Oral Nutritional Supplementation Improves Growth in Children at Malnutrition Risk and with Picky Eating Behaviors

Nutrients

卷:13

Dieu T. T. Huynh¹  Deepti Khanna²  Shirish Bhatnagar³  Apurba Ghosh⁴  Ravi D. Mandyam⁵  Anuradha Vaman Khadilkar⁶  Pramod Jog⁷  Prahalad D. Pote⁸  Anil Kumar Paruchuri⁹  Sandeep Shinde¹⁰  Bala Kishore¹¹  Atish Shah¹²  Pinupa Venkata Saibaba¹³  Menaka Yalawar¹³ 

[1] Abbott Nutrition Research and Development Asia-Pacific Center, Singapore 138668, Singapore;

[2] Abbott Nutrition, Research & Development India, 15th Floor, Godrej BKC Plot–C, “G” Block, Bandra Kurla Complex, Bandra East, Mumbai 400051, Maharashtra, India;

[3] Ajanta Research Centre, Ajanta Hospital & IVF Centre, 765, ABC Complex, Kanpur Road, Alambagh, Lucknow 226005, Uttar Pradesh, India;

[4] Institute of Child Health, Ground Floor, 11, Biresh Guha Street, Kolkata 700017, West Bengal, India;

[5] JSS Academy of Higher Education and Research, Mysuru 570004, Karnataka, India;

[6] Jehangir Clinical Development Centre, Jehangir Hospital, 32, Sassoon Road, Near Pune Station, Pune 411001, Maharashtra, India;

[7] Medipoint Hospital, S. No. 241/1, New D.P. Road, Aundh, Pune 411007, Maharashtra, India;

[8] Noble Hospital Private Limited, 153, Magarpatta City Road, Hadapsar, Pune 411013, Maharashtra, India;

[9] Praveen Cardiac Centre, Moghalrajpuram Madhu Garden bus stop, No. 5 Bus Route, Vijayawada 520010, Andhra Pradesh, India;

[10] Pune Sterling Multispecialty Hospital, Sector 27, Near Bhel Chowk, Pradhikiran, Nigdi, Pune 411044, Maharashtra, India;

[11] Saint Theresa’s Hospital, Erragadda, Sanath Nagar, Hyderabad 500018, Telangana, India;

[12] Sangini Hospital, Sangini Complex, Near Parimal Crossing, Ahmedabad 380006, Gujarat, India;

[13] Statistical Services, Cognizant Technology Solutions India Private Limited, Manyata Business Park, Nagavara, Bengaluru 560045, Karnataka, India;

关键词: children;    growth;    picky eating;    malnutrition;    oral nutritional supplements;   

DOI  :  10.3390/nu13103590

来源: DOAJ

【 摘 要 】

The problem of poor nutrition with impaired growth persists in young children worldwide, including in India, where wasting occurs in 20% of urban children (<5 years). Exacerbating this problem, some children are described by their parent as a picky eater with behaviors such as eating limited food and unwillingness to try new foods. Timely intervention can help prevent nutritional decline and promote growth recovery; oral nutritional supplements (ONS) and dietary counseling (DC) are commonly used. The present study aimed to determine the effects of ONS along with DC on growth in comparison with the effects of DC only. Enrolled children (N = 321) were >24 to ≤48 months old, at malnutrition risk (weight-for-height percentile 3rd to 15th), and described as a picky eater by their parent. Enrollees were randomized to one of the three groups (N = 107 per group): ONS1 + DC; ONS2 + DC; and DC only. From day 1 to day 90, study findings showed significant increases in weight-for-height percentile for ONS1 + DC and for ONS2 + DC interventions, as compared to DC only (p = 0.0086 for both). There was no significant difference between the two ONS groups. Anthropometric measurements (weight and body mass index) also increased significantly over time for the two ONS groups (versus DC only, p < 0.05), while ONS1 + DC significantly improved mid-upper-arm circumference (p < 0.05 versus DC only), as well. ONS groups showed a trend toward greater height gain when compared to DC only group, but the differences were not significant within the study interval. For young Indian children with nutritional risk and picky eating behaviors, our findings showed that a 90-day nutritional intervention with either ONS1 or ONS2, along with DC, promoted catch-up growth more effectively than did DC alone.

【 授权许可】

Unknown