Evidence map›Paper›PMID 32190808›Full record

ArticleCurrent developments in nutrition2020

Challenges in Designing and Delivering Diets and Assessing Adherence: A Randomized Controlled Trial Evaluating the 2010 Dietary Guidelines for Americans.

Sridevi Krishnan, Fanny Lee, Dustin J Burnett, Annie Kan, Ellen L Bonnel, Lindsay H Allen, Sean H Adams, Nancy L Keim

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Current developments in nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02298725 (Individual Metabolism and Physiology Signature Study), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT02298725 nacompletednot on this map

Individual Metabolism and Physiology Signature Study

TypeinterventionalSponsorUSDA, Western Human Nutrition Research CenterRan2014 to 2017Enrolled52ConditionsInsulin Resistance, Metabolic Syndrome X, ObesityArmsDGA Diet Plan, NHANES Diet Plan
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 17 citations in OpenAlex.

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  9. The Impact of Whole Egg Consumption on Bone Accrual in Healthy Children: A Randomized Controlled Trial.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Sridevi KrishnanWestern Human Nutrition Research Center, Agricultural Research Service, USDA, Davis, CA, USA.
Fanny LeeDepartment of Nutrition, University of California, Davis, Davis, CA, USA.
Dustin J BurnettWestern Human Nutrition Research Center, Agricultural Research Service, USDA, Davis, CA, USA.
Annie KanWestern Human Nutrition Research Center, Agricultural Research Service, USDA, Davis, CA, USA.
Ellen L BonnelWestern Human Nutrition Research Center, Agricultural Research Service, USDA, Davis, CA, USA.
Lindsay H AllenWestern Human Nutrition Research Center, Agricultural Research Service, USDA, Davis, CA, USA.
Sean H AdamsDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Nancy L KeimWestern Human Nutrition Research Center, Agricultural Research Service, USDA, Davis, CA, USA.
University of California, Davis · USAgricultural Research Service · USUniversity of Arkansas for Medical Sciences · USWestern Human Nutrition Research Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControlled-feeding trials are challenging to design and administer in a free-living setting. There is a need to share methods and best practices for diet design, delivery, and standard adherence metrics.

objectivesThis report describes menu planning, implementing, and monitoring of controlled diets for an 8-wk free-living trial comparing a diet pattern based on the Dietary Guidelines for Americans (DGA) and a more typical American diet (TAD) pattern based on NHANES 2009-2010. The objectives were to

methodsMenus were blinded by placing similar dishes on the 2 intervention diets but changing recipes. Adherence was monitored using daily food checklists, a real-time dashboard of scores from daily checklists, weigh-backs of containers returned, and 24-h urinary nitrogen recoveries. Proximate analyses of diet composites were used to compare the macronutrient composition of the composite and planned menu.

resultsMeeting nutrient intake recommendations while scaling menus for individual energy intake amounts and food portions was most challenging for vitamins D and E, the sodium-to-potassium ratio, dietary fiber, and fatty acid composition. Dietary adherence for provided foods was >95%, with no differences between groups. Urinary nitrogen recoveries were ∼80% relative to nitrogen intake and not different between groups. Composite proximate analysis matched the plan for dietary fat, protein, and carbohydrates. Dietary fiber was ∼2.5 g higher in the TAD composite compared with the planned menu, but ∼7.4 g lower than the DGA composite.

conclusionsBoth DGA and TAD diets were acceptable to most participants. This conclusion was supported by self-reported consumption, quantitative weigh-backs of provided food, and urinary nitrogen recovery. Dietary adherence measures in controlled-feeding trials would benefit from standard protocols to promote uniformity across studies. The trial is registered at clinicaltrials.gov as NCT02298725.

Indexed as

blinding diet interventionscontrolled feedingdiet acceptabilitydietary adherencediet patternsfree-living trialmenu design

Identifiers

PMID32190808
PMCPMC7066378
OpenAlexW3005805719

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.