The Effects of Dietary Mobile Apps on Nutritional Outcomes in Adults with Chronic Diseases: A Systematic Review and Meta-Analysis - PubMed (original) (raw)
Meta-Analysis
. 2019 Apr;119(4):626-651.
doi: 10.1016/j.jand.2018.11.010. Epub 2019 Jan 25.
- PMID: 30686742
- DOI: 10.1016/j.jand.2018.11.010
Meta-Analysis
The Effects of Dietary Mobile Apps on Nutritional Outcomes in Adults with Chronic Diseases: A Systematic Review and Meta-Analysis
Cosette Fakih El Khoury et al. J Acad Nutr Diet. 2019 Apr.
Abstract
Background: Dietary interventions are effective prevention and treatment strategies for chronic diseases; however, they require extensive commitment, time, and resources. Dietary mobile applications (apps) have gained popularity and are thus being incorporated into dietary management.
Objective: The aim of this review is to assess the effects of the use of dietary mobile apps on nutritional outcomes in adults with chronic diseases.
Methods: A systematic review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using MEDLINE, PubMed, Embase, and CINAHL databases. The protocol was registered on PROSPERO. Intervention studies evaluating the nutritional outcomes of dietary apps, published in English between January 1, 2007 and November 15, 2017 were included. The methodological quality of included articles was assessed via the Academy of Nutrition and Dietetics' Quality Criteria Checklist: Primary Research. Heterogeneity was confirmed using the I2 index and a random-effects meta-analysis was performed for randomized controlled trials. Estimates of the pooled mean difference were calculated for app usage compared to no app usage.
Main outcomes measure: Nutritional outcomes, categorized as food-/nutrition-related, anthropometric measurements, pertinent clinical/biochemical data, and nutrition-focused physical findings, were extracted from the included intervention studies.
Results: Upon completion of the searches, 18,649 articles were identified, and data were extracted from 22 articles. Pooled estimates showed a significantly greater decrease in weight (-2.45 kg, 95% CI -3.33 to -1.58 kg; P<0.001; I2=96.2%, 95% CI 95% to 97%), waist circumference (-2.54 cm, 95% CI -3.34 to -1.73 cm; P<0.001; I2=88.3%, 95% CI 67% to 96%), and energy intake (-149.52 kcal, 95% CI -215.78 to -83.27 kcal; P<0.001; I2=0% CI 0% to 90%) when an app was used compared to control.
Conclusions: The findings of this systematic review and meta-analysis indicate that dietary mobile apps are effective self-monitoring tools, and that their use results in positive effects on measured nutritional outcomes in chronic diseases, especially weight loss.
Keywords: Chronic disease; Dietary mobile apps; Mobile apps; Nutrition intervention; Nutritional outcomes.
Copyright © 2019 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
Similar articles
- Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors: Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].
Patnode CD, Evans CV, Senger CA, Redmond N, Lin JS. Patnode CD, et al. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. PMID: 29364620 Free Books & Documents. Review. - Effectiveness of Mobile App Interventions to Improve Periodontal Health: Protocol for a Systematic Review and Meta-Analysis.
Musa R, Elamin D, Barrie R, Kimmie-Dhansay F. Musa R, et al. JMIR Res Protoc. 2024 Jul 31;13:e50479. doi: 10.2196/50479. JMIR Res Protoc. 2024. PMID: 39083769 Free PMC article. - The use of mobile apps to improve nutrition outcomes: A systematic literature review.
DiFilippo KN, Huang WH, Andrade JE, Chapman-Novakofski KM. DiFilippo KN, et al. J Telemed Telecare. 2015 Jul;21(5):243-53. doi: 10.1177/1357633X15572203. Epub 2015 Feb 12. J Telemed Telecare. 2015. PMID: 25680388 Review. - Mobile Apps to Improve Medication Adherence in Cardiovascular Disease: Systematic Review and Meta-analysis.
Al-Arkee S, Mason J, Lane DA, Fabritz L, Chua W, Haque MS, Jalal Z. Al-Arkee S, et al. J Med Internet Res. 2021 May 25;23(5):e24190. doi: 10.2196/24190. J Med Internet Res. 2021. PMID: 34032583 Free PMC article. Review. - Tailored Communication Within Mobile Apps for Diabetes Self-Management: A Systematic Review.
Holmen H, Wahl AK, Cvancarova Småstuen M, Ribu L. Holmen H, et al. J Med Internet Res. 2017 Jun 23;19(6):e227. doi: 10.2196/jmir.7045. J Med Internet Res. 2017. PMID: 28645890 Free PMC article. Review.
Cited by
- Usability of myfood24 Healthcare and Mathematical Diet Optimisation in Clinical Populations: A Pilot Feasibility Randomised Controlled Trial.
Threapleton DE, Beer SL, Foley DJ, Gibson LE, Trevillion S, Burke D, Wheatstone P, Gath J, Hex N, Setters J, Greenwood DC, Cade JE. Threapleton DE, et al. Nutrients. 2022 Apr 23;14(9):1768. doi: 10.3390/nu14091768. Nutrients. 2022. PMID: 35565736 Free PMC article. Clinical Trial. - [Telehealth, food consumption, and eating behavior in adults: a rapid review of systematic reviewsTelesalud, consumo de alimentos y comportamiento alimentario de la población adulta: examen rápido de revisiones sistemáticas].
de Melo RC, da Silva LALB, Toma TS, de Araújo BC, Luquine CD Jr, Milhomens LM, Melo DS, de Bortoli MC, Barreto JOM. de Melo RC, et al. Rev Panam Salud Publica. 2023 Mar 31;47:e47. doi: 10.26633/RPSP.2023.47. eCollection 2023. Rev Panam Salud Publica. 2023. PMID: 37008677 Free PMC article. Portuguese. - A Dietary Mobile App for Patients Undergoing Hemodialysis: Prospective Pilot Study to Improve Dietary Intakes.
Fakih El Khoury C, Crutzen R, Schols JMGA, Halfens RJG, Karavetian M. Fakih El Khoury C, et al. J Med Internet Res. 2020 Jul 20;22(7):e17817. doi: 10.2196/17817. J Med Internet Res. 2020. PMID: 32706698 Free PMC article. - Framework Development for Reducing Attrition in Digital Dietary Interventions: Systematic Review and Thematic Synthesis.
Wang J, Mahe J, Huo Y, Huang W, Liu X, Zhao Y, Huang J, Shi F, Li Z, Jiang D, Li Y, Perceval G, Zhao L, Zhang L. Wang J, et al. J Med Internet Res. 2024 Aug 27;26:e58735. doi: 10.2196/58735. J Med Internet Res. 2024. PMID: 39190910 Free PMC article. - Effectiveness of Smartphone App-Based Interactive Management on Glycemic Control in Chinese Patients With Poorly Controlled Diabetes: Randomized Controlled Trial.
Zhang L, He X, Shen Y, Yu H, Pan J, Zhu W, Zhou J, Bao Y. Zhang L, et al. J Med Internet Res. 2019 Dec 9;21(12):e15401. doi: 10.2196/15401. J Med Internet Res. 2019. PMID: 31815677 Free PMC article. Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical