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Title: | The impact of dietary education and counselling with a smartphone application on secondary prevention of coronary artery disease: A randomised controlled study (the TeleDiet study) | Authors: | TOSHIKI, Kaihara FALTER, Maarten SCHERRENBERG, Martijn XU, Linqi Maes, Jana Meesen, Elise DENDALE, Paul |
Issue Date: | 2023 | Publisher: | SAGE PUBLICATIONS LTD | Source: | Digital Health, 9 (Art N° 20552076231164101) | Abstract: | Objective: In a secondary prevention of coronary artery disease (CAD), nutritional management is an integral part of lifestyle optimisation. However, few studies have investigated the potential of remote nutritional follow-up using digital solutions. This study investigates the effectiveness of a smartphone application for nutrition education and feedback with pictures of meals by a dietitian for patients with CAD. Methods: Sixty participants with CAD were randomised to either a TeleDiet group or a control group. Participants in the TeleDiet group participated in dietary education using a messaging application. The primary outcome was the change of the Mediterranean diet score (MedDietScore). The Nutrition-Score, a modification of the MedDietScore, blood tests (blood lipids, blood glucose and kidney function), body mass index, self-efficacy, medication adherence and health-related quality of life during the observation period were analysed as secondary outcomes. Results: Sixty participants participated in the study. The difference in the MedDietScore in the TeleDiet group was greater than in the control group, but not significant (2.0 [-1.0, 4.0] vs. 0.0 [-3.0, 1.5], p = 0.066). The difference in the Nutrition-Score in the TeleDiet group was significantly greater than in the control group (3.0 [1.0, 3.5] vs. 0.0 [-3.0, 2.0], p = 0.029). Nutrition knowledge of the TeleDiet group improved significantly compared to the control group (1.9 +/- 1.7 vs. 0.8 +/- 2.1, p = 0.048). Conclusions: A feedback system using a simple messaging application that allows patients with CAD to simply send a picture of their food has a positive effect on nutrition knowledge. It could be a hint for the implementation of the Mediterranean diet. | Notes: | Kaihara, T (corresponding author), St Marianna Univ, Dept Internal Med, Div Cardiol, Sch Med, 2-16-1 Sugao,Miyamae Ku, Kawasaki 2168511, Japan. tk-presen2@marianna-u.ac.jp |
Keywords: | Dietary follow-up;Dietary follow-up;nutrition;nutrition;secondary prevention;secondary prevention;coronary artery disease;coronary artery disease;telerehabilitation;telerehabilitation;MedDietScore;MedDietScore | Document URI: | http://hdl.handle.net/1942/39953 | ISSN: | 2055-2076 | e-ISSN: | 2055-2076 | DOI: | 10.1177/20552076231164101 | ISI #: | 000950945100001 | Rights: | The Author(s) 2023. Creative Commons NonCommercial-NoDerivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons AttributionNonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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