A Novel Mobile Phone App (OncoFood) to Record and Optimize the Dietary Behavior of Oncologic Patients: Pilot Study
| Autor: | Orlemann, Till, Reljic, Dejan, Zenker, Björn, Meyer, Julia, Eskofier, Bjoern, Thiemt, Jana, Herrmann, Hans Joachim, Neurath, Markus Friedrich, Zopf, Yurdagül |
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| Rok vydání: | 2018 |
| Předmět: |
Cancer Research
medicine.medical_specialty smartphone 03 medical and health sciences 0302 clinical medicine Weight loss medicine cancer 030212 general & internal medicine Medical nutrition therapy mobile apps Anamnesis Original Paper mobile phone business.industry Significant difference Protein intake Dietary behavior protein intake Nutritional counseling nutrition Oncology Mobile phone 030220 oncology & carcinogenesis Physical therapy medicine.symptom diet business |
| Zdroj: | JMIR Cancer |
| ISSN: | 2369-1999 |
| DOI: | 10.2196/10703 |
| Popis: | Background Catabolism and tumor-specific therapy lead to reduced nutrient intake and weight loss in cancer patients. Maintaining a specific individualized diet can be challenging for the patient as the nutritional counseling options are limited. Monitoring of nutrient intake and frequent feedback are, however, vital for successful nutritional therapy because they support the patient's compliance and realization of dietary therapeutic goals. Objective This study aimed at investigating the feasibility and applicability of a novel mobile phone app to assess and evaluate dietary behaviors in oncologic patients. Methods To determine dietary habits and food preferences in oncologic patients, initially 1400 nutritional records were evaluated and analyzed. The results provided the basis for creating a nutritional mobile phone app. Key requirements for the app included simple handling, recording the daily intake, and a comparison of nutrient targets and current status. In total, 39 cancer patients were recruited for the study; 15 patients dropped out prior to the study. All patients received a nutritional anamnesis, nutritional analysis, and nutritional counseling. Individual energy and nutrient aims were defined. The intervention group (n=12) additionally used the app. Weight and body composition of each group were evaluated after 4 weeks. Results The app group gained significantly more weight (P=.045; mean weight 1.03 kg vs -1.46 kg). Also, skeletal muscle mass showed a significant increase in the app group (P=.009; mean skeletal muscle mass 0.58 kg vs -0.61 kg) compared with the control group. There was no significant difference between groups relating to the daily protein intake (P=.06). Additionally, there was a decrease in macronutrient intake during the study period in the control group. Conclusions Our study indicates that patients who track their daily dietary habits using a mobile phone app are more likely to reach their nutritional goals than the control patients. Further large-scale studies are needed to confirm these initial findings and test the applicability on a broader basis. |
| Databáze: | OpenAIRE |
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