Abstract

Nutrition apps have great potential to support people to improve their diets, but few apps give automated validated personalised nutrition advice. A web app capable of delivering automated personalised food-based nutrition advice (eNutri) was developed. The aims of this study were to i) evaluate and optimise the personalised nutrition report provided by the app and ii) compare the personalised food-based advice with nutrition professionals’ standards to aid validation. A study with nutrition professionals (NP) compared the advice provided by the app against professional Registered Dietitians (RD) (n = 16) and Registered Nutritionists (RN) (n = 16) standards. Each NP received two pre-defined scenarios, comprising an individual’s characteristics and dietary intake based on an analysis of a food frequency questionnaire, along with the nutrition food-based advice that was automatically generated by the app for that individual. NPs were asked to use their professional judgment to consider the scenario, provide their three most relevant recommendations for that individual, then consider the app’s advice and rate their level of agreement via 5-star scales (with 5 as complete agreement). NPs were also asked to comment on the eNutri recommendations, scores generated and overall impression. The mean scores for the appropriateness, relevance and suitability of the eNutri diet messages were 3.5, 3.3 and 3.3 respectively.

Highlights

  • Nutrition apps have significant potential to improve health-related food choice

  • Our review of popular nutrition-related mobile apps revealed that none of the reviewed apps had a decision engine capable of providing personalised dietary advice [1]

  • Results from this study suggest that online personalised nutrition advice, based on dietary intake (assessed using a validated Food Frequency Questionnaire (FFQ) [6,7] with photographs), was more effective at improving adherence to dietary advice than standard population guidance [8]

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Summary

Introduction

Nutrition apps have significant potential to improve health-related food choice. Our review of popular nutrition-related mobile apps revealed that none of the reviewed apps had a decision engine capable of providing personalised dietary advice [1]. A recent three country study (Australia, New Zealand and the UK) showed that nutrition apps were used by the majority of the respondent dietitians (62%, n = 570), as information sources (74%) or for patient self-monitoring (60%) [2]. These data illustrate the high and increasing use of nutrition-related apps by both the public and dietetic professionals. There is a lack of evidence on whether users of nutrition apps are able to understand them

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