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PediaSure in the treatment of severe malnutrition in Pakistani children
D S Akram1, F Y Bharmal, T Hussain
1Department of Paediatrics, Unit-I, Civil Hospital, Karachi.
Insights
PediaSure effectively supports nutrition therapy in malnourished children, leading to significant weight gain and improved caloric intake within two weeks. This high-density feed is well-tolerated and aids in the initial rehabilitation phase.
Area of Science:
- Pediatric Nutrition
- Clinical Nutrition
- Malnutrition Rehabilitation
Background:
- Severe malnutrition in children presents significant health challenges.
- Effective nutritional intervention is crucial for recovery and growth.
- Early-stage rehabilitation requires specialized, high-caloric nutritional support.
Purpose of the Study:
- To evaluate the efficacy of PediaSure as a primary calorie source for severely malnourished children.
- To assess the impact of PediaSure on weight gain and nutritional status during the initial two weeks of rehabilitation.
- To monitor clinical tolerance and biochemical parameters during PediaSure supplementation.
Main Methods:
- A study involving 31 severely malnourished children aged 1-5 years.
- PediaSure was administered as the sole calorie source for two weeks post-acute complication management.
- Monitoring included weight gain, clinical tolerance, stool output, and hematological/biochemical parameters.
Main Results:
- Significant increase in caloric intake (p < 0.01) and weight gain (average 7.5 gm/kg/day).
- Improved Z-score for weight-for-age (p < 0.01) over the two-week period.
- High tolerance for PediaSure with no significant adverse biochemical imbalances or diarrhea observed.
Conclusions:
- PediaSure is an effective nutritional therapy for the initial stage of rehabilitation in severely malnourished children.
- The high-density caloric feed supports significant weight gain and nutritional improvement.
- PediaSure demonstrates excellent clinical tolerance and safety in this vulnerable population.
Objectives:
We used "PediaSure" a high-density supplemental high caloric feed, for the purpose of nutrition therapy of malnourished children during the initial 2 weeks of rehabilitation.
Methodology:
Thirty-one severely malnourished children between the ages of 1-5 years of age completed the study. After management of acute medical complications, they were started on "Pediasure" as their source of calories, for 2 weeks. Their weight gain clinical tolerance, stool output were monitored, as were hematological and biochemical parameters.
Results:
The study revealed a significant increase in caloric intake (p < 0.01) at the end of 2 weeks. There was also a significant improvement in weight gain of these children, averaging to 7.5 gm/kg/day. The Z score weight for age improved as well, (p = < 0.01) over the 2 week period. The biochemical parameters registered an increase in their serum potassium levels, but no untoward chemical imbalance was noted. Tolerance for PediSure was very high, only one child was excluded from the study due to limited intake. None of the children developed diarrhea.
Conclusion:
We conclude that "PediaSure" can be used effectively in the initial stage of nutrition rehabilitation of severely malnourished children.
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