[Nutritional intervention in children and adolescents with cystic fibrosis. Relationship with pulmonary function]

C Martínez-Costa1, A Escribano, F Núñez Gómez

  • 1Servicio de Pediatría, Hospital Clínico, Universidad de Valencia, España. ceciliam@comv.es

Insights

Early nutritional intervention significantly improves weight and anthropometrics in pediatric cystic fibrosis (CF) patients. Good nutritional status is closely linked to better pulmonary function in CF.

Area of Science:

  • Pediatric Pulmonology
  • Nutritional Science
  • Genetic Diseases

Context:

  • Cystic Fibrosis (CF) is a genetic disorder affecting multiple organs, particularly the lungs and digestive system.
  • Pediatric patients with CF often face challenges in maintaining adequate nutritional status due to malabsorption and increased metabolic demands.
  • Early and continuous nutritional support is crucial for managing CF and its complications.

Purpose:

  • To evaluate the impact of early and consistent nutritional intervention on the nutritional status and pulmonary function of pediatric patients with cystic fibrosis (CF).
  • To explore the correlation between nutritional status and respiratory outcomes in young CF patients.
  • To determine the necessity and effectiveness of various nutritional support strategies in CF management.

Summary:

  • This study followed 19 pediatric CF patients (17 months to 18 years) over a mean of 10 years, assessing nutritional status (NS) and pulmonary function via regular clinical, anthropometrical, and spirometry evaluations.
  • Nutritional interventions included dietary recommendations, oral/invasive enteral nutrition (EN), and supplementation. Anthropometrical improvements, particularly in weight and skinfold thickness, were significant (p < 0.05).
  • Despite high rates of exocrine pancreatic failure (84%) and Pseudomonas aeruginosa colonization (73%), patients showed improved weight and a strong correlation between nutritional status (weight/height ratio) and pulmonary function (FVC, FEV1).

Impact:

  • Early and continuous nutritional intervention, including enteral nutrition (EN), is vital for improving anthropometric measures in pediatric CF patients.
  • Maintaining optimal nutritional status is directly correlated with better pulmonary function (FVC and FEV1) in children with CF.
  • Effective nutritional monitoring and support are essential for meeting the demands of CF and improving overall patient outcomes.
Abstract

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