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Nutrient deficiencies in tube-fed children
Joseph A Skelton1, Peter L Havens, Steven L Werlin
1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Clinical Pediatrics
|January 24, 2006
Summary
Children on tube feeding often have selenium deficiency, impacting their caloric intake and growth. Addressing nutrient deficiencies is crucial for improving outcomes in pediatric patients with gastrostomy or jejunostomy tubes.
Area of Science:
- Pediatric Nutrition
- Gastroenterology
- Clinical Micronutrient Research
Background:
- Children with gastrostomy or jejunostomy tubes rely on formula for caloric intake.
- Nutrient deficiencies can impact growth and overall health in these vulnerable pediatric populations.
Purpose of the Study:
- To determine the prevalence of selected nutrient deficiencies in children with feeding tubes.
- To assess the association between these deficiencies, caloric intake, and growth parameters.
Main Methods:
- Retrospective chart review of 150 pediatric patients (January 1999 - June 2002) at a specialized clinic.
- Analysis of nutrient levels (including ferritin, hemoglobin, zinc, selenium) and correlation with caloric intake (RDA) and growth metrics (weight-for-age, height-for-age).
Main Results:
- Significant prevalence of selenium deficiency (68%) and zinc deficiency (30%) was observed.
- Selenium deficiency was strongly associated with lower caloric intake (75% RDA vs. 91% RDA) and poorer weight-for-age percentile.
- Low caloric intake correlated negatively with height-for-age, weight-for-age, and weight-for-height.
Conclusions:
- Selenium deficiency is common in children with feeding tubes and linked to inadequate caloric intake and impaired growth.
- Monitoring and addressing micronutrient status, particularly selenium, is essential for optimizing growth in pediatric patients requiring enteral nutrition.
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