The impact of nutrition counselling via online application on nutrient intake among Thai older adults during COVID-19: pilot study of randomised controlled trial

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I publikationen:BMC Public Health vol. 25 (2025), p. 1-13
Huvudupphov: Gaewkhiew, Piyada
Övriga upphov: Chatyanan, Sasipha, Supavaree, Sahatsawat, Chaiueai, Atthanon, Vimolratchataporn, Arisara, Sridonpai, Pimnapanut
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Springer Nature B.V.
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022 |a 1471-2458 
024 7 |a 10.1186/s12889-025-24655-3  |2 doi 
035 |a 3268449491 
045 2 |b d20250101  |b d20251231 
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100 1 |a Gaewkhiew, Piyada 
245 1 |a The impact of nutrition counselling via online application on nutrient intake among Thai older adults during COVID-19: pilot study of randomised controlled trial 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundDuring COVID-19, Thai older adults were restricted to travel due to fragile and easy to infect. Dental services and other healthcare also provided a limited scope for all. This study aimed to investigate the impact of online nutrition counselling on nutrient intake and nutritional status in older adults and the feasibility of online nutrition counselling among Thai older adults.MethodsA pilot randomised controlled trial was conducted among 30 older adults (aged ≥ 60 years) at Mahidol Dental Hospital, Bangkok, Thailand. Eligible participants were Thai nationals who had recently received dental services, were able to use a mobile phone with the LINE Official Account application, and could send food-related photos or messages. Participants were randomly assigned (1:1) via computer-generated randomisation to either an intervention group (n = 15) or a control group (n = 15). The intervention group received tailored dietary advice based on a three-day food diary, followed up monthly for three months. The control group received general health advice, which was also provided to the intervention group. Outcome assessors were blinded to group allocation. Primary outcomes included changes in nutrient intake, body measurements (weight, height, waist and hip circumference), and nutritional status assessed by the Mini Nutritional Assessment-Short Form (MNA-SF). Nutrient analysis was performed using INMUCAL-nutrient V4.0 software. Within- and between-group differences were assessed using the Wilcoxon signed-rank test.ResultsAll participants completed the study (100% retention). Both groups showed a significant decline in daily energy and nutrient intakes after three months (p < 0.05), but no significant between-group differences were observed for nutrient intake or body measurements. A trend toward reduced waist circumference was noted in the intervention group, whereas no such change was observed in the control group.ConclusionsThis study showed that online nutritional counselling impacted food consumption and nutrients intake among Thai older adults during COVID-19. The combination of online tailored diet advice and dental treatment was feasible, highly acceptable and practical to participants to improve healthy diet consumption.Trial registrationMU-IRB DTPY 2021/DT100 (COA:2021/082.2209): 22 /09/2021; Retrospectively registered on Thai Clinical Trial Registry (TCTR20231101003): 01/11/2023. 
610 4 |a Mahidol University 
651 4 |a Thailand 
651 4 |a Bangkok Thailand 
653 |a Body measurements 
653 |a Nutrition assessment 
653 |a Behavior 
653 |a Food 
653 |a Pilot projects 
653 |a Body mass index 
653 |a Food consumption 
653 |a Nutrition research 
653 |a Rank tests 
653 |a Food intake 
653 |a Questionnaires 
653 |a Chronic illnesses 
653 |a Diet 
653 |a Software upgrading 
653 |a Older people 
653 |a COVID-19 
653 |a Nutrition 
653 |a Counseling 
653 |a Nutritional status 
653 |a Cellular telephones 
653 |a Diaries 
653 |a Nutrients 
653 |a Pandemics 
653 |a Adults 
653 |a Hospitals 
653 |a Nutrient retention 
653 |a Data collection 
653 |a Randomization 
653 |a Nutrient status 
653 |a Feasibility 
653 |a Internet 
653 |a Social 
700 1 |a Chatyanan, Sasipha 
700 1 |a Supavaree, Sahatsawat 
700 1 |a Chaiueai, Atthanon 
700 1 |a Vimolratchataporn, Arisara 
700 1 |a Sridonpai, Pimnapanut 
773 0 |t BMC Public Health  |g vol. 25 (2025), p. 1-13 
786 0 |d ProQuest  |t Health & Medical Collection 
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