Catch-up growth in children treated with home enteral nutrition.
This study was designed to determine the effect of home enteral nutrition on the outcomes of growth and the relationship between growth and entrance anthropometric criteria.
We reviewed the medical records of 78 consecutive children (median age, 20 months) who were enrolled in the home enteral feeding program at the Alberta Children's Hospital (Calgary, Alberta, Canada) between 1993 and 1995.
Weights, heights, and weight-for-heights were expressed as Z scores, using the Centers for Disease Control and Prevention anthropometric growth curve software.
To evaluate growth outcome, the total group was further subdivided using anthropometric criteria into appropriate, wasted, or stunted at the time of entry to the program.
In a subgroup of 36 children on whom anthropometric data was available for a median length of 5.7 months, Z scores were compared at 3 points in time : before entry, at time of entry, and last follow-up.
Patients were classified into five main groups : 11 (14%) had pulmonary disease, 26 (33%) had a gastrointestinal disorder, 21 (27%) had congenital defects, 10 (13%) had a neurologic disorder, and the remaining 10 (13%) had a variety of other illnesses, including malignancies and metabolic disorders.
Patients were on the program for a median duration of 8.9 months.
It was found that during the period of support within the program, enteral feeding was successful in improving weight-for-age Z scores by 0. (...)
Mots-clés Pascal : Nutrition, Voie entérale, Bénéfice, Dénutrition, Etat nutritionnel, Prévention, Complication, Etude statistique, Développement staturopondéral, Anthropométrie, Enfant, Homme, Nourrisson, Trouble nutrition
Mots-clés Pascal anglais : Nutrition, Enteral administration, Profit, Denutrition, Nutritional status, Prevention, Complication, Statistical study, Somatic growth, Anthropometry, Child, Human, Infant, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0511768
Code Inist : 002B27B07. Création : 23/03/1999.