在患有食道缩症的儿童中,营养困难,食物摄入量和生长
Kjersti Birketvedt1, Audun Mikkelsen2, Ragnhild Hanssen3
1Centre of Rare Diseases, Division of Pediatric and Adolescent Medicine Oslo University Hospital Oslo Norway.
JPGN reports
|November 29, 2024
概括
饮食困难影响了三分之一患有食道缩症 (EA) 的儿童,与较低的能量摄入量和体重相对年龄相关. 随访期间的早期查对于EA患者及时干预至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
- 遗传异常是一种先天性异常.
背景情况:
- 患有食道缩症 (EA) 的儿童的食困难和营养挑战尚未得到充分研究.
- 消化管缩症需要综合管理超出手术修复,包括营养支持.
研究的目的:
- 通过使用蒙特利尔儿童医院食量表 (MCH-FS) 调查父母报告的EA儿童的食困难.
- 研究EA患者的食困难与临床因素,生长参数和营养摄入量之间的关联.
主要方法:
- 一项前性队列研究,涉及2012年至2017年间出生的EA儿童的父母.
- 用MCH-FS在两个时间点评估父母报告的养困难.
- 在第二次评估中通过24小时的食物回忆收集的饮食摄入数据;来自医疗记录的临床数据.
主要成果:
- 34%和31%的父母在两个评估点报告了食困难.
- 没有确定任何特定的料关注情况.
- 儿童的能量摄入量和体重与营养困难有显著的相关性 (MCH-FS总分,p < 0.02).
结论:
- 大约三分之一的EA儿童经历了父母报告的食困难.
- 这些困难与减少的能量摄入量和较低的体重与年龄有关,独立于临床因素.
- 在EA随访期间,建议定期对养困难进行查,以实现早期发现和干预.
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