Nutritional support and growth in thalassaemia major
Autor: | S Linpisarn, Y Yutrabootr, Marianne DeWier, George J. Fuchs, S Nimsakul, Prasong Tienboon, Robert M. Suskind, Abu Syed Golam Faruque, Mohammad A. Khaled |
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Rok vydání: | 1997 |
Předmět: |
Male
medicine.medical_specialty Nutritional Supplementation Child Nutritional Physiological Phenomena Reference Daily Intake Animal science Internal medicine medicine Electric Impedance Humans Longitudinal Studies Growth Disorders Thalassaemia major Anthropometry business.industry beta-Thalassemia Nutrition Disorders Infant Original Articles medicine.disease Body Height Malnutrition Endocrinology Child Preschool Pediatrics Perinatology and Child Health Food Fortified Body Composition Female business Bioelectrical impedance analysis |
Zdroj: | Archives of disease in childhood. 76(6) |
ISSN: | 1468-2044 |
Popis: | Twelve thalassaemic children under 3 years of age received intensive nutritional support for one month and were discharged on a prescribed diet of locally available foods. Anthropometry, bioelectrical impedance analysis and dietary intake were longitudinally assessed. Mean energy intake was 20% greater than the recommended daily allowance during nutritional supplementation as compared with below the recommended daily allowance before and after the period of nutritional support. Weight, but not height, significantly increased during the support period and was due to increases in both fat free mass and fat mass. Body weight, fat free mass and fat mass declined in line with the reduced intake upon return home; however, height velocity accelerated and exceeded normal through the fourth month before resuming a below normal rate. It can be concluded that (1) nutritional stunting as the result of reduced nutrient intake is an important cause of growth failure in young children with thalassaemia and is responsive to nutritional support, (2) the deficit in height velocity was due to retarded truncal height growth, and (3) the bioelectrical impedance analysis method is suitable for body composition analysis of thalassaemic children. |
Databáze: | OpenAIRE |
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