{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:04:07Z","timestamp":1791489847234,"version":"4.3.4"},"reference-count":63,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Young Rheumatology Working Group of the German Society of Rheumatology"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Mobile applications (apps) are a resource for information on lifestyle and nutrition which are associated to improved outcomes in inflammatory arthritis. Objective: The aim of this study was to explore whether targeted lifestyle counselling via an app improves disease activity in arthritis patients. Methods: Patients with rheumatoid arthritis (RA), spondyloarthritis (SpA), psoriatic arthritis (PsA) were randomized to 12 weeks of lifestyle counselling via an app (Mida, Midaia GmbH, Germany) pertaining to a healthy Mediterranean Diet, physical activity, and mental health. Disease activity was measured with specific instruments by a blinded physician and categorized (remission, low, moderate, high). Dietary adherence was assessed by the Mediterranean Diet Adherence Screener (MEDAS). Mixed effects logistic regression adjusted to baseline disease activity, age, and sex were calculated. Results: Of 158 patients included (73% female, 53.3 \u00b1 11.7 years), 74 were in the active counselling group (ACG). All showed improvement in low disease activity or remission. ACG patients had an odds ratio (OR) of 2.8 (95%-CI 1.1\u20137.2, p = 0.035), while OR in the control group was not significant OR = 2.1 (0.9\u20135.0, p = 0.097). The control group was less likely to reach a MEDAS &gt;= 4 (OR = 0.16 (0.03\u20130.77), p = 0.02), while this was not seen in the ACG (OR = 0.54 (0.06\u20134.63), p = 0.6). Patients in the ACG showed a tendency towards improved adhesion to a Mediterranean Diet (MEDAS) (\u03b2 = 0.35 (\u22120.05\u20130.74), p = 0.086). This tendency was not observed in the control group (\u03b2 = 0.09 (\u22120.29\u20130.46), p = 0.64). Conclusions: Individualized lifestyle and dietary counselling via app may help to improve disease control in inflammatory arthritis patients.<\/jats:p>","DOI":"10.3390\/nu16101488","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T03:35:55Z","timestamp":1715744155000},"page":"1488","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Effect of Lifestyle Counselling via a Mobile Application on Disease Activity Control in Inflammatory Arthritis: A Single-Blinded, Randomized Controlled Study"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5801-630X","authenticated-orcid":false,"given":"T\u00fcrker","family":"Kurt","sequence":"first","affiliation":[{"name":"Department of Rheumatology, St. Elisabeth-Hospital Meerbusch-Lank, Hauptstr. 74-76, 40668 Meerbusch, Germany"},{"name":"Department of Rheumatology and Hiller Research Unit, University Hospital D\u00fcsseldorf, Medical Faculty, Heinrich Heine University D\u00fcsseldorf, Moorenstr. 5, 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Vossen","sequence":"additional","affiliation":[{"name":"Rheumazentrum Ruhrgebiet, Ruhr University Bochum, Claudiusstrasse 45, 44649 Herne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9936-0089","authenticated-orcid":false,"given":"Falk","family":"Schumacher","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Krankenhaus Porz am Rhein, 51149 Cologne, Germany"},{"name":"Faculty of Health, School of Medicine, Witten\/Herdecke University, 58455 Witten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Strunk","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Krankenhaus Porz am Rhein, 51149 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7965-9438","authenticated-orcid":false,"given":"Dmytro","family":"Fedkov","sequence":"additional","affiliation":[{"name":"Midaia GmbH, 69123 Heidelberg, Germany"},{"name":"Department of Internal Medicine 3, Bogomolets National Medical University, 01601 Kyiv, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Peine","sequence":"additional","affiliation":[{"name":"Midaia GmbH, 69123 Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6102-2674","authenticated-orcid":false,"given":"Felix","family":"Lang","sequence":"additional","affiliation":[{"name":"Midaia GmbH, 69123 Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Khalil","sequence":"additional","affiliation":[{"name":"Midaia GmbH, 69123 Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Brinks","sequence":"additional","affiliation":[{"name":"Medical Biometry and Epidemiology, University of Witten\/Herdecke, 58448 Witten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5725-5483","authenticated-orcid":false,"given":"Stefan","family":"Vordenb\u00e4umen","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, St. Elisabeth-Hospital Meerbusch-Lank, Hauptstr. 74-76, 40668 Meerbusch, Germany"},{"name":"Department of Rheumatology and Hiller Research Unit, University Hospital D\u00fcsseldorf, Medical Faculty, Heinrich Heine University D\u00fcsseldorf, Moorenstr. 5, 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Michelsen, B., Fiane, R., Diamantopoulos, A.P., Soldal, D.M., Hansen, I.J.W., Sokka, T., Kavanaugh, A., and Haugeberg, G. 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