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Energy compensation in enterally fed children

Laura Kane1, Charlotte Wright, Wan Fathin Fariza

  • 1Paediatric Epidemiology and Community Health (PEACH), Faculty of Medicine, University of Glasgow, QMH Tower, Yorkhill Hospitals, Glasgow G3 8SJ, UK.

Appetite
|November 16, 2010
PubMed

Insights

Children artificially fed, including tube fed and supplement fed, showed energy compensation similar to normally fed children. This suggests artificial feeding may not hinder appetite regulation development.

Area of Science:

  • Pediatric Nutrition
  • Appetite Regulation
  • Energy Homeostasis

Background:

  • Early childhood solid food exposure is crucial for appetite regulation development.
  • Artificial feeding methods (tube or supplement feeding) may impact this development.
  • Understanding energy compensation in artificially fed children is important for nutritional management.

Purpose of the Study:

  • To assess energy compensation in children who have undergone artificial feeding.
  • To investigate if artificial feeding affects the development of appetite regulation.
  • To compare energy compensation in artificially fed children to established norms.

Main Methods:

  • Formal satiation studies were conducted on 11 children (median age 4.5 years) with various medical conditions.
  • Participants received either a high-energy preload (HEP) or low-energy preload (LEP) drink on separate days.
  • A multi-item test lunch was provided post-preload, and a compensation index (COMPX) was calculated.

Main Results:

  • The median COMPX score was 70% (range -73% to 178%), indicating energy compensation.
  • Boys tended to show higher compensation (median 99%) than girls (median 30%).
  • No significant association was found between compensation and age in this cohort.

Conclusions:

  • Children who have been artificially fed demonstrate energy compensation capabilities comparable to normally fed children.
  • Artificial feeding may not necessarily impair the development of appetite regulation mechanisms.
  • Further research with larger cohorts is warranted to confirm these preliminary findings.

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