Trial reportJournal of the Academy of Nutrition and Dietetics2018
Picky Eaters Improved Diet Quality in a Randomized Behavioral Intervention Trial in Youth with Type 1 Diabetes.
Trial report in Journal of the Academy of Nutrition and Dietetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.
- Effectiveness of medical nutrition therapy in adolescents with type 1 diabetes: a systematic review.Nutrition & diabetes · 2022Pooled it
- Patient Characteristics Associated With Annual Nutrition Visits in Children With Type 1 Diabetes.Pediatric diabetes · 2025Article
- Examining measurement invariance of appetitive trait and ARFID symptom measures by food security status.Appetite · 2024Article
- Experiences With Outpatient Nutrition Services Among Caregivers of Youth With Type 1 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundChildren who are picky eaters typically demonstrate persistent food refusal and poor diet quality and may be resistant to intervention.
objectiveThis 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.
designThe study was an 18-month randomized clinical trial.
participantsYouth 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.
interventionThe intervention integrated motivational interviewing, active learning, and applied problem solving to increase whole plant food intake.
main outcome measuresWhole 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 χ
resultsBaseline 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.
conclusionsThe 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.
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