Designing BENECA m-Health APP, A Mobile Health Application to Monitor Diet and Physical Activity in Cancer Survivors

  • Mario Lozano-Lozano
  • Jose A. Moral-Munoz
  • Noelia Galiano-Castillo
  • Lydia Martín-Martín
  • Carolina Fernández-Lao
  • Manuel Arroyo-MoralesEmail author
  • Irene Cantarero-Villanueva
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10306)


This is the abstract of a proposed mobile health application for assessing and monitoring healthy lifestyles (in terms of diet and physical activity levels) in cancer survivors, to be fully exposed at the IWANN 2017. The main goal of this mobile health application is to help cancer patients with energy imbalance, which can increase the risk of recurrence and other associated problems, such as metabolic syndrome and even death, to adhere to the international healthy recommendations in terms of diet and physical activity. The system, called BENECA m-Health app, is still in development, and will be a reliable instrument to assess physical activity and diet in cancer survivors, offering them a real-time energy balance feedback and attempting to overcome specific identified barriers to facilitate the inclusion of exercise and healthy diet into supportive care programs for cancer survivors. This mobile application has been designed to address the new needs for support of breast cancer survivors, reflecting the emerging need to merge new, low cost treatment options. This m-Health System could be a promising approach for dietary and physical assessment, as well as for intervention programs, which can be used whenever and wherever patients want.


Cancer survivors Telemedicine mHealth Physical activity Diet Energy balance 



The study is funded by the Spanish Ministry of Economy and Competitiveness (Plan Estatal de I + D + I 2013–2016) and (TIN2016-75850-R), Fondo de Investigación Sanitaria del Instituto de Salud Carlos III (PI14/01627), Fondos Estructurales de la Unión Europea (FEDER) and by the Spanish Ministry of Education (FPU14/01069). This study takes place thanks to the additional funding from the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES). This is part of a Ph.D. Thesis conducted in the Clinical Medicine and Public Health Doctoral Studies of the University of Granada, Spain.


  1. 1.
    Hudisa, C.A., Jones, L.: Promoting exercise after a cancer diagnosis: easier said than done. Br. J. Cancer (2014). doi:  10.1038/bjc.2014.12
  2. 2.
    Ballard-Barbash, R., Friedenreich, C.M., Courneya, K.S., et al.: Physical activity, biomarkers, and disease outcomes in cancer survivors: a systematic review. J. Nat. Cancer Inst. 104, 815–840 (2012). doi: 10.1093/jnci/djs207 CrossRefGoogle Scholar
  3. 3.
    Fomby, P., Cherlin, A.J.: Interventions to promote energy balance and cancer survivorship: European and North American priorities for research and care. Cancer 119, 2143–2150 (2013). doi: 10.1038/nature13314.A CrossRefGoogle Scholar
  4. 4.
    Bourke, L., Homer, K.E., Thaha, M.A., et al.: Interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review. Br. J. Cancer 110, 831–841 (2014). doi: 10.1038/bjc.2013.750 CrossRefGoogle Scholar
  5. 5.
    Jemal, A., Vineis, P., Bray, F., et al.: The Cancer Atlas, 2nd edn. American Cancer Society, Atlanta (2014)Google Scholar
  6. 6.
    Soares, E.W.S., Nagai, H.M., Bredt, L.C., et al.: Morbidity after conventional dissection of axillary lymph nodes in breast cancer patients. World J. Surg. Oncol. 12, 67 (2014). doi: 10.1186/1477-7819-12-67 CrossRefGoogle Scholar
  7. 7.
    Bray, F., Jemal, A., Torre, L.A., et al.: Long-term realism and cost-effectiveness: primary prevention in combatting cancer and associated inequalities worldwide. J. Nat. Cancer Inst. (2015). doi:  10.1093/jnci/djv273
  8. 8.
    Hillier, F., Batterham, A., Crooks, S., et al.: The development and evaluation of a novel Internet-based computer program to assess previous-day dietary and physical activity behaviours in adults: the synchronised nutrition and activity program for adults (SNAPATM). Br. J. Nutr. 107, 1221–1231 (2012). doi: 10.1017/S0007114511004090 CrossRefGoogle Scholar
  9. 9.
    Coughlin, S.S., Besenyi, G.M., Bowen, D., De Leo, G.: Development of the physical activity and your nutrition for cancer (PYNC) smartphone app for preventing breast cancer in women. mHealth 3, 5 (2017). doi: 10.21037/mhealth.2017.02.02 CrossRefGoogle Scholar
  10. 10.
    Robertson, M.C., Tsai, E., Lyons, E.J., et al.: Mobile health physical activity intervention preferences in cancer survivors: a qualitative study. JMIR mHealth uHealth 5, e3 (2017). doi: 10.2196/mhealth.6970 CrossRefGoogle Scholar
  11. 11.
    Wang, Q., Egelandsdal, B., Amdam, G.V., et al.: Diet and physical activity apps: perceived effectiveness by app users. JMIR mHealth uHealth 4, e33 (2016). doi: 10.2196/mhealth.5114 CrossRefGoogle Scholar
  12. 12.
    Du, H., Venkatakrishnan, A., Youngblood, G.M., et al.: A group-based mobile application to increase adherence in exercise and nutrition programs: a factorial design feasibility study. JMIR mHealth uHealth 4, e4 (2016). doi: 10.2196/mhealth.4900 CrossRefGoogle Scholar
  13. 13.
    Bantum, E.O., Albright, C.L., White, K.K., et al.: Surviving and thriving with cancer using a web-based health behavior change intervention: randomized controlled trial. J. Med. Internet Res. 16, e54 (2014). doi: 10.2196/jmir.3020 CrossRefGoogle Scholar
  14. 14.
    Lozano-Lozano, M., Martín-Martín, L., Galiano-Castillo, N., et al.: Integral strategy to supportive care in breast cancer survivors through occupational therapy and a m-health system: design of a randomized clinical trial. BMC Med. Inform. Decis. Mak. 16, 1–10 (2016). doi: 10.1186/s12911-016-0394-0 CrossRefGoogle Scholar
  15. 15.
    Denlinger, C.S., Ligibel, J.A., Are, M., et al.: Survivorship: nutrition and weight management, version 2.2014. JNCCN J. Nat. Compr. Cancer Netw. 12, 1396–1406 (2014)CrossRefGoogle Scholar
  16. 16.
    Rock, C.L., Doyle, C., Demark-Wahnefried, W., et al.: Nutrition and physical activity guidelines for cancer survivors. CA Cancer J. Clin. 62, 243–74. doi: 10.3322/caac.21142
  17. 17.
    Ruiz Comellas, A., Pera, G., Baena Díez, J.M., et al.: Validation of a Spanish short version of the minnesota leisure time physical activity questionnaire (VREM). Rev. Esp. Salud. Publica. 86, 495–508 (2012). doi: 10.4321/S1135-57272012000500004 Google Scholar
  18. 18.
    Freedson, P.S., Melanson, E., Sirard, J.: Calibration of the computer science and applications inc. accelerometer. Med. Sci. Sports Exerc. 30, 777–781 (1998). doi: 10.1097/00005768-199805000-00021 CrossRefGoogle Scholar
  19. 19.
    Schmitz, K.H., Courneya, K.S., Matthews, C., et al.: American college of sports medicine roundtable on exercise guidelines for cancer survivors. Med. Sci. Sports Exerc. 42, 1409–1426 (2010). doi: 10.1249/MSS.0b013e3181e0c112 CrossRefGoogle Scholar
  20. 20.
    Demark-wahnefried, W., Bandera, E.V., Gapstur, S., Patel, A.V.: American cancer society guidelines on nutrition and physical activity for cancer prevention reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J. Clin. 62, 30–67 (2012). doi: 10.3322/caac.20140 CrossRefGoogle Scholar
  21. 21.
    Thomson, C.A., Mccullough, M.L., Wertheim, B.C., et al.: Nutrition and physical activity cancer risk, and mortality in the women’s health initiative. Cancer Prev. Res. 7, 42–53 (2014). doi: 10.1158/1940-6207.CAPR-13-0258 CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Mario Lozano-Lozano
    • 1
    • 2
  • Jose A. Moral-Munoz
    • 3
  • Noelia Galiano-Castillo
    • 1
    • 2
  • Lydia Martín-Martín
    • 1
  • Carolina Fernández-Lao
    • 1
    • 2
  • Manuel Arroyo-Morales
    • 1
    • 2
    Email author
  • Irene Cantarero-Villanueva
    • 1
    • 2
  1. 1.Department Physical TherapyUniversity of GranadaGranadaSpain
  2. 2.Mixed University Sport and Health Institute (IMUDS)GranadaSpain
  3. 3.Department Nursing and PhysiotherapyUniversity of CadizCadizSpain

Personalised recommendations