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FitDay.com Analysis of a
Nutritional Assessment
Tool for the 21st Century
Nutritional Assessment Winter 2011 MACN

Fitday is an online nutritional assessment tool that is targeted
to the everyday person, but does it measure up to the gold
standard and other nutritional assessment tools.

Jasmine R. Robinson
3/9/2011
Purpose of Tool:


        Fit day is a nutritional and weight assessment tool that can help analyze a person’s diet as well

as perform as a weight loss/ weight gain analysis. The program is set up like a diet journal where you can

enter the food that was eating for a particular date. The program monitors the specific calories that

were entered, and breaks down the amount of fat, carbohydrates, and protein per food item entered.

The tool also measures the amount of micronutrients that you intake daily and weekly. Fit day also

breaks down what types of fats were eaten, and dietary fiber. It also graphs your weight loss. The

program also logs into your journal any exercise regime that was performed. As mentioned fit day also

logs in any exercise program and monitors the activity type, calories burned, distance and time, for

accurate calculations for the calories burned. Another purpose of this tool is to log in a personal goal, so

that you have a concrete visible to encourage you to make your goal happen.


        Explanation to Patient:


        Fit day is user friendly; it was created for the everyday person. The basic instructions for the

patient use are to create a user name and password, along with a user profile. The profile consists of

your age, weight, height, and your activity lifestyle. Based upon the information that was given in the

user profile helps to create your personal goals, and diet through, calories eaten, weight change,

nutrition graph, and average calorie balance. After the profile is created there are several tabs that a

patient can click on to enter desired data, such as food, from a selection from a database, or you can

add the specific type of food yourself, specific activities, weight, and weight goal. From these entry

points fit day keeps a record of all the entries and creates weekly to monthly reports. Under reports you

can find out specific information, such as food, nutrition, activity, metabolism, trends, body

measurements, weight, weight goal, and moods. The most important keys to managing this program is
being able to make a profile suited for you, along with accurate entry of data, if its food, weight, and

activity. The program will take care of the rest.


           History/ Development of Tool: On several attempts I have tried to contact fitday to ask them

about the history and development of the tool via their email address and Facebook. They have not

responded back to me. Based on the nutritional assessment book there is criteria for developing high

quality databases there are some basic nutrients and nutrient factors from the USDA SR. They have to

include:


                 Twelve Basic Components: energy, total fat, carbohydrate, total protein, alcohol, water,

                  total dietary fiber and type of fats

                 Eleven vitamins

                 Ten minerals

                  (Lee & Nieman, 2007)


There are several nutritional assessment tools that are being created every day, after several non-

responses form Fitday.com, my assumption would be that if I was curious about the history and

development of their tool; I am looking for information to market my own nutritional assessment tool

for the everyday user.


           Plausible or Purported Mechanism:


           The purported mechanism of the tool is the use of a food database similar to the food pyramid.

For the dietary log, once you type in a type of food i.e. coconut milk, then a database of similar foods

comes up. If your desired food does not come up you can add a food to the database along with

nutritional value. This is how they are able to add to their database and also make it custom for that

specific profile user. Also the program remembers the type of food that a person enters do that they
create a mini-database for that customized user. Based upon the food log the information is broken

down based upon how many fats, carbohydrates, protein and calories. The same type of database is

used for the activity log, there are list of standard activities that are kept in a data base, and once you

pick the appropriate activity the only addition that the patient will have to add is the amount of time

worked out to calculate the appropriate calories burned. With the logged in formation this will help

determine the calories intake, burned, nutritional information, which includes (fats, carbs, protein,

vitamins and minerals compared to the RDA.) Once the information is logged within its prospective

areas, pie charts can be formed based upon the information entered, and the information can be use to

assess the management of your weight goal, along with nutritional goals.


        Safety of Use:


                Since this nutritional analysis requires only data entry, there are no immediate health

concerns. This tool is cost effective, because it’s free and it can also save you money on going to a

nutritionist or dietitian. If you do not understand nutritional concepts or the amount of protein, and

what RDA value means then consultation may be warranted by a professional. Patients who have

serious medical or psychological issues may become addicted to using this program, due to their

fascination of calorie counting. If a patient has body dysmorphic disorders seeing the amount of calories

eating especially the breakdown of fats, carbohydrates and protein, will encourage them to go the

extreme with their nutrition. The same effect can go with the activity log. A person suffering with body

dysmorphic issues may become obsessed with how many calories burned or the amount of weight loss.

These general issues may play a part in the overall safety of this product. This concern is for men and

women, with men the concern of muscle mass and women how small that they look. (Beers, Porter,

Jones, Kaplan, & Berkwits, 2006) Monitoring patients with special needs may be monitored with the use

of this program. Other than that there are no other safety concerns with the use of this program.
Case Studies, Testimonials, Methods of marketing Tool:


            Fitday has become a wide spread tool. Their target audience is a population that is weight

and health conscience. They advertise in journals that are more fitness friendly and advocate for weight

loss. Some of their marketing strategies are, having an apple application for I-touch, phone and I- pad.

Another strong advertising point is using Jillian (biggest loser workout guru) picture on their website.

Using her as a marketing tool is a good way to get people to join from her avid success with people

losing weight. If she endorses the program then most people would like use the program based upon

her popularity. They are also found on facebook where you can connect with other fit day users to find

out different weight loss regimes, different news stories ect. FitDay has also advertised in various well

known magazines such as the Washington Post, Woman’s world, and health and fitness just to name a

few. Fitday has worked for many people, and some decided to share their success story, a few are

mentioned below:


        “I have been using www.fitday.com for about seventeen months now. It was recommended

by my personal trainer for a way to track everything I eat during the day. Since I'm at a computer all

day, it is easy to log on and enter in what I'm eating. I like to see how my calories add up and where

they are coming from. I think fitday has a great database of foods. I'm glad I was introduced to this

weight-loss tool. (Katie, 2011, Fitday.com)”


        “I'm 37 years old and I lost 50 pounds using FitDay.com in early 2005... I've kept the weight off

for almost an entire year and I'm in the best shape of my life. I have now run two marathons and

competed in a 100 mile bike race. I still use FitDay every day and have convinced numerous friends

and family members to do the same.” (Steve,2011, Fitday.com)


        Synopsis of Literature:
Internet based weight loss programs are on the rise. There are a few studies that looked at

general weight loss programs, but no studies were done that used fitday as the specific assessment tool.

This particular study is a Study protocol of how to assess a commercial based internet weight loss

program.


        Study One:


        Internet weight loss programs for overweight and obesity population using RCT


        Methods: Study was a RCT with 3 groups over an 18 month time span. The subjects to be used

are 18-60 years old that fit the inclusion criteria of the study.


        Group one Wait list control – Monitored their weight not using an Internet based program


        Group two - Basic Online program – Used an online program that had the following features


                Individualized daily calorie targets

                Online food and exercise diaries

                Weekly calorie controlled food menu plans’

                Weekly physical activity plan

                Weekly educational tips

                Weekly calculations for energy balance and nutrition summaries

                Goal Setting

                 (More in the paper, these listed have the same features as the fitday program. )


 Group 3 – Enhanced online program


This group has access to the same features as group two but they also have access to receive feedback

on their weight loss and physical activity progress.
Both groups also had similar features for the physical activity log. With each group the study took actual

data, height, weight, waist circumference body mass index, blood sample markers, blood pressure, and

dietary questionnaire using Australian eating survey and physical activity questionnaire in order to

compare to the online diet diary and physical activity log. The actual program that they were assessing

was the Australian Biggest Loser Blub online food and exercise diary. (Sponsored by international food

and exercise database). This database has been recorded to have 70,000 foods, 20,000 Australian foods,

250 food proportions, 5000 meals and 1000 exercise. The online dietary and physical journals will be

compared to the objective measurements that are taking at the 3, 6, and 18th month mark and

comparisons will be made.


         The Results:


Surveys will periodically be taking 3,6,18 month mark to assess the ease of the program and the features

of the program, also objective measurements, were taken that included the amount of logins and data

entries, also with the objective measurements the baseline that included weight, blood sample and

blood pressure just to name a few and at the 3, 6, and 18th month mark. The analysis tool to be used is

a generalized linearly mixed models .This particular study was a theoretical idea of how to check the

validity of an internet based weight loss programs.


(Collins, et al., 2010)


Appropriate Patient Selection Criteria


         Fitday can be used by any type of person. The appropriate person that might find the most use

out of fitday, is a person that may want to be more conscious about their nutritional status along with

being more physically fit. The specific population is adults from the ages of 18-60 males and females.

The main exclusions that might be necessary are pregnant and lactating mothers, because their caloric
and weight gain is not within the national standard. Fitday may not be useful for someone who has

body image disorders, they may take what the program says and may change their diet based upon

extreme measures. Also certain athletes that such as ballet dancers, body builders, may be of concern

because they like to calorie restrict, and may take visual data to the extreme. I feel that they may not

benefit well from using this program independently. If they have a dietary clinician or nutritionist

monitor their usage then I feel that it will be safer for them to use.


Conclusion


        Fitday is a nutritional assessment program that is focused on the nutritional status and caloric

intake to help the everyday person meet and maintain their health goal. There many nutritional

assessment tools that use a food and exercise database, the gold standard being the food pyramid.

Fitday is very safe and an effective tool as, told from many testimonials that are written on their website

and the broad expansion through apple and social medias such as facebook. I think that fitday is a

popular nutritional assessment tool, but it does lack scientific data, such as case studies and research

studies. Also there was a lack of information on the history and development of the tool to help with the

scientific validation. Without the knowledge of how the tool was develops, there is no scientific

validation that this tool actually uses the correct food break down and nutritional data. The only

validation that the tool has is the testimonials that fit day users have lost weight and are managing their

diets well. Overall, fit day is a pretty good program but needs scientific validation before it should be

endorsed by dietitians and clinical nutritionist.



Works Cited
Beers, M. H., Porter, R., Jones, T., Kaplan, J., & Berkwits, M. (2006). The Merk Manual of Dianosis and
        Therapy. Whitehouse Station: Merk Research Laboratories.
Collins, C. E., Morgan, P. J., Jones, P., Fletcher, K., martin, J., Aguiar, E., et al. (2010). Evaluationof a
         commercial web-based weight loss and wieght loss maintence program in overweight and obese
         adults: A Randomiase controll trial. BMC Public Health , 1-8.

Lee, R., & Nieman, D. (2007). Nutritional Assessment. New York: McGraw Hill.

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Fit day assesment jasmine robinson

  • 1. FitDay.com Analysis of a Nutritional Assessment Tool for the 21st Century Nutritional Assessment Winter 2011 MACN Fitday is an online nutritional assessment tool that is targeted to the everyday person, but does it measure up to the gold standard and other nutritional assessment tools. Jasmine R. Robinson 3/9/2011
  • 2. Purpose of Tool: Fit day is a nutritional and weight assessment tool that can help analyze a person’s diet as well as perform as a weight loss/ weight gain analysis. The program is set up like a diet journal where you can enter the food that was eating for a particular date. The program monitors the specific calories that were entered, and breaks down the amount of fat, carbohydrates, and protein per food item entered. The tool also measures the amount of micronutrients that you intake daily and weekly. Fit day also breaks down what types of fats were eaten, and dietary fiber. It also graphs your weight loss. The program also logs into your journal any exercise regime that was performed. As mentioned fit day also logs in any exercise program and monitors the activity type, calories burned, distance and time, for accurate calculations for the calories burned. Another purpose of this tool is to log in a personal goal, so that you have a concrete visible to encourage you to make your goal happen. Explanation to Patient: Fit day is user friendly; it was created for the everyday person. The basic instructions for the patient use are to create a user name and password, along with a user profile. The profile consists of your age, weight, height, and your activity lifestyle. Based upon the information that was given in the user profile helps to create your personal goals, and diet through, calories eaten, weight change, nutrition graph, and average calorie balance. After the profile is created there are several tabs that a patient can click on to enter desired data, such as food, from a selection from a database, or you can add the specific type of food yourself, specific activities, weight, and weight goal. From these entry points fit day keeps a record of all the entries and creates weekly to monthly reports. Under reports you can find out specific information, such as food, nutrition, activity, metabolism, trends, body measurements, weight, weight goal, and moods. The most important keys to managing this program is
  • 3. being able to make a profile suited for you, along with accurate entry of data, if its food, weight, and activity. The program will take care of the rest. History/ Development of Tool: On several attempts I have tried to contact fitday to ask them about the history and development of the tool via their email address and Facebook. They have not responded back to me. Based on the nutritional assessment book there is criteria for developing high quality databases there are some basic nutrients and nutrient factors from the USDA SR. They have to include:  Twelve Basic Components: energy, total fat, carbohydrate, total protein, alcohol, water, total dietary fiber and type of fats  Eleven vitamins  Ten minerals (Lee & Nieman, 2007) There are several nutritional assessment tools that are being created every day, after several non- responses form Fitday.com, my assumption would be that if I was curious about the history and development of their tool; I am looking for information to market my own nutritional assessment tool for the everyday user. Plausible or Purported Mechanism: The purported mechanism of the tool is the use of a food database similar to the food pyramid. For the dietary log, once you type in a type of food i.e. coconut milk, then a database of similar foods comes up. If your desired food does not come up you can add a food to the database along with nutritional value. This is how they are able to add to their database and also make it custom for that specific profile user. Also the program remembers the type of food that a person enters do that they
  • 4. create a mini-database for that customized user. Based upon the food log the information is broken down based upon how many fats, carbohydrates, protein and calories. The same type of database is used for the activity log, there are list of standard activities that are kept in a data base, and once you pick the appropriate activity the only addition that the patient will have to add is the amount of time worked out to calculate the appropriate calories burned. With the logged in formation this will help determine the calories intake, burned, nutritional information, which includes (fats, carbs, protein, vitamins and minerals compared to the RDA.) Once the information is logged within its prospective areas, pie charts can be formed based upon the information entered, and the information can be use to assess the management of your weight goal, along with nutritional goals. Safety of Use: Since this nutritional analysis requires only data entry, there are no immediate health concerns. This tool is cost effective, because it’s free and it can also save you money on going to a nutritionist or dietitian. If you do not understand nutritional concepts or the amount of protein, and what RDA value means then consultation may be warranted by a professional. Patients who have serious medical or psychological issues may become addicted to using this program, due to their fascination of calorie counting. If a patient has body dysmorphic disorders seeing the amount of calories eating especially the breakdown of fats, carbohydrates and protein, will encourage them to go the extreme with their nutrition. The same effect can go with the activity log. A person suffering with body dysmorphic issues may become obsessed with how many calories burned or the amount of weight loss. These general issues may play a part in the overall safety of this product. This concern is for men and women, with men the concern of muscle mass and women how small that they look. (Beers, Porter, Jones, Kaplan, & Berkwits, 2006) Monitoring patients with special needs may be monitored with the use of this program. Other than that there are no other safety concerns with the use of this program.
  • 5. Case Studies, Testimonials, Methods of marketing Tool: Fitday has become a wide spread tool. Their target audience is a population that is weight and health conscience. They advertise in journals that are more fitness friendly and advocate for weight loss. Some of their marketing strategies are, having an apple application for I-touch, phone and I- pad. Another strong advertising point is using Jillian (biggest loser workout guru) picture on their website. Using her as a marketing tool is a good way to get people to join from her avid success with people losing weight. If she endorses the program then most people would like use the program based upon her popularity. They are also found on facebook where you can connect with other fit day users to find out different weight loss regimes, different news stories ect. FitDay has also advertised in various well known magazines such as the Washington Post, Woman’s world, and health and fitness just to name a few. Fitday has worked for many people, and some decided to share their success story, a few are mentioned below: “I have been using www.fitday.com for about seventeen months now. It was recommended by my personal trainer for a way to track everything I eat during the day. Since I'm at a computer all day, it is easy to log on and enter in what I'm eating. I like to see how my calories add up and where they are coming from. I think fitday has a great database of foods. I'm glad I was introduced to this weight-loss tool. (Katie, 2011, Fitday.com)” “I'm 37 years old and I lost 50 pounds using FitDay.com in early 2005... I've kept the weight off for almost an entire year and I'm in the best shape of my life. I have now run two marathons and competed in a 100 mile bike race. I still use FitDay every day and have convinced numerous friends and family members to do the same.” (Steve,2011, Fitday.com) Synopsis of Literature:
  • 6. Internet based weight loss programs are on the rise. There are a few studies that looked at general weight loss programs, but no studies were done that used fitday as the specific assessment tool. This particular study is a Study protocol of how to assess a commercial based internet weight loss program. Study One: Internet weight loss programs for overweight and obesity population using RCT Methods: Study was a RCT with 3 groups over an 18 month time span. The subjects to be used are 18-60 years old that fit the inclusion criteria of the study. Group one Wait list control – Monitored their weight not using an Internet based program Group two - Basic Online program – Used an online program that had the following features  Individualized daily calorie targets  Online food and exercise diaries  Weekly calorie controlled food menu plans’  Weekly physical activity plan  Weekly educational tips  Weekly calculations for energy balance and nutrition summaries  Goal Setting (More in the paper, these listed have the same features as the fitday program. ) Group 3 – Enhanced online program This group has access to the same features as group two but they also have access to receive feedback on their weight loss and physical activity progress.
  • 7. Both groups also had similar features for the physical activity log. With each group the study took actual data, height, weight, waist circumference body mass index, blood sample markers, blood pressure, and dietary questionnaire using Australian eating survey and physical activity questionnaire in order to compare to the online diet diary and physical activity log. The actual program that they were assessing was the Australian Biggest Loser Blub online food and exercise diary. (Sponsored by international food and exercise database). This database has been recorded to have 70,000 foods, 20,000 Australian foods, 250 food proportions, 5000 meals and 1000 exercise. The online dietary and physical journals will be compared to the objective measurements that are taking at the 3, 6, and 18th month mark and comparisons will be made. The Results: Surveys will periodically be taking 3,6,18 month mark to assess the ease of the program and the features of the program, also objective measurements, were taken that included the amount of logins and data entries, also with the objective measurements the baseline that included weight, blood sample and blood pressure just to name a few and at the 3, 6, and 18th month mark. The analysis tool to be used is a generalized linearly mixed models .This particular study was a theoretical idea of how to check the validity of an internet based weight loss programs. (Collins, et al., 2010) Appropriate Patient Selection Criteria Fitday can be used by any type of person. The appropriate person that might find the most use out of fitday, is a person that may want to be more conscious about their nutritional status along with being more physically fit. The specific population is adults from the ages of 18-60 males and females. The main exclusions that might be necessary are pregnant and lactating mothers, because their caloric
  • 8. and weight gain is not within the national standard. Fitday may not be useful for someone who has body image disorders, they may take what the program says and may change their diet based upon extreme measures. Also certain athletes that such as ballet dancers, body builders, may be of concern because they like to calorie restrict, and may take visual data to the extreme. I feel that they may not benefit well from using this program independently. If they have a dietary clinician or nutritionist monitor their usage then I feel that it will be safer for them to use. Conclusion Fitday is a nutritional assessment program that is focused on the nutritional status and caloric intake to help the everyday person meet and maintain their health goal. There many nutritional assessment tools that use a food and exercise database, the gold standard being the food pyramid. Fitday is very safe and an effective tool as, told from many testimonials that are written on their website and the broad expansion through apple and social medias such as facebook. I think that fitday is a popular nutritional assessment tool, but it does lack scientific data, such as case studies and research studies. Also there was a lack of information on the history and development of the tool to help with the scientific validation. Without the knowledge of how the tool was develops, there is no scientific validation that this tool actually uses the correct food break down and nutritional data. The only validation that the tool has is the testimonials that fit day users have lost weight and are managing their diets well. Overall, fit day is a pretty good program but needs scientific validation before it should be endorsed by dietitians and clinical nutritionist. Works Cited Beers, M. H., Porter, R., Jones, T., Kaplan, J., & Berkwits, M. (2006). The Merk Manual of Dianosis and Therapy. Whitehouse Station: Merk Research Laboratories.
  • 9. Collins, C. E., Morgan, P. J., Jones, P., Fletcher, K., martin, J., Aguiar, E., et al. (2010). Evaluationof a commercial web-based weight loss and wieght loss maintence program in overweight and obese adults: A Randomiase controll trial. BMC Public Health , 1-8. Lee, R., & Nieman, D. (2007). Nutritional Assessment. New York: McGraw Hill.