria Roca, Saioa Vicente, Victoria Fornés, Laura Zazzeron, Bo van Schijndel, Sandra Woodcock, Luisa Pereira, Kris de Boeck, Carmen Ribes-Koninckx
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/6/1801
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author Joaquim Calvo-Lerma
Mieke Boon
Jessie Hulst
Carla Colombo
Inês Asseiceira
María Garriga
Etna Masip
Ine Claes
Anna Bulfamante
Hettie M. Janssens
Maria Roca
Saioa Vicente
Victoria Fornés
Laura Zazzeron
Bo van Schijndel
Sandra Woodcock
Luisa Pereira
Kris de Boeck
Carmen Ribes-Koninckx
spellingShingle Joaquim Calvo-Lerma
Mieke Boon
Jessie Hulst
Carla Colombo
Inês Asseiceira
María Garriga
Etna Masip
Ine Claes
Anna Bulfamante
Hettie M. Janssens
Maria Roca
Saioa Vicente
Victoria Fornés
Laura Zazzeron
Bo van Schijndel
Sandra Woodcock
Luisa Pereira
Kris de Boeck
Carmen Ribes-Koninckx
Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool
Nutrients
cystic fibrosis
nutrition
self-management
m-health
nutrients
diet
author_facet Joaquim Calvo-Lerma
Mieke Boon
Jessie Hulst
Carla Colombo
Inês Asseiceira
María Garriga
Etna Masip
Ine Claes
Anna Bulfamante
Hettie M. Janssens
Maria Roca
Saioa Vicente
Victoria Fornés
Laura Zazzeron
Bo van Schijndel
Sandra Woodcock
Luisa Pereira
Kris de Boeck
Carmen Ribes-Koninckx
author_sort Joaquim Calvo-Lerma
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_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_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_sort change in nutrient and dietary intake in european children with cystic fibrosis after a 6-month intervention with a self-management mhealth tool
publisher MDPI AG
series Nutrients
issn 2072-6643
publishDate 2021-05-01
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.
topic cystic fibrosis
nutrition
self-management
m-health
nutrients
diet
url https://www.mdpi.com/2072-6643/13/6/1801
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spelling doaj-4203e7f7ea9a47068d1f1ea3a7dd2eed2021-06-01T01:08:47ZengMDPI AGNutrients2072-66432021-05-01131801180110.3390/nu13061801Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth ToolJoaquim Calvo-Lerma0Mieke Boon1Jessie Hulst2Carla Colombo3Inês Asseiceira4María Garriga5Etna Masip6Ine Claes7Anna Bulfamante8Hettie M. Janssens9Maria Roca10Saioa Vicente11Victoria Fornés12Laura Zazzeron13Bo van Schijndel14Sandra Woodcock15Luisa Pereira16Kris de Boeck17Carmen Ribes-Koninckx18Instituto de Investigación Sanitaria La Fe—Hospital Universitari i Politècnic La Fe, 46026 Valencia, SpainCenter for Cystic Fibrosis, Department of Pediatrics, University Hospital Leuven, 3000 Leuven, BelgiumDivision of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, Toronto, ON M5G 1X8, CanadaCystic Fibrosis Center, University of Milan, IRCCS Ca ‘Granda, Maggiore Policlinico Hospital, 20122 Milan, ItalyCentro de Fibrose Quística, Hospital de Santa Maria, 1649-028 Lisbon, PortugalUnidad de Fibrosis Quística, Hospital Universitario Ramón y Cajal, 28010 Madrid, SpainInstituto de Investigación Sanitaria La Fe—Hospital Universitari i Politècnic La Fe, 46026 Valencia, SpainCenter for Cystic Fibrosis, Department of Pediatrics, University Hospital Leuven, 3000 Leuven, BelgiumCystic Fibrosis Center, University of Milan, IRCCS Ca ‘Granda, Maggiore Policlinico Hospital, 20122 Milan, ItalyDepartment of Pediatrics, Division of Gastro-Enterology, Erasmus MC-Sophia Children’s Hospital, University Hospital Rotterdam, 14010 Rotterdam, The NetherlandsInstituto de Investigación Sanitaria La Fe—Hospital Universitari i Politècnic La Fe, 46026 Valencia, SpainUnidad de Fibrosis Quística, Hospital Universitario Ramón y Cajal, 28010 Madrid, SpainTauceramica Analytics, 46980 Paterna, SpainCystic Fibrosis Center, University of Milan, IRCCS Ca ‘Granda, Maggiore Policlinico Hospital, 20122 Milan, ItalyDepartment of Pediatrics, Division of Gastro-Enterology, Erasmus MC-Sophia Children’s Hospital, University Hospital Rotterdam, 14010 Rotterdam, The NetherlandsDepartment of Pediatrics, Division of Gastro-Enterology, Erasmus MC-Sophia Children’s Hospital, University Hospital Rotterdam, 14010 Rotterdam, The NetherlandsCentro de Fibrose Quística, Hospital de Santa Maria, 1649-028 Lisbon, PortugalCenter for Cystic Fibrosis, Department of Pediatrics, University Hospital Leuven, 3000 Leuven, BelgiumInstituto de Investigación Sanitaria La Fe—Hospital Universitari i Politècnic La Fe, 46026 Valencia, SpainCystic 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.https://www.mdpi.com/2072-6643/13/6/1801cystic fibrosisnutritionself-managementm-healthnutrientsdiet