2026-09-14T06:01:10Zhttps://gredos.usal.es/oai/request

oai:gredos.usal.es:10366/1551242025-04-30T19:37:07Zcom_10366_4019com_10366_3947com_10366_3946com_10366_3823col_10366_4020

García Ortiz, Luis Recio Rodríguez, José Ignacio Agudo Conde, Cristina Patino Alonso, María Carmen Maderuelo Fernández, José Ángel Repiso-Gento, Irene Puigdomenech Puig, Elisa Gonzalez-Viejo, Natividad Arietaleanizbeaskoa, María Soledad Schmolling-Guinovart, Yolanda Gómez Marcos, Manuel Ángel Rodríguez Sánchez, Emiliano 2024-01-31T20:35:49Z 2024-01-31T20:35:49Z 2018 Garcia-Ortiz, L., Recio-Rodriguez, J. I., Agudo-Conde, C., Patino-Alonso, M. C., Maderuelo-Fernandez, J. A., Gento, I. R., ... & EVIDENT Investigators Group. (2018). Long-term effectiveness of a smartphone app for improving healthy lifestyles in general population in primary care: randomized controlled trial (Evident II study). JMIR mHealth and uHealth, 6(4), e9218. doi: 10.2196/mhealth.9218 http://hdl.handle.net/10366/155124 10.2196/mhealth.9218 2291-5222 [EN]Background: Information and communication technologies are currently among the supporting elements that may contribute to improving health and changing lifestyles. Objective: The aim of this study was to evaluate the long-term effectiveness of adding an app to standardized counseling in order to increase physical activity (PA) and adherence to the Mediterranean diet and to analyze the effects of app adherence in lifestyle changes. Methods: A randomized, multicenter clinical trial with a 12 month-follow up was conducted, involving 833 participants recruited by random sampling in 6 primary Spanish care centers (415 vs 418). Counseling on PA and the Mediterranean diet was given to both groups by a research nurse; however, the counseling + app group (intervention group) received additional training in the use of an app that was designed to promote the Mediterranean diet and PA over a 3-month period. Main outcomes and measures included PA by accelerometer and the 7-day Physical Activity Recall (PAR) questionnaire and adherence to the Mediterranean diet by an adherence screener questionnaire. We considered adherence to the app to be high when it was used for more than 60 days. Results: The mean age was 51 years (SD 12) in the intervention group and 52.3 years (SD 12.0) in the counseling-only group; females predominated in both groups (60.0%, 249/415 and 64.1%, 268/418, respectively). PA by accelerometer declined in both groups at 12 months (P value for tendency in moderate to vigorous PA, [MVPA]=.15). The intervention subgroup with high app adherence had better behavior than the low adherence subgroup (P value for tendency in MVPA=.001). PA analyzed by 7-day PAR did not show changes at 12 months in any of the groups (P value for tendency=.25). In the Mediterranean diet, an increase in adherence was observed in both groups at 12 months with no differences between them (P value for tendency=.46). In these two cases, the group with high app adherence also had better behavior, although without reaching significance for the tendency (P>.05). Conclusions: The participants with strongest app adherence showed better outcomes in terms of maintenance of healthy lifestyles at 12 months than those with weaker adherence. Overall, however, we found no differences between intervention group and counseling-only group in PA increase and adherence to the Mediterranean diet in the long term. This study was funded by the Spanish Ministry of Science and Innovation (MICINN), the Carlos III Health Institute/European Regional Development Fund (ERDF) (MICINN, ISCIII/FEDER) (FIS: This study was funded by the Spanish Ministry of Science and Innovation (MICINN), the Carlos III Health Institute/European Regional Development Fund (ERDF) (MICINN, ISCIII/FEDER) (FIS: PI13/00618, PI13/01526, PI13/00058, PI13/01635, PI13/02528, PI12/01474; RETICS: RD12/0005, RD16/0007), the Regional Health Management of Castilla y León (GRS 1191/B/15, GRS 909/B/14, GRS 770/B/13), Biomedical Research Institute of Salamanca (IBSAL; IBI16/00008), and the Infosalud Foundation. They played no role in the study design, data analysis, reporting of results, or the decision to submit the manuscript for publication.), the Regional Health Management of Castilla y León (GRS 1191/B/15, GRS 909/B/14, GRS 770/B/13), Biomedical Research Institute of Salamanca (IBSAL; IBI16/00008), and the Infosalud Foundation. They played no role in the study design, data analysis, reporting of results, or the decision to submit the manuscript for publication. eng JMIR Publications Exercise Mediterranean diet Smartphone Vascular stiffness Vascular Stiffness Exercise rigidez vascular ejercicio físico Long-term effectiveness of a smartphone app for improving healthy lifestyles in general population in primary care: Randomized controlled trial (evident II study) info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion https://mhealth.jmir.org/2018/4/e107/ PI13/00058, PI13/01635, PI13/02528, PI12/01474 info:eu-repo/semantics/openAccess JMIR mHealth and uHealth 6 4 e107