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Gonzalez-Ramirez M, Sanchez-Carrera R, Cejudo-Lopez A, Lozano-Navarrete M, Salamero Sánchez-Gabriel E, Torres-Bengoa MA, Segura-Balbuena M, Sanchez-Cordero MJ, Barroso-Vazquez M, Perez-Barba FJ, Troncoso AM, Garcia-Parrilla MC, Cerezo AB. Short-Term Pilot Study to Evaluate the Impact of Salbi Educa Nutrition App in Macronutrients Intake and Adherence to the Mediterranean Diet: Randomized Controlled Trial. Nutrients 2022; 14:nu14102061. [PMID: 35631202 PMCID: PMC9146242 DOI: 10.3390/nu14102061] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 05/06/2022] [Accepted: 05/12/2022] [Indexed: 01/19/2023] Open
Abstract
Promoting a healthy diet is a relevant strategy for preventing non-communicable diseases. This study aims to evaluate the impact of an innovative tool, the SAlBi educa nutrition app, in primary healthcare dietary counseling to improve dietary profiles as well as adherence to the Mediterranean diet. A multi-center randomized control trial comprising 104 participants was performed. Both control (n = 49) and intervention (n = 55) groups attended four once-weekly sessions focusing on healthy eating habits and physical activity, over one month. As well as attending the meetings, the intervention group used the app, which provides self-monitoring and tailored dietary advice based on the Mediterranean diet model. In a second intervention (one arm trial), the potential of SAlBi educa was evaluated for three months during the COVID-19 pandemic. At 4 weeks, the intervention group had significantly increased their carbohydrate intake (7.7% (95% CI: 0.16 to 15.2)) and decreased their total fat intake (−5.7% (95% CI: −10.4 to −1.15)) compared to the control group. Significant differences were also found for carbohydrates (3.5% (95% CI: −1.0 to 5.8)), total fats (−5.9% (95% CI: −8.9 to −3.0)), fruits and vegetables (266.3 g/day (95% CI: 130.0 to 402.6)), legumes (7.7g/day (95% CI: 0.2 to 15.1)), starchy foods (36.4 g/day (95% CI: 1.1 to 71.7)), red meat (−17.5 g/day (95% CI: −34.0 to −1.1)), and processed meat (−6.6 g/day (95% CI: −13.1 to −0.1)) intakes during the COVID-19 pandemic. SAlBi educa is a useful tool to support nutrition counseling in primary healthcare, including in special situations such as the COVID-19 pandemic. Trial registration: ISRCTN57186362.
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Affiliation(s)
- Marina Gonzalez-Ramirez
- Departamento de Nutrición y Bromatología, Toxicología y Medicina Legal, Facultad de Farmacia, Universidad de Sevilla, 41012 Sevilla, Spain; (M.G.-R.); (R.S.-C.); (A.M.T.); (M.C.G.-P.)
- Fundación Pública Andaluza para la Gestión de la Investigación en Salud de Sevilla (FISEVI), Hospital Universitario Virgen Macarena, 41013 Sevilla, Spain
| | - Rocio Sanchez-Carrera
- Departamento de Nutrición y Bromatología, Toxicología y Medicina Legal, Facultad de Farmacia, Universidad de Sevilla, 41012 Sevilla, Spain; (M.G.-R.); (R.S.-C.); (A.M.T.); (M.C.G.-P.)
- Fundación Pública Andaluza para la Gestión de la Investigación en Salud de Sevilla (FISEVI), Hospital Universitario Virgen Macarena, 41013 Sevilla, Spain
| | - Angela Cejudo-Lopez
- Centro de Salud Bellavista, Distrito Sanitario de Atención Primaria Sevilla, 41013 Sevilla, Spain; (A.C.-L.); (F.J.P.-B.)
| | | | - Elena Salamero Sánchez-Gabriel
- Centro de Salud Puerta Este “Dr. Pedro Vallina”, Distrito Sanitario de Atención Primaria Sevilla, 41020 Sevilla, Spain; (E.S.S.-G.); (M.A.T.-B.)
| | - M. Alfonso Torres-Bengoa
- Centro de Salud Puerta Este “Dr. Pedro Vallina”, Distrito Sanitario de Atención Primaria Sevilla, 41020 Sevilla, Spain; (E.S.S.-G.); (M.A.T.-B.)
| | - Manuel Segura-Balbuena
- Centro de Salud Esperanza Macarena, Distrito Sanitario de Atención Primaria Sevilla, 41003 Sevilla, Spain;
| | - Maria J. Sanchez-Cordero
- Centro de Salud Los Bermejales, Distrito Sanitario de Atención Primaria Sevilla, 41013 Sevilla, Spain; (M.J.S.-C.); (M.B.-V.)
| | - Mercedes Barroso-Vazquez
- Centro de Salud Los Bermejales, Distrito Sanitario de Atención Primaria Sevilla, 41013 Sevilla, Spain; (M.J.S.-C.); (M.B.-V.)
| | - Francisco J. Perez-Barba
- Centro de Salud Bellavista, Distrito Sanitario de Atención Primaria Sevilla, 41013 Sevilla, Spain; (A.C.-L.); (F.J.P.-B.)
| | - Ana M. Troncoso
- Departamento de Nutrición y Bromatología, Toxicología y Medicina Legal, Facultad de Farmacia, Universidad de Sevilla, 41012 Sevilla, Spain; (M.G.-R.); (R.S.-C.); (A.M.T.); (M.C.G.-P.)
| | - M. Carmen Garcia-Parrilla
- Departamento de Nutrición y Bromatología, Toxicología y Medicina Legal, Facultad de Farmacia, Universidad de Sevilla, 41012 Sevilla, Spain; (M.G.-R.); (R.S.-C.); (A.M.T.); (M.C.G.-P.)
| | - Ana B. Cerezo
- Departamento de Nutrición y Bromatología, Toxicología y Medicina Legal, Facultad de Farmacia, Universidad de Sevilla, 41012 Sevilla, Spain; (M.G.-R.); (R.S.-C.); (A.M.T.); (M.C.G.-P.)
- Correspondence: ; Tel.: +34-954-556-760
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