Effect of carbohydrate composition of semi-elemental diets on the nutritional recovery of children with chronic diarrhea
1989
Romer, H. | Olivero, E. | Gomez-Rodriquez, G. | Velasquez-Avila, G. | Lea, M. | Aguero, L. | Cavazza, M.E.
Forty six out of 74 children with chronic diarrhea of unknown etiology, between the ages of 44 and 627 days, were studied. They were assigned, by single randomization, to three dietary treatments: a) cow's milk, b) a sucrose-free (SED-S) and c) a sucrose containing semi-elemental diet (SED+S), for fifteen days. We registered the daily increase of body weight, daily amount of ingested Kcal and the increase of body weight per 1000 Kcal. The number of days with diarrhea before hospitalization, the age and weight of each child before treatment were recorded and analyzed as covariates. Maltase, sucrase and lactase activity values were compared before treatment, but were not different in the t hree groups. A significant increase of body weight per 1000 Kcal ingested was observed in children fed the SED-S diet compared to that observed in children on cow's milk (P = .013 in ANCOVA; P = .053 in RANCOVA) and those fed SED+S (P = .009 in ANCOVA; P less than .001 in RANCOVA). The covariates did not have any apparent effect on these results. Only 7 out of 24 children receiving cow's milk completed the assigned diet. The carbohydrate composition of the semi-elemental diets proved to be fundamental in the nutritional recovery of these patients.
显示更多 [+] 显示较少 [-]