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Randomized controlled trial to compare growth parameters and nutrient adequacy in children with picky eating behaviors who received nutritional counseling with or without an oral nutritional supplement.

Sheng X, Tong M, Zhao D, Leung TF, Zhang F, Hays NP, Ge J, Ho WM, Northington R, Terry DL, Yao M - Nutr Metab Insights (2014)

Bottom Line: Increases in weight-for-height z-scores were significantly greater in the NC + NS group at days 30 and 90 and over the entire study period (all P < 0.05), but not at day 120.Increases in weight-for-age z-scores were significantly greater in the NC + NS group at day 90 (P = 0.025) and over the entire study period (P = 0.046).Thus, in young children with PE behaviors, nutritional supplementation given as an adjunct to NC resulted in greater improvements in nutrient intake compared with NC alone.

View Article: PubMed Central - PubMed

Affiliation: Department of Child and Adolescent Health Care, Xinhua Hospital, affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

ABSTRACT
In this study, changes in growth parameters and nutrient intake were compared in Chinese children (ages 30-60 months) with picky eating (PE) behaviors and weight-for-height ≤25th percentile, who were randomized to receive nutrition counseling alone (NC; n = 76) or with a nutritional milk supplement (NC + NS; n = 77) for 120 days. Increases in weight-for-height z-scores were significantly greater in the NC + NS group at days 30 and 90 and over the entire study period (all P < 0.05), but not at day 120. Increases in weight-for-age z-scores were significantly greater in the NC + NS group at day 90 (P = 0.025) and over the entire study period (P = 0.046). Mean intakes of energy, protein, carbohydrate, docosahexaenoic acid, arachidonic acid, calcium, phosphorous, iron, zinc, and vitamins A, C, D, E, and B6 were significantly higher in the NC + NS group at days 60 and 120 (all P < 0.01). Thus, in young children with PE behaviors, nutritional supplementation given as an adjunct to NC resulted in greater improvements in nutrient intake compared with NC alone. Growth parameters differed between groups at several timepoints during the study, but not at day 120.

No MeSH data available.


Adjusted mean (A) weight-for-height, (B) weight-for-age, and (C) height-for-age z-scores.Abbreviations: NC, nutrition counseling; NS, nutritional milk supplement.
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f2-nmi-7-2014-085: Adjusted mean (A) weight-for-height, (B) weight-for-age, and (C) height-for-age z-scores.Abbreviations: NC, nutrition counseling; NS, nutritional milk supplement.

Mentions: Mean WHZ increased in both groups over the course of the study (Fig. 2A). The adjusted mean (standard error [SE]) change from baseline to day 120 in WHZ was 0.23 (0.06) in the NC + NS group and 0.11 (0.06) in the NC group (between-group difference, 0.12 [95% confidence interval (CI), −0.04, 0.29]; P = 0.137). Although the difference between groups at day 120 was not significant, increases in WHZ were significantly higher in the NC + NS group at days 30 (P = 0.047) and 90 (P = 0.021) and also for the entire study period (between-group difference, 0.13 [95% CI, 0.01, 0.25]; P = 0.029). Mean WAZ also increased in both groups during the study (Fig. 2B). Compared with increases in the NC group, adjusted mean (SE) increases in WAZ in the NC + NS group were significantly greater at day 90 (0.03 [0.03] vs 0.14 [0.03]; P = 0.025) and for the entire study period (between-group difference, 0.08 [95% CI, 0.00, 0.16], P = 0.046). No significant between-group differences were observed in mean change in HAZ at any timepoint or for the entire study period (Fig. 2C).


Randomized controlled trial to compare growth parameters and nutrient adequacy in children with picky eating behaviors who received nutritional counseling with or without an oral nutritional supplement.

Sheng X, Tong M, Zhao D, Leung TF, Zhang F, Hays NP, Ge J, Ho WM, Northington R, Terry DL, Yao M - Nutr Metab Insights (2014)

Adjusted mean (A) weight-for-height, (B) weight-for-age, and (C) height-for-age z-scores.Abbreviations: NC, nutrition counseling; NS, nutritional milk supplement.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4196879&req=5

f2-nmi-7-2014-085: Adjusted mean (A) weight-for-height, (B) weight-for-age, and (C) height-for-age z-scores.Abbreviations: NC, nutrition counseling; NS, nutritional milk supplement.
Mentions: Mean WHZ increased in both groups over the course of the study (Fig. 2A). The adjusted mean (standard error [SE]) change from baseline to day 120 in WHZ was 0.23 (0.06) in the NC + NS group and 0.11 (0.06) in the NC group (between-group difference, 0.12 [95% confidence interval (CI), −0.04, 0.29]; P = 0.137). Although the difference between groups at day 120 was not significant, increases in WHZ were significantly higher in the NC + NS group at days 30 (P = 0.047) and 90 (P = 0.021) and also for the entire study period (between-group difference, 0.13 [95% CI, 0.01, 0.25]; P = 0.029). Mean WAZ also increased in both groups during the study (Fig. 2B). Compared with increases in the NC group, adjusted mean (SE) increases in WAZ in the NC + NS group were significantly greater at day 90 (0.03 [0.03] vs 0.14 [0.03]; P = 0.025) and for the entire study period (between-group difference, 0.08 [95% CI, 0.00, 0.16], P = 0.046). No significant between-group differences were observed in mean change in HAZ at any timepoint or for the entire study period (Fig. 2C).

Bottom Line: Increases in weight-for-height z-scores were significantly greater in the NC + NS group at days 30 and 90 and over the entire study period (all P < 0.05), but not at day 120.Increases in weight-for-age z-scores were significantly greater in the NC + NS group at day 90 (P = 0.025) and over the entire study period (P = 0.046).Thus, in young children with PE behaviors, nutritional supplementation given as an adjunct to NC resulted in greater improvements in nutrient intake compared with NC alone.

View Article: PubMed Central - PubMed

Affiliation: Department of Child and Adolescent Health Care, Xinhua Hospital, affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

ABSTRACT
In this study, changes in growth parameters and nutrient intake were compared in Chinese children (ages 30-60 months) with picky eating (PE) behaviors and weight-for-height ≤25th percentile, who were randomized to receive nutrition counseling alone (NC; n = 76) or with a nutritional milk supplement (NC + NS; n = 77) for 120 days. Increases in weight-for-height z-scores were significantly greater in the NC + NS group at days 30 and 90 and over the entire study period (all P < 0.05), but not at day 120. Increases in weight-for-age z-scores were significantly greater in the NC + NS group at day 90 (P = 0.025) and over the entire study period (P = 0.046). Mean intakes of energy, protein, carbohydrate, docosahexaenoic acid, arachidonic acid, calcium, phosphorous, iron, zinc, and vitamins A, C, D, E, and B6 were significantly higher in the NC + NS group at days 60 and 120 (all P < 0.01). Thus, in young children with PE behaviors, nutritional supplementation given as an adjunct to NC resulted in greater improvements in nutrient intake compared with NC alone. Growth parameters differed between groups at several timepoints during the study, but not at day 120.

No MeSH data available.