Is fibre supplementation in paediatric sip feeds beneficial?

A Daly1, T Johnson, A MacDonald

  • 1The Birmingham Children's Hospital, Birmingham, UK. anne.daly@bch.nhs.uk

Insights

Paediatric sip feeds containing fibre improved fibre intake and reduced laxative use in children with chronic illness. These fibre-enriched sip feeds are safe and well-tolerated, offering vital nutritional support.

Area of Science:

  • Pediatric Nutrition
  • Gastroenterology
  • Clinical Trials

Background:

  • The efficacy of pediatric fiber-containing sip feeds for children aged 1-6 years (8-20 kg) with chronic illnesses has not been previously evaluated.
  • Nutritional support is crucial for children with chronic conditions, and the role of fiber in specialized sip feeds requires investigation.

Purpose of the Study:

  • To evaluate the efficacy, safety, and tolerance of a pediatric fiber-containing sip feed compared to a fiber-free control sip feed.
  • To assess the impact of fiber-enriched sip feeds on nutritional intake, gastrointestinal tolerance, and relevant health markers in pediatric patients.

Main Methods:

  • An open, prospective, parallel study involving 60 children (1-6 years) with chronic illness.
  • Participants received either a fiber-containing sip feed (2.0 g/100 ml fiber) or a fiber-free control sip feed for 12 weeks.
  • Data collected included blood biochemistry, hematology, anthropometry, tolerance, and food intake at baseline and 12 weeks.

Main Results:

  • The group receiving the fiber-containing sip feed showed significantly higher fiber intake (P < 0.0001) and decreased laxative usage.
  • The sip feed contributed approximately 50% of the total fiber intake in the intervention group.
  • No significant differences were observed in sip feed tolerance, anthropometry, nutritional biochemistry, or hematology between the two groups.

Conclusions:

  • Pediatric fiber-containing sip feeds are effective in increasing fiber intake and reducing laxative dependence in children with chronic illnesses.
  • These specialized sip feeds are safe, well-tolerated, and provide a significant source of fiber for pediatric patients requiring nutritional support.
  • Fiber-enriched sip feeds represent a valuable tool for managing nutritional needs and improving gastrointestinal health in vulnerable pediatric populations.

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