Research Summary
Analyzed using Evidence Intelligence™

mHealth intervention shows no significant effect on UPF consumption in T2DM

Key finding

We found no effect of the intervention on UPF consumption.

The HAPPY Trial investigated the impact of a mobile health dietary education intervention on ultra-processed food consumption in individuals with type 2 diabetes, finding no significant effect.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Some Concerns bias
Last updated July 7, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

mHealth dietary education intervention

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Primary outcome

Ultra-processed food consumption

Comparator

Standard care without the intervention

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

The HAPPY Trial investigated the impact of a mobile health dietary education intervention on ultra-processed food consumption in individuals with type 2 diabetes, finding no significant effect.

Clinical relevance

Understanding the effectiveness of dietary interventions is crucial for managing type 2 diabetes, as high consumption of ultra-processed foods can negatively impact health. This study highlights the challenges in changing dietary habits through mobile health interventions, suggesting that further research is needed to identify effective strategies for this population.

Keep in mind

The effectiveness of the intervention remains unclear due to lack of significant findings. The sample size and characteristics may limit generalizability. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Valeria C, Linnea S, Ylva TL, Stephanie EB. Effect of a Mobile Health Dietary Education Intervention on Ultra-Processed Food Consumption in Individuals with Type 2 Diabetes: Results from the HAPPY Trial. Current Developments in Nutrition. 2025;9(6):107454. doi:10.1016/j.cdnut.2025.107454

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Main Effects

The intervention group had a UPF percentage contribution of 21.5% at baseline.

At the 3-month follow-up, the UPF percentage contribution in the intervention group decreased to 19.7%.

No significant effect of the intervention on overall UPF consumption was found.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to mHealth dietary education intervention and Percentage contribution of ultra-processed foods to total energy intake, UPF percentage contribution to total energy intake at baseline, UPF percentage contribution to total energy intake at follow-up.

Primary intervention

mHealth dietary education intervention

Primary outcomes

  • Percentage contribution of ultra-processed foods to total energy intake
  • UPF percentage contribution to total energy intake at baseline
  • UPF percentage contribution to total energy intake at follow-up

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 54

0

Related topics

3

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

NoneNo Change

Percentage contribution of ultra-processed foods to total energy intake

mHealth dietary education intervention → Percentage contribution of ultra-processed foods to total energy intake

mHealth dietary education intervention → Percentage contribution of ultra-processed foods to total energy intake

Evidence profile

NoneNo ChangeAdherence & Engagement
Unlock full evidence details
StrongDecrease

UPF percentage contribution to total energy intake at baseline

mHealth dietary education intervention → UPF percentage contribution to total energy intake at baseline

mHealth dietary education intervention → UPF percentage contribution to total energy intake at baseline

Evidence profile

StrongDecreaseMetabolic Health
Unlock full evidence details
StrongDecrease

UPF percentage contribution to total energy intake at follow-up

mHealth dietary education intervention → UPF percentage contribution to total energy intake at follow-up

mHealth dietary education intervention → UPF percentage contribution to total energy intake at follow-up

Evidence profile

StrongDecreaseClinical Outcomes
Unlock full evidence details

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evidence suggest

Evidence Suggest

  • The intervention did not significantly reduce overall UPF consumption.
  • UPF contribution to total energy intake decreased from 21.5% to 19.7%.
  • Effectiveness of the dietary education intervention is unclear.
who this applies

Who this applies to

  • Individuals diagnosed with type 2 diabetes.
  • Participants enrolled in dietary intervention studies.
keep in mind

Keep in Mind

  • Results may not apply to all individuals with type 2 diabetes.
  • The study's findings are based on a specific intervention that may not be widely implemented.
  • Further research is needed to explore effective dietary interventions for this population.
between the lines

Between the Lines

  • The effectiveness of the intervention remains unclear due to lack of significant findings.
  • The sample size and characteristics may limit generalizability.
  • Potential confounding factors were not fully controlled.

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on mHealth dietary education intervention and UPF percentage contribution to total energy intake at baseline, mHealth dietary education intervention and UPF percentage contribution to total energy intake at follow-up.

Related evidence relationships

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does mHealth dietary education intervention improve upf percentage contribution to total energy intake at baseline?

Emerging Evidence

mHealth dietary education intervention appears to improve UPF percentage contribution to total energy intake at baseline.

ConsensusScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    UPF percentage contribution to total energy intake at baseline

    EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does mHealth dietary education intervention improve upf percentage contribution to total energy intake at follow-up?

Emerging Evidence

mHealth dietary education intervention appears to improve UPF percentage contribution to total energy intake at follow-up.

ConsensusScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    UPF percentage contribution to total energy intake at follow-up

    EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does mHealth dietary education intervention improve percentage contribution of ultra-processed foods to total energy intake?

Limited Evidence

Current evidence does not show a clear benefit of mHealth dietary education intervention for Percentage contribution of ultra-processed foods to total energy intake.

ConsensusScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage contribution of ultra-processed foods to total energy intake

    EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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