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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Format: | Article |
Language: | English |
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MDPI AG
2021-05-01
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Series: | Nutrients |
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Online Access: | https://www.mdpi.com/2072-6643/13/6/1801 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
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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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 |