首页   按字顺浏览 期刊浏览 卷期浏览 Normal Energy Intake Range in Children with Chronic Nonspecific DiarrheaAssociation of ...
Normal Energy Intake Range in Children with Chronic Nonspecific DiarrheaAssociation of Relapses with the Higher Level

 

作者: Mario,   Ciampolini Donatella,   Vicarelli Salvatore,  

 

期刊: Journal of Pediatric Gastroenterology and Nutrition  (OVID Available online 1990)
卷期: Volume 11, issue 3  

页码: 342-350

 

ISSN:0277-2116

 

年代: 1990

 

出版商: OVID

 

关键词: Energy intake;Fiber intake;Infantile diarrhea;Ingestive behavior;Serum folate;Irritable bowel syndrome

 

数据来源: OVID

 

摘要:

An increase in energy intake often occurs at weaning. The increase may be due partly to prompting by the caregiver to accelerate the child's weight gain and partly motivated by the palatability of common weaning foods. Increased food intakes initiated during weaning and continued into the second year of life may be associated with chronic, nonspecific diarrhea in selected children. An educational project was designed to reduce intakes augmented by either cause. Reductions were achieved by the regulation of energy-dense foods in the child's diet and reliance on the child's appetite control to determine meal size. The educational intervention was applied prospectively under nonblinded, controlled conditions. Children, 1 to 2 years of age, with chronic nonspecific diarrhea were assigned randomly to either a treatment or control group. Compliance, food consumption, preprandial glycemia, and outdoor activities were reported by the children's mothers in four 7-day diaries; symptoms related to the children's clinical condition and anthropometric and biochemical indices of nutritional status were noted at the beginning and end of a 7-month period. Forty-four of 53 children in the experimental group maintained compliance, and 44 of 47 children in the control group completed the follow-up. Energy intake decreased significantly by almost one-third in the experimental group. Growth, skinfold thickness measurements, and outdoor activities were similar between experimental and control groups over the 7-month period. Diarrheal episodes occurred in 6, 1, and 2 children in the experimental group at 1.5, 3, and 7 months and in 22, 18, and 15 children in the control group, respectively (p < 0.002). Twenty of 32 parameter of clinical status were more advantageous in the experimental group compared to 9 of 32 in the control group in a comparison of the mean values in the two groups at the final examination (p < 0.05). Serum folate (p < 0.001) also was significantly higher in the experimental group. The described intervention appeared to achieve lower energy intakes in a safe and reproducible manner. It may be a useful tool to prevent overeating and control signs and symptoms associated with chronic, nonspecific diarrhea.

 

点击下载:  PDF (722KB)



返 回