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Article

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

by
Joaquim Calvo-Lerma
1,*,
Mieke Boon
2,
Jessie Hulst
3,
Carla Colombo
4,
Inês Asseiceira
5,
María Garriga
6,
Etna Masip
1,
Ine Claes
2,
Anna Bulfamante
4,
Hettie M. Janssens
7,8,
Maria Roca
1,
Saioa Vicente
6,
Victoria Fornés
9,
Laura Zazzeron
4,
Bo van Schijndel
7,8,
Sandra Woodcock
7,8,
Luisa Pereira
5,
Kris de Boeck
2 and
Carmen Ribes-Koninckx
1
1
Instituto de Investigación Sanitaria La Fe—Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain
2
Center for Cystic Fibrosis, Department of Pediatrics, University Hospital Leuven, 3000 Leuven, Belgium
3
Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
4
Cystic Fibrosis Center, University of Milan, IRCCS Ca ‘Granda, Maggiore Policlinico Hospital, 20122 Milan, Italy
5
Centro de Fibrose Quística, Hospital de Santa Maria, 1649-028 Lisbon, Portugal
6
Unidad de Fibrosis Quística, Hospital Universitario Ramón y Cajal, 28010 Madrid, Spain
7
Department of Pediatrics, Division of Gastro-Enterology, Erasmus MC-Sophia Children’s Hospital, University Hospital Rotterdam, 14010 Rotterdam, The Netherlands
8
Department of Pediatrics, Division of Respiratory Medicine and Allergology, Erasmus MC-Sophia Children’s Hospital, University Hospital Rotterdam, 14010 Rotterdam, The Netherlands
9
Tauceramica Analytics, 46980 Paterna, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2021, 13(6), 1801; https://doi.org/10.3390/nu13061801
Submission received: 30 March 2021 / Revised: 22 April 2021 / Accepted: 22 May 2021 / Published: 26 May 2021
(This article belongs to the Special Issue Nutrition in Cystic Fibrosis)
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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.
Keywords: cystic fibrosis; nutrition; self-management; m-health; nutrients; diet; food groups; dietary habits cystic fibrosis; nutrition; self-management; m-health; nutrients; diet; food groups; dietary habits

Share and Cite

MDPI and ACS Style

Calvo-Lerma, J.; Boon, M.; Hulst, J.; Colombo, C.; Asseiceira, I.; Garriga, M.; Masip, E.; Claes, I.; Bulfamante, A.; Janssens, H.M.; et al. Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool. Nutrients 2021, 13, 1801. https://doi.org/10.3390/nu13061801

AMA Style

Calvo-Lerma J, Boon M, Hulst J, Colombo C, Asseiceira I, Garriga M, Masip E, Claes I, Bulfamante A, Janssens HM, et al. Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool. Nutrients. 2021; 13(6):1801. https://doi.org/10.3390/nu13061801

Chicago/Turabian Style

Calvo-Lerma, Joaquim, Mieke Boon, Jessie Hulst, Carla Colombo, Inês Asseiceira, María Garriga, Etna Masip, Ine Claes, Anna Bulfamante, Hettie M. Janssens, and et al. 2021. "Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool" Nutrients 13, no. 6: 1801. https://doi.org/10.3390/nu13061801

APA Style

Calvo-Lerma, J., Boon, M., Hulst, J., Colombo, C., Asseiceira, I., Garriga, M., Masip, E., Claes, I., Bulfamante, A., Janssens, H. M., Roca, M., Vicente, S., Fornés, V., Zazzeron, L., van Schijndel, B., Woodcock, S., Pereira, L., de Boeck, K., & Ribes-Koninckx, C. (2021). Change in Nutrient and Dietary Intake in European Children with Cystic Fibrosis after a 6-Month Intervention with a Self-Management mHealth Tool. Nutrients, 13(6), 1801. https://doi.org/10.3390/nu13061801

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