Value of a chicken-based formula for refeeding of children with protracted diarrhea and malnutrition in a developing country.
J Pediatr Gastroenterol Nutr
; 9(4): 473-80, 1989 Nov.
Article
in En
| MEDLINE
| ID: mdl-2516122
Two hospital-made, lactose-free, hypoosmolar formulas were compared for therapy for 61 children aged 10-28 months who had severe malnutrition and protracted diarrhea. The formulas were isocaloric and contained dextrin-maltose, carrots, sunflower oil, minerals, and vitamins. One had chicken meat as the protein source and the other had hydrolyzed lactalbumin (LAD). Initially the formulas were given as a continuous enteral feeding by nasogastric tube and pump. Six patients died from metabolic and infectious complications: four failed to equilibrate and changed diet. The remaining 51 were divided into two groups; group A, chicken formula (n = 26), and group B, LAD formula (n = 25). The mean duration of diarrhea was similar in both groups; number of days with liquid stools = 6.0 +/- 4.1 in group A, 5.5 +/- 2.8 in group B; number of days with greater than 4 stools/day = 3.5 +/- 3.4 in group A, 4.1 +/- 2.1 in group B. The time until beginning nutritional recovery was 13.2 +/- 12.0 days in group A and 13.3 +/- 7.8 days in group B. Intercurrent infections were significantly more frequent in patients receiving chicken formula (12 of 30 patients) than in those receiving LAD formula (4 of 27 patients) (p less than 0.05). We conclude that chicken formula is an efficient substitute to expensive semielemental formulas for continuous enteral feeding of protracted diarrhea in severely malnourished children.
Key words
Biology; Data Analysis; Demographic Factors; Developing Countries; Diarrhea; Diarrhea, Infantile--prevention and control; Diseases; Evaluation; Examinations And Diagnoses; Health; Infant Nutrition; Laboratory Examinations And Diagnoses; Malnutrition; Nutrition; Nutrition Disorders; Physiology; Population; Population Dynamics; Proteins; Research Methodology; Supplementary Feeding; Time Factors; Treatment
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Food, Formulated
/
Diarrhea, Infantile
/
Meat
/
Nutrition Disorders
Type of study:
Clinical_trials
Limits:
Animals
/
Child, preschool
/
Humans
/
Infant
Country/Region as subject:
America do sul
/
Bolivia
Language:
En
Journal:
J Pediatr Gastroenterol Nutr
Year:
1989
Document type:
Article
Affiliation country:
Bolivia
Country of publication:
United States