Randomized trial comparing two methods of increasing dietary calcium intake in children with inflammatory bowel disease.
OBJECTIVE
To examine the efficacy of behavioral intervention compared with enhanced standard of care nutrition intervention on increasing dietary calcium intake of children with inflammatory bowel disease.


METHODS
Children aged 5 to 12 years old (N = 32) were randomly assigned to the behavioral intervention or enhanced standard of care conditions. Three-day food diaries collected on all participants at baseline and post-treatment were analyzed for dietary calcium intake.


RESULTS
Children in the behavioral intervention group achieved a significantly greater mean increase in dietary calcium intake (M= 984 mg) than children in the enhanced standard of care group (M = 274 mg) (P < 0.05). In the behavioral intervention group 81% of children achieved the daily calcium intake goal of 1500 mg/day compared with only 19% of children in the enhanced standard of care group, (P < 0.05).


CONCLUSIONS
Behavioral modification appears to be significantly more effective than nutrition education alone in modifying calcium intake in children with inflammatory bowel disease.
Stark
Lori J
LJ
Division of Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. lori.stark@chmcc.org
Hommel
Kevin A
KA
Mackner
Laura M
LM
Janicke
David M
DM
Davis
Ann M
AM
Pfefferkorn
Marian
M
Crandall
Wallace
W
Heubi
James
J
D001521:Behavior Therapy; D002136:Calcium, Dietary / Q000008:administration & dosage*; D002648:Child; D053198:Child Nutrition Sciences / Q000193:education; D002675:Child, Preschool; D015930:Diet Records; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000178:diet therapy*; D008297:Male; D009751:Nutritional Requirements; D010024:Osteoporosis / Q000209:etiology / Q000517:prevention & control; D010353:Patient Education as Topic; D016896:Treatment Outcome
D002136:Calcium, Dietary