Dietary intake assessment in children with cystic fibrosis using 3-day food diaries: a single-centre study

Frontiers in Pediatrics

Pediatrics

Laurence Delhaes¹  Lucie Nouard²  Pauline Gallet²  Margaux Gaschignard²  Haude Clouzeau²  Thierry Lamireau²  Aurélie Costanzo²  Candice Tetard²  Joris Menard²  Michael Fayon³  Raphaël Enaud³  Fabien Beaufils³  Stéphanie Bui³ 

[1] Centre de Recherche Cardio-Thoracique de Bordeaux, Bordeaux University, INSERM U1045, U1045, Bordeaux, France;Pediatric Cystic Fibrosis Reference Center (CRCM), Bordeaux University Hospital, Hôpital Pellegrin-Enfants, Centre d’Investigation Clinique (CIC 1401), Bordeaux, France;Pediatric Cystic Fibrosis Reference Center (CRCM), Bordeaux University Hospital, Hôpital Pellegrin-Enfants, Centre d’Investigation Clinique (CIC 1401), Bordeaux, France;Centre de Recherche Cardio-Thoracique de Bordeaux, Bordeaux University, INSERM U1045, U1045, Bordeaux, France;

关键词: cystic fibrosis;    nutrition;    nutritional status;    nutritional intake;    macronutrient;    micronutrient;   

DOI  :  10.3389/fped.2023.1130792

 received in 2022-12-23, accepted in 2023-04-21,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundMalnutrition is both a feature and major cause of morbidity in cystic fibrosis (CF). Therefore, nutritional management is an essential element of patient care. In 2016, an international guideline for nutritional management in patients with CF was published. In light of these recommendations, the aim of this study was to investigate the dietary intake of children with CF at the University Hospital of Bordeaux.MethodsWe conducted a retrospective study at the Paediatric CF Centre of the University Hospital of Bordeaux. Patients aged 2–18 years with CF who completed a 3-day food diary at home between January 2015 and December 2020 were included.ResultsA total of 130 patients, with a median age of 11.8 [interquartile range (IQR): 8.3; 13.4] years, were included. The median Z-score for BMI was −0.35 (IQR: −0.9; 0.2) and 20% of the patients had a Z-score for BMI < −1. Recommended total energy intakes were achieved in 53% of the patients, particularly those with nutritional support. Recommended protein intake was met in 28% of the cases, while fat and carbohydrate intakes were met in 54%. Vitamin and micronutrient levels were normal in 80% of the patients, with the exception of vitamin K, which was within the therapeutic range in only 42% of the cases.ConclusionRecommended nutritional targets are difficult to achieve in patients with CF, and providing nutritional support during follow-up remains a challenge.

【 授权许可】

Unknown   
© 2023 Gaschignard, Beaufils, Gallet, Clouzeau, Menard, Costanzo, Nouard, Delhaes, Tetard, Lamireau, Fayon, Bui and Enaud.