Research

Mixed

N-of-1 study designs provide a higher level of evidence for determining individualized treatment efficacy in medical nutrition therapy compared to traditional Randomized Controlled Trials (RCTs), which often mask individual variance through mean effect sizes.

If you are a dietitian, standard RCT-based guidelines may not work for every patient because individual responses vary widely. To practice true precision nutrition, consider using N-of-1 trial designs (testing one patient against themselves with multiple diet phases) to identify the specific dietary pattern that works for that individual's biology and lifestyle, rather than relying solely on population averages.

ModerateSupportsLOW confidence
These trials provide a higher level of evidence for making decisions for individual patients than an RCT [13–15].
Margaret Allman‐Farinelli et al. · Nutrients · 2023

Why this rating

The paper is a systematic review of only 7 small-scale studies (total N=83), indicating the evidence base is small and in its infancy.

Source

Nutrition-Related N-of-1 Studies Warrant Further Research to Provide Evidence for Dietitians to Practice Personalized (Precision) Medical Nutrition Therapy: A Systematic Review

Margaret Allman‐Farinelli et al. · Nutrients · 2023

DOI 10.3390/nu15071756

systematic_review · n=83Cited 6×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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