Influence of Dietary Advice Including Green Vegetables, Beef, and Whole Dairy Products on Recurrent Upper Respiratory Tract Infections in Children: A Randomized Controlled Trial

Autor: Thalia Hummel, Job van der Palen, Rosan Nobbenhuis, Ellen J. van der Gaag, Ruben Brandsema
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
0301 basic medicine
Time Factors
Antibiotics
dietary advice
Recommended Dietary Allowances
law.invention
0302 clinical medicine
Randomized controlled trial
Recurrence
Risk Factors
law
Health care
Outpatient clinic
030212 general & internal medicine
Respiratory Tract Infections
Netherlands
Nutrition and Dietetics
Respiratory tract infections
Age Factors
Dietary advice
beef
Anti-Bacterial Agents
Whole milk
Child
Preschool

Female
Diet
Healthy

Child Nutritional Physiological Phenomena
whole dairy products
Nutritive Value
lcsh:Nutrition. Foods and food supply
vegetables
medicine.medical_specialty
medicine.drug_class
Nutritional Status
lcsh:TX341-641
Article
03 medical and health sciences
children
Internal medicine
medicine
Humans
Recurrent upper respiratory tract infections
030109 nutrition & dietetics
business.industry
Infant
Protective Factors
upper respiratory tract infections
Red Meat
randomized controlled trial
Dairy Products
business
Risk Reduction Behavior
Food Science
Zdroj: Nutrients, Vol 12, Iss 1, p 272 (2020)
Nutrients
Nutrients, 12(1):272. Multidisciplinary Digital Publishing Institute (MDPI)
Volume 12
Issue 1
ISSN: 2072-6643
Popis: Background: Since no treatment exists for children suffering from upper respiratory tract infections (URTIs) without immunological disorders, we searched for a possible tool to improve the health of these children. Aim: We evaluated whether dietary advice (based on food matrix and food synergy), including standard supportive care, can decrease the number and duration of URTIs in children with recurrent URTIs. Design and Setting: This study was a multicenter randomized controlled trial in two pediatric outpatient clinics in the Netherlands, with 118 children aged one to four years with recurrent URTIs. The dietary advice group received dietary advice plus standard supportive care, while the control group received standard supportive care alone for six months. The dietary advice consisted of green vegetables five times per week, beef three times per week, 300 mL whole milk per day, and whole dairy butter on bread every day. Portion sizes were age-appropriate. Results and Conclusion: Children in the dietary advice group had 4.8 (1.6&ndash
9.5) days per month with symptoms of an URTI in the last three months of the study, compared to 7.7 (4.0&ndash
12.3) in the control group (p = 0.028). The total number of URTIs during the six-month study period was 5.7 (0.55) versus 6.8 (0.49), respectively (p = 0.068). The use of antibiotics was significantly reduced in the dietary advice group, as well as visits to a general practitioner, thereby possibly reducing healthcare costs. The results show a reduced number of days with symptoms of a URTI following dietary advice. The number of infections was not significantly reduced.
Databáze: OpenAIRE