Cited by 58Nutrition, Health and Food BehaviorMobile Health and mHealth ApplicationsMobile Learning in Education

The impact of nutrition education intervention with and without a mobile phone application on nutrition knowledge among young endurance athletes

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Heikkilä, Maria, Lehtovirta, Mikko, Autio, Ossi, Fogelholm, Mikael, Valve, Raisa·2019·Nutrients

Abstract

Athletes often have significant gaps in their nutrition knowledge. Thus, the aim of this study was to investigate whether young Finnish endurance athletes’ nutrition knowledge and dietary intake can be improved through an education intervention with or without a mobile food application. Seventy-nine endurance athletes, 18.0 years (SD: 1.4), participated in this randomized, controlled intervention. We compared the effects of participatory nutrition education sessions alone (group EDU) to those including the use of a mobile food application (group EDU + APP) for four days after each session. Both groups attended three 90-min education sessions fortnightly. The participants completed a validated nutrition knowledge questionnaire in Weeks 0, 5, and 17, and a three-day food diary in Weeks 0 and 17. The education plan was based on the Self-Determination Theory and the concept of meaningful learning process. The EDU group’s nutrition knowledge scores were: 78 (week 0), 85 (week 5), and 84 (week 17) and the EDU + APP group’s 78, 86, and 85, respectively. Nutrition knowledge increased significantly (main effect of time (p < 0.001)), but we observed no significant group × time interaction (p = 0.309). The changes in dietary intakes were minor (p > 0.05). The amount of carbohydrates was below endurance athletes’ recommendations throughout the intervention. The reported energy intakes were also below the estimated energy expenditures. In conclusion, nutrition knowledge improved significantly after only three education sessions and food diary feedback, but the mobile app did not improve learning further. However, the nutrition education intervention alone was not enough to change dietary intake.

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  • Short-term education programmes have been shown to improve nutritional knowledge and reduce signs of dieting and body image concerns in female and male athletes.

    “Short-term education programmes, using various delivery methods and focusing on factors associated with EDs, DE behaviours, and REDs have been shown to improve nutritional knowledge and reduce signs of dieting and body image concerns in female and male athletes.70 152-158”

    From 2023 international olympic committee's (IOC) consensus statement on relative energy deficiency in sport (REDs) (2023) · cites this paper as [154]

    The Discussion and Results (section 3.1; page unavailable) report improved nutrition knowledge after three short education sessions in a group including female and male athletes. They do not report reduced signs of dieting or body-image concerns; the questionnaire section on food choices and body image did not show a significant score increase (p = 0.142). (LLM, conf=0.91)

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Authors
Heikkilä, M., Lehtovirta, M., Autio, O., Fogelholm, M., & Valve, R.
Affiliations
University of Helsinki (FI)
Corresponding author
Heikkilä, Maria
Venue
Nutrients
Publisher
MDPI AG
Published
2019-09-18
Volume
11
Issue
9
Pages
2249
ISSN
2072-6643 (ISSN-L)
OpenAlex
W2973530838
Cited by
58
References
38
Citations by year
2026: 6 · 2025: 10 · 2024: 8 · 2023: 13 · 2022: 10 · 2021: 10 · 2020: 1
FWCI
4.00
Type
journal article
Language
en
Open access
Locations
  • Nutrients (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Työväentutkimus Vuosikirja (submittedVersion)
Funders
Helsingin Yliopisto (-)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
Keywords
nutrition education, endurance athletes, youth athletes, nutrition knowledge, dietary intake, carbohydrate intake, energy intake, self-determination theory, meaningful learning, sports nutrition
MeSH terms
Adolescent, Adult, Energy Intake, Diet, Feeding Behavior, Female, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Surveys and Questionnaires, Young Adult, Athletes, Mobile Applications, Sports Nutritional Physiological Phenomena

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