scholarly journals NUTRITIONAL SUPPORT FOR CYSTIC FIBROSIS: THE EXPERIENCE OF THE INTRODUCTION OF DOMESTIC SPECIALIZED ENTERAL NUTRITION MIXTURES

Author(s):  
Tatiana V. Bushueva ◽  
Tatyana E. Borovik ◽  
Elena A. Roslavtseva ◽  
Olga I. Simonova ◽  
Nina I. Burkina ◽  
...  

Background. Adequate nutritional support is known to help to avoid the protein-energy deficiency in patients with cystic fibrosis (CF) and to reduce the number of escalations of the bronchopulmonary process. The CF patients need for increased protein and energy in their diet so they need to use specialized high-calorie high-protein foods. Purpose. To estimate tolerance and clinical efficacy of specialized mixtures «Nutrien Standart» and «Nutrien Diabet» (dry and liquid forms) in CF patients over 1 year. Materials and methods. 87 children aged 1.2-17 years were observed at children’s clinics in Moscow, Tumen, Voronezh. In all cases, there was confirmed a diagnosis of CF and/or CA associated with diabetes mellitus (DM). All of them showed a nutritional deficiency of varying severity. 70% of children received liquid forms of products, 30% - dry mixtures prepared in isocaloric dilution. The WHO-Anthro and WHO-Anthro Plus programs were used for the determination of nutritional status. The duration of observation accounted for at least 2 months. Results. The taste of the products was rated by most (97.7%) patients as very good, only two (2.3%) patients refused to accept new products. No adverse events were noted during the observateon. 73 (83%) patients showed a positive dynamics of nutritional status. Among patients aged less than 6 years, the number of children with normal physical development significantly increased (p <0.05). Conclusion. The various forms of specialized domestic high-calorie high-protein products is effective for correcting the nutritional status of the CF patients over 1 year.

Author(s):  
R. F. Rakhmaeva ◽  
A. A. Kamalova ◽  
V. A. Ayupova

Children with cerebral palsy (CP) often develop nutritional disorders, their incidence reaches 80% (according to the literature data).Purpose. To analyze the frequency of nutritional disorders and features of nutritional status in children with CP.Characteristics of children and research methods. We studied the anthropometric indicators (weight, height, body mass index, triceps and subscapular skin fold thickness), physical development characteristics depending on the motor abilities of the child according to the Gross Motor Function Classification System scale and body composition by bioelectrical impedance.Results. Nutritional status disorders were detected in 88.8% of patients, while the diagnostic was based on a reduced physical development in 55.5% of patients. 22.2% of patients had protein-energy deficiency of the first degree, 15.5% of patients had protein-energy deficiency of the second degree, 6.7% of patients had protein-energy deficiency of the third degree, 11.1% of patients suffered from overweight. Besides, nutritional disorders were diagnosed in 33.3% of patients with normal physical development, but with altered body composition, namely, with the imbalance of fat and lean body weight, the isolated increase of the percentage of fat mass, the decrease of active cellular and musculoskeletal weight. These patients also require nutritional correction.Conclusion. These data confirm the dependence of physical development and body composition on the patient’s motor activity and demonstrate the need for complex comprehensive study of nutritional status in children with CP.


Author(s):  
Suharjito Suharjito ◽  
Jimmy Jimmy ◽  
Abba Suganda Girsang

Determination of nutritional status is closely related to the determination of dietary patterns should be given to infants. Nutrition is very important role in mental, physical development, and human productivity. In this study, the system based on android is developed to determine the nutritional status of infants by using Fuzzy Sugeno. Indicator variables are age, height, circle head, and body weight according to the male or female. In this study, the results of measurements of nutritional status of children with Fuzzy Sugenoare tested by comparing the nutritional quality of the data Posyandu toddler by using anthropometric tables. The results of the evaluation measurement accuracy in this application are compared with the results of manual calculation based infant growth charts according to WHO standards. Therefore, these applications can be used to help the community in monitoring the nutritional status of children so that the growth of children is more appropriate in line with expectations.


2016 ◽  
Vol 54 (4) ◽  
pp. 232-236
Author(s):  
Bahri Özer ◽  
Ahmet Kocakuşak ◽  
Cihad Tatar ◽  
Adil Koyuncu ◽  
Suat Benek ◽  
...  

2017 ◽  
Author(s):  
F Cuesta Triana

Background: Enteral nutrition (EN) is an effective nutritional intervention for patients at risk of malnutrition or malnourished. However, complications such as gastrointestinal intolerance, hyperglycemia or refeeding syndrome can be triggered by EN.Aim:  To investigate the effects of a tube feeding formula (TFF) on patients’ nutritional status, biochemical status, bowel habits and safety.Methodology: Observational, prospective and multicentre study. Patients ≥18 years, undernourished or at nutritional risk, who were prescribed a high-calorie, high-protein, fiber-fortified TFF (Jevity® Plus HP, Abbott Laboratories S.A) were included. Patients were evaluated over a period of 8 weeks [baseline (V1), 4 weeks (V2) and 8 weeks (V3)].Results: A statistically significant increase in weight (1.5 kg), body mass index (0.6 kg/m2) and nutritional intake (59,7 kcal/day) was observed between V1 and V2. Between V1 and V3, there was a statistically significant decrease in the percentage of individuals with abnormal biochemical markers for glucose, sodium, potassium, total protein and albumin. The number of patients’ bowel movements remained stable throughout the study with a mean of 1.1 daily bowel movements.Conclusion: The TFF was safe and well tolerated, improved patients’ nutritional status, and normalized electrolyte balance and blood glucose levels without altering patients’ bowel habits.


2016 ◽  
Vol 88 (11) ◽  
pp. 163-167
Author(s):  
N A Krylova ◽  
E L Amelina ◽  
S A Krasovsky

The major risk factor for death in cystic fibrosis (CF) is a progressive lung injury; however, low nutritional status (NS) remains an important and underestimated problem in the management of these patients. The NS of a patient with CF is impaired by many factors, such as chronic malabsorption, pancreatic failure, chronic inflammation, and recurrent pulmonary infection – they all lead to higher energy demand in the presence of lower intake of nutrients. The NS of those with CF plays an important role in maintaining lung function. The patients with higher NS have longer life expectancies. According to the Russian National Registry, both pediatric and adult patients with CF have shorter life expectancies. The article discusses various nutritional support regimens and their impact on lung function parameters.


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