Clinical trial NCT02016014: Effectiveness of the Use of a Mobile Tool in Improving Lifestyles
Official title: Effectiveness of the Use of a Mobile Tool Added to a Standard Intervention in Improving Lifestyles in Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy Subjects Without Cardiovascular Disease
Keywords: Physical activity
Alimentation
Information and communication Technology
Arterial aging
Lead sponsor: Instituto de Investigación Biomédica de Salamanca
Sponsor class: OTHER
Collaborators: name: Instituto de Salud Carlos III
First posted: 2013-12-19
Enrollment: 833
Sex: ALL
Minimum age (years): 20
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Objectives: To develop and validate a mobile tool for use in Smartphone supports as a first step, and to evaluate the effect of adding this new tool of information and communication technologies (ICT), to a standardized intervention to increase adherence to nutritional recommendations of the Mediterranean diet and increase physical activity as primary endpoint. Analyze adherence and intervention results from a gender perspective. Methodology: Multicenter, randomized double-blind, clinical trial with two parallel group, aimed at assessing the effects of adding an TIC tool, developed for the Smartphone application (intervention), in support of behavioral and educational recommendations (control) in the increased physical activity and adaptation to the Mediterranean dietary pattern. Population: 1215 included subjects younger than 70 years from the project EVIDENT who agree to participate. Measurement and interventions: Physical activity will be assessed with the accelerometer and the 7-PAR day and adaptation to the Mediterranean diet with a questionnaire of adherence and a food frequency survey. It will also assess vascular structure and function, central blood pressure, Augmentation index, pulse rate and of carotid intima-media thickness. The counsel to adaptation the Mediterranean diet (based on the project PREDIMED) and exercise (based on PEPAF project), will be common to both groups. The intervention group will be added training and use of an application on a Smartphone designed to promote healthy eating and increased physical activity.


Eligibility criteria: Inclusion Criteria:

* Healthy subjects since 20 to 70 years

Exclusion Criteria:

Older than 70 years are excluded, due to difficulties in the use of ICTs and those who can not exercise or follow a diet Mediterranean diet

Primary outcomes:
measure: Mediterranean diet compliance
timeFrame: 1 year
Secondary outcomes:
measure: Increase physical activity
timeFrame: 1 year
Other outcomes:
measure: Cardio ankle vascular index (CAVI)
timeFrame: 1 year
Locations:
city: Salamanca
country: Spain
facility: Instituto Biosanitario de Salamanca. Research unit La Alamedilla
Study officials:
affiliation: Instituto Biosanitario de Salamanca
name: Luis Garcia-Ortiz, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Garcia-Ortiz L, Recio-Rodriguez JI, Martin-Cantera C, Cabrejas-Sanchez A, Gomez-Arranz A, Gonzalez-Viejo N, Iturregui-San Nicolas E, Patino-Alonso MC, Gomez-Marcos MA; EVIDENT Group. Physical exercise, fitness and dietary pattern and their relationship with circadian blood pressure pattern, augmentation index and endothelial dysfunction biological markers: EVIDENT study protocol. BMC Public Health. 2010 May 6;10:233. doi: 10.1186/1471-2458-10-233.
citation: Grandes G, Sanchez A, Sanchez-Pinilla RO, Torcal J, Montoya I, Lizarraga K, Serra J; PEPAF Group. Effectiveness of physical activity advice and prescription by physicians in routine primary care: a cluster randomized trial. Arch Intern Med. 2009 Apr 13;169(7):694-701. doi: 10.1001/archinternmed.2009.23.
citation: Estruch R, Ros E, Salas-Salvado J, Covas MI, Corella D, Aros F, Gomez-Gracia E, Ruiz-Gutierrez V, Fiol M, Lapetra J, Lamuela-Raventos RM, Serra-Majem L, Pinto X, Basora J, Munoz MA, Sorli JV, Martinez JA, Martinez-Gonzalez MA; PREDIMED Study Investigators. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013 Apr 4;368(14):1279-90. doi: 10.1056/NEJMoa1200303. Epub 2013 Feb 25.
citation: Gonzalez-Sanchez J, Recio-Rodriguez JI, Fernandez-delRio A, Sanchez-Perez A, Magdalena-Belio JF, Gomez-Marcos MA, Garcia-Ortiz L; On behalf the EVIDENT Investigators group. Using a smartphone app in changing cardiovascular risk factors: A randomized controlled trial (EVIDENT II study). Int J Med Inform. 2019 May;125:13-21. doi: 10.1016/j.ijmedinf.2019.02.004. Epub 2019 Feb 12.
citation: Recio-Rodriguez JI, Rodriguez-Martin C, Gonzalez-Sanchez J, Rodriguez-Sanchez E, Martin-Borras C, Martinez-Vizcaino V, Arietaleanizbeaskoa MS, Magdalena-Gonzalez O, Fernandez-Alonso C, Maderuelo-Fernandez JA, Gomez-Marcos MA, Garcia-Ortiz L; EVIDENT Investigators. EVIDENT Smartphone App, a New Method for the Dietary Record: Comparison With a Food Frequency Questionnaire. JMIR Mhealth Uhealth. 2019 Feb 8;7(2):e11463. doi: 10.2196/11463.
citation: Gomez-Marcos MA, Patino-Alonso MC, Recio-Rodriguez JI, Agudo-Conde C, Romaguera-Bosch M, Magdalena-Gonzalez O, Gomez-Arranz A, Mendizabal-Gallastegui N, Angel Fernandez-Diez J, Gomez-Sanchez L, Maderuelo-Fernandez JA, Rodriguez-Sanchez E, Garcia-Ortiz L; on behalf the EVIDENT Investigators 11. Short- and long-term effectiveness of a smartphone application for improving measures of adiposity: A randomised clinical trial - EVIDENT II study. Eur J Cardiovasc Nurs. 2018 Aug;17(6):552-562. doi: 10.1177/1474515118761870. Epub 2018 Feb 28.
citation: Recio-Rodriguez JI, Agudo-Conde C, Martin-Cantera C, Gonzalez-Viejo MN, Fernandez-Alonso MD, Arietaleanizbeaskoa MS, Schmolling-Guinovart Y, Maderuelo-Fernandez JA, Rodriguez-Sanchez E, Gomez-Marcos MA, Garcia-Ortiz L; EVIDENT Investigators. Short-Term Effectiveness of a Mobile Phone App for Increasing Physical Activity and Adherence to the Mediterranean Diet in Primary Care: A Randomized Controlled Trial (EVIDENT II Study). J Med Internet Res. 2016 Dec 19;18(12):e331. doi: 10.2196/jmir.6814.
citation: Sanchez-Aguadero N, Alonso-Dominguez R, Recio-Rodriguez JI, Patino-Alonso MC, Gomez-Marcos MA, Martin-Cantera C, Schmolling-Guinovart Y, Garcia-Ortiz L; EVIDENT II Group. Dietary glycemic index and retinal microvasculature in adults: a cross-sectional study. Nutr J. 2016 Oct 18;15(1):88. doi: 10.1186/s12937-016-0209-2.
citation: Recio-Rodriguez JI, Martin-Cantera C, Gonzalez-Viejo N, Gomez-Arranz A, Arietaleanizbeascoa MS, Schmolling-Guinovart Y, Maderuelo-Fernandez JA, Perez-Arechaederra D, Rodriguez-Sanchez E, Gomez-Marcos MA, Garcia-Ortiz L; EVIDENT Group. Effectiveness of a smartphone application for improving healthy lifestyles, a randomized clinical trial (EVIDENT II): study protocol. BMC Public Health. 2014 Mar 15;14:254. doi: 10.1186/1471-2458-14-254.