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May 4, 2015

Optimizing Nutritional Health Through Behavioral Intervention in Young Children With Cystic Fibrosis

Author Affiliations
  • 1Baylor College of Medicine, Houston, Texas
  • 2Texas Children’s Hospital, Houston
JAMA Pediatr. 2015;169(5):e150644. doi:10.1001/jamapediatrics.2015.0644

In this issue of JAMA Pediatrics, a noteworthy behavioral intervention to address nutritional health and family management in cystic fibrosis (CF) is described.1 The education offered in the control group is typical of usual care provided in Cystic Fibrosis Foundation (CFF)–accredited CF care centers and additional attention and food diary completion in the control group did not have as strong a positive influence as the behavioral and nutritional treatment intervention. This study shows that intensive individualized treatment when a child has inadequate calorie intake can make a positive and sustained difference in energy intake and growth. The intervention did not show significant change in weight z score, although there was a positive trend and may have related to the inclusion of children with higher baseline scores. This improvement in height velocity is meaningful, if sustained, given that stature has been shown to be a significant prognostic factor indicator of survival in CF.2,3