Dietary supplementation and rapid catch-up growth after acute diarrhoea in childhood

The British Journal of Nutrition
S HoareL T Weaver

Abstract

Diarrhoea is a major cause of short-term growth faltering in children of the developing world. If catch-up weight gain is delayed by inadequate dietary intake, or by further bouts of diarrhoea, progressive growth failure occurs. To test the hypothesis that early refeeding is as effective as later feeding after acute diarrhoea with weight loss, we measured the effects of a timed dietary intervention on weight gain after acute diarrhoea in underweight Gambian children. Thirty-four children aged 4-22 months with weight loss following acute diarrhoea were given a high-energy-protein supplement for 14 d beginning either immediately after rehydration or a fortnight later. With a 50% increase in energy intake and a 100% increase in protein intake there was a rapid and highly significant (P < 0.001) gain in weight within a fortnight whether the supplement was given immediately or 2 weeks after presentation. Rates of weight increase were similar whether supplementation was provided early or late, but over the full 28 d (of intervention and non-intervention) children who received late supplementation had greater overall weight gain (P < 0.02) than those supplemented early. Vigorous and early feeding with a high-energy-protein supplement ...Continue Reading

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Citations

May 18, 1999·Archives of Disease in Childhood·E M PoskittR G Whitehead
Oct 26, 1999·Archives of Disease in Childhood·R Moy, I Booth
Nov 8, 2012·American Journal of Human Biology : the Official Journal of the Human Biology Council·María Ruiz-CastellJordi Sunyer
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Oct 13, 2006·Journal of Pediatric Gastroenterology and Nutrition·Lawrence T Weaver
Jul 30, 2014·Food and Nutrition Bulletin·Kelsey D JonesJames A Berkley
Jan 16, 2019·Italian Journal of Pediatrics·Maria Vittoria De VitaGianfranco Morino
Nov 4, 2000·The American Journal of Clinical Nutrition·A M Prentice, A A Paul
Nov 24, 1999·Acta Paediatrica. Supplement·M Gracey
Oct 13, 2006·Journal of Pediatric Gastroenterology and Nutrition·Li Ern ChenJeffrey A Lowell

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