Nutrition-related mobile apps in the Spanish app stores: quality and content analysis

Background: Mobile apps represent accessible and cost-effective tools to improve nutrition and prevent chronic diseases. However, most of these apps have been characterized as having limited functionality, raising concerns about their effectiveness, acceptability, and efficacy. Objective: The aims o...

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Autores: Fernández Lázaro, César Ignacio, SantaMaría Gómez, Gema, Martin Vergel, Maria I., Fernández Lázaro, Diego
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2024
País:España
Recursos:Universidad de Valladolid
Repositório:UVaDOC. Repositorio Documental de la Universidad de Valladolid
OAI Identifier:oai:uvadoc.uva.es:10324/74316
Acesso em linha:https://doi.org/10.2196/52424
https://uvadoc.uva.es/handle/10324/74316
Access Level:Acceso aberto
Palavra-chave:mobile apps
mHealth
mobile health
app
nutritional
nutrition
dietary
eating
diet
food
lifestyle
Spain
Spanish
chronic diseases
chronic
review
quality
MARS
Mobile App Rating Scale
uMARS
user version of the Mobile App Rating Scale
assessment
mobile phone
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spelling Nutrition-related mobile apps in the Spanish app stores: quality and content analysisFernández Lázaro, César IgnacioSantaMaría Gómez, GemaMartin Vergel, Maria I.Fernández Lázaro, Diegomobile appsmHealthmobile healthappnutritionalnutritiondietaryeatingdietfoodlifestyleSpainSpanishchronic diseaseschronicreviewqualityMARSMobile App Rating ScaleuMARSuser version of the Mobile App Rating Scaleassessmentmobile phoneBackground: Mobile apps represent accessible and cost-effective tools to improve nutrition and prevent chronic diseases. However, most of these apps have been characterized as having limited functionality, raising concerns about their effectiveness, acceptability, and efficacy. Objective: The aims of the study were to assess the quality of popular nutrition-related app platforms in Spain and to describe their characteristics and functionalities. Methods: We screened apps providing information on dietary advice, food advice, and nutritional content in the Apple App Store and Google Play Store in Spain from March 2 to March 16, 2024. Apps with a star rating of ≥4 (of 5 stars), those available in Spanish, those that were free of charge, those last updated after January 2022, those with >500 reviews, and those with >500,000 downloads were included. The quality of apps was assessed using the user version of the Mobile App Rating Scale (uMARS). General characteristics and nutritional, health, and market-related functionalities of the nutrition-related apps were described. Correlations among total and uMARS sections, star ratings, and number of reviews and downloads were evaluated. Results: Among the 1460 apps identified in the search, 42 apps met the criteria. The majority of these (n=20, 48%) aimed at recording and analyzing food intake, followed by those providing nutritional plans or diets (n=9, 21%), advising on healthy habits (n=7, 17%), and offering recipes (n=6, 14%). The most prevalent nutritional functionalities offered were recording and monitoring body measurements (n=30, 71%), food tracking (n=26, 62%), and dietary analysis (n=25, 60%), whereas nutrition education was less common (n=16, 38%). Among market-related functionalities, advertisements were the most common among the study apps (n=30, 71%), followed by the option of sharing on social media (n=29, 69%) and customizable reminders (n=26, 62%). Sharing the recorded information in the app with health professionals was infrequent (n=1, 2%). The mean (SD) total uMARS score (maximum 5 points) was 3.78 (0.35), while the mean (SD) uMARS scores for functionality, aesthetics, engagement, and information were 4.21 (0.38), 3.94 (0.54), 3.51 (0.46), and 3.48 (0.44), respectively. Lower mean scores were observed for the subjective quality (mean 2.65, SD 0.56) and perceived impact (mean 3.06, SD 0.67). Moderate to strong positive significant correlations were mostly observed between total uMARS and section-specific uMARS scores, while the correlations between the uMARS section scores were mostly moderate positive. Total uMARS scores were very weakly correlated with user rating, number of reviews, and number of downloads. Conclusions: The quality of popular nutrition-related app platforms in Spain was acceptable, with observed remarkable differences between sections. The majority of the apps were appealing due to their user-friendly interfaces. Only a few apps, however, provided dietary structure analysis or nutritional education. Further research is needed to assess the long-term impact of these apps on users.Ministry of Science and Innovation, the Government of Spain, and the European Union (project PID2022-141358OBI00)2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.2196/52424https://uvadoc.uva.es/handle/10324/74316reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolidinstname:Universidad de ValladolidIngléshttps://mhealth.jmir.org/2024/1/e52424info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/oai:uvadoc.uva.es:10324/743162026-06-13T12:44:47Z
dc.title.none.fl_str_mv Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
title Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
spellingShingle Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
Fernández Lázaro, César Ignacio
mobile apps
mHealth
mobile health
app
nutritional
nutrition
dietary
eating
diet
food
lifestyle
Spain
Spanish
chronic diseases
chronic
review
quality
MARS
Mobile App Rating Scale
uMARS
user version of the Mobile App Rating Scale
assessment
mobile phone
title_short Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
title_full Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
title_fullStr Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
title_full_unstemmed Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
title_sort Nutrition-related mobile apps in the Spanish app stores: quality and content analysis
dc.creator.none.fl_str_mv Fernández Lázaro, César Ignacio
SantaMaría Gómez, Gema
Martin Vergel, Maria I.
Fernández Lázaro, Diego
author Fernández Lázaro, César Ignacio
author_facet Fernández Lázaro, César Ignacio
SantaMaría Gómez, Gema
Martin Vergel, Maria I.
Fernández Lázaro, Diego
author_role author
author2 SantaMaría Gómez, Gema
Martin Vergel, Maria I.
Fernández Lázaro, Diego
author2_role author
author
author
dc.subject.none.fl_str_mv mobile apps
mHealth
mobile health
app
nutritional
nutrition
dietary
eating
diet
food
lifestyle
Spain
Spanish
chronic diseases
chronic
review
quality
MARS
Mobile App Rating Scale
uMARS
user version of the Mobile App Rating Scale
assessment
mobile phone
topic mobile apps
mHealth
mobile health
app
nutritional
nutrition
dietary
eating
diet
food
lifestyle
Spain
Spanish
chronic diseases
chronic
review
quality
MARS
Mobile App Rating Scale
uMARS
user version of the Mobile App Rating Scale
assessment
mobile phone
description Background: Mobile apps represent accessible and cost-effective tools to improve nutrition and prevent chronic diseases. However, most of these apps have been characterized as having limited functionality, raising concerns about their effectiveness, acceptability, and efficacy. Objective: The aims of the study were to assess the quality of popular nutrition-related app platforms in Spain and to describe their characteristics and functionalities. Methods: We screened apps providing information on dietary advice, food advice, and nutritional content in the Apple App Store and Google Play Store in Spain from March 2 to March 16, 2024. Apps with a star rating of ≥4 (of 5 stars), those available in Spanish, those that were free of charge, those last updated after January 2022, those with >500 reviews, and those with >500,000 downloads were included. The quality of apps was assessed using the user version of the Mobile App Rating Scale (uMARS). General characteristics and nutritional, health, and market-related functionalities of the nutrition-related apps were described. Correlations among total and uMARS sections, star ratings, and number of reviews and downloads were evaluated. Results: Among the 1460 apps identified in the search, 42 apps met the criteria. The majority of these (n=20, 48%) aimed at recording and analyzing food intake, followed by those providing nutritional plans or diets (n=9, 21%), advising on healthy habits (n=7, 17%), and offering recipes (n=6, 14%). The most prevalent nutritional functionalities offered were recording and monitoring body measurements (n=30, 71%), food tracking (n=26, 62%), and dietary analysis (n=25, 60%), whereas nutrition education was less common (n=16, 38%). Among market-related functionalities, advertisements were the most common among the study apps (n=30, 71%), followed by the option of sharing on social media (n=29, 69%) and customizable reminders (n=26, 62%). Sharing the recorded information in the app with health professionals was infrequent (n=1, 2%). The mean (SD) total uMARS score (maximum 5 points) was 3.78 (0.35), while the mean (SD) uMARS scores for functionality, aesthetics, engagement, and information were 4.21 (0.38), 3.94 (0.54), 3.51 (0.46), and 3.48 (0.44), respectively. Lower mean scores were observed for the subjective quality (mean 2.65, SD 0.56) and perceived impact (mean 3.06, SD 0.67). Moderate to strong positive significant correlations were mostly observed between total uMARS and section-specific uMARS scores, while the correlations between the uMARS section scores were mostly moderate positive. Total uMARS scores were very weakly correlated with user rating, number of reviews, and number of downloads. Conclusions: The quality of popular nutrition-related app platforms in Spain was acceptable, with observed remarkable differences between sections. The majority of the apps were appealing due to their user-friendly interfaces. Only a few apps, however, provided dietary structure analysis or nutritional education. Further research is needed to assess the long-term impact of these apps on users.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.2196/52424
https://uvadoc.uva.es/handle/10324/74316
url https://doi.org/10.2196/52424
https://uvadoc.uva.es/handle/10324/74316
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://mhealth.jmir.org/2024/1/e52424
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolid
instname:Universidad de Valladolid
instname_str Universidad de Valladolid
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collection UVaDOC. Repositorio Documental de la Universidad de Valladolid
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