挑食的年轻糖尿病患者,营养干预可以改善其膳食质量吗?

对于青少年1型糖尿病患者中挑食和非挑食者,针对膳食质量的改善情况,评估营养干预效果。
通过动机访谈、激励措施和测定三天内全植物性食物密度、健康饮食指数和饮食品种进行随机临床试验。
起始时挑食者的饮食质量低于非挑食者。
营养干预不影响食物偏好,但显著改善挑食者的膳食质量;对于不挑食者,影响不大。
研究表明,营养干预可以在不改变挑食者饮食偏好的情况下,改善其膳食质量。
延伸阅读

Picky Eaters Improved Diet Quality in a Randomized Behavioral Intervention Trial in Youth with Type 1 Diabetes

关于挑食的青少年1型糖尿病患者提高膳食质量的随机行为干预试验

10.1016/j.jand.2017.10.012

2017-10-15, Article

Abstract & Authors:展开

Abstract:收起
BACKGROUND: Children who are picky eaters typically demonstrate persistent food refusal and poor diet quality and may be resistant to intervention.
OBJECTIVE: This study tested whether pickiness moderated the effect of a nutrition intervention on diet quality in youth with type 1 diabetes, hypothesizing that the intervention effect would be smaller among picky relative to nonpicky eaters.
DESIGN: The study was an 18-month randomized clinical trial.
PARTICIPANTS: Youth age 8.0 to 16.9 years (n=136) with type 1 diabetes duration ≥1 year, receiving care at an outpatient diabetes center in Boston, MA, and a parent, participated from 2010 to 2013.
INTERVENTION: The intervention integrated motivational interviewing, active learning, and applied problem solving to increase whole plant food intake.
MAIN OUTCOME MEASURES: Whole plant food density (WPFD, cup/oz equivalents per 1,000 kcal target food groups), Healthy Eating Index-2005 (HEI2005, measures conformance to US dietary guidelines), and dietary variety were calculated from 3-day food records completed at six different times. Parents completed the pickiness subscale of the Child Feeding Questionnaire.
STATISTICAL ANALYSES PERFORMED: Mean WPFD and HEI2005 were estimated using the population ratio method; standard errors were computed using jackknife variance-covariance estimation. Overall P value comparing groups across visits was derived using the χ2 test.
RESULTS: Baseline diet quality was lower in picky than in nonpicky eaters. No intervention effect on pickiness or dietary variety was seen. In stratified analyses, the intervention effect on diet quality was significant for picky eaters only (WPFD P=0.0003; HEI2005 P=0.04). Among picky eaters, diet quality in the treatment group improved, whereas diet quality in the control group remained low. Diet quality of nonpicky eaters in the intervention group changed to a lesser degree.
CONCLUSIONS: The intervention resulted in increased diet quality in picky eaters, whereas no intervention effect was seen in nonpicky eaters. Findings suggest that diet quality of picky eaters can be improved without changing their underlying pickiness.

First Authors:
Tonja R Nansel

Correspondence Authors:
Aiyi Liu

All Authors:
Tonja R Nansel,Leah M Lipsky,Denise L Haynie,Miriam H Eisenberg,Katie Dempster,Aiyi Liu