ABSTRACT
This article reviews the factors contributing to early childhood obesity and the options for recognition and early intervention. The role for developing preschool wellness programs that incorporate nutrition education and physical activity is presented with a model under development in the state of Maryland.
Subject(s)
Child Nutritional Physiological Phenomena , Early Medical Intervention , Obesity/prevention & control , Child , Guidelines as Topic , Health Education , Health Promotion , Humans , Maryland , Motor Activity , Nutrition PolicyABSTRACT
The allergic bowel diseases of the adolescent have been traditionally lumped under the diagnosis of allergic or eosinophilic gastroenteritis. Over the past 20 years, clinical criteria have been established to distinguish three distinct clinical syndromes: eosinophilic esophagitis, eosinophilic gastroenteritis, and eosinophilic ascites. Each has a characteristic infiltration of eosinophils in, respectively,the esophagus only, the stomach, small bowel, and/or large bowel, or the serosal surface of the bowel. These conditions are distinguished by clinical presentation, diagnostic features, and treatment alternatives. Teenagers with these conditions may present to their pediatrician, family physician, allergist, or gastroenterologist, so each physician must appreciate the extent of appropriate diagnostic investigations and the relative value of dietary or anti-inflammatory therapy.
Subject(s)
Eosinophilia/diagnosis , Eosinophilia/therapy , Gastroenteritis/diagnosis , Gastroenteritis/therapy , Adolescent , Adolescent Health Services , Child , HumansABSTRACT
Impairment of growth and malnutrition are significant complications of inflammatory bowel disease (IBD) in pediatric patients. Since this topic was last reviewed in these pages (), a number of studies have further explored the epidemiology and pathogenesis of these nutritional complications of IBD in an effort to provide more effective interventions to prevent the long-term consequences of chronic nutrient deficiencies in childhood. In addition, during the past 15 years, the use of selected nutrients and microorganisms (probiotics) as primary or adjunctive therapy for the treatment of IBD has become an emerging area of great interest. The following is a Clinical Report from the Nutrition and Inflammatory Bowel Disease Committees of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition.
