title: Randomized trial comparing two methods of increasing dietary calcium intake in children with inflammatory bowel disease.
abstract: 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.
authors.affiliation: Division of Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. lori.stark@chmcc.org
authors.forename: Lori J
authors.initials: LJ
authors.lastname: Stark
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Hommel
authors.forename: Laura M
authors.initials: LM
authors.lastname: Mackner
authors.forename: David M
authors.initials: DM
authors.lastname: Janicke
authors.forename: Ann M
authors.initials: AM
authors.lastname: Davis
authors.forename: Marian
authors.initials: M
authors.lastname: Pfefferkorn
authors.forename: Wallace
authors.initials: W
authors.lastname: Crandall
authors.forename: James
authors.initials: J
authors.lastname: Heubi
mesh_terms: 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
chemical_list: D002136:Calcium, Dietary