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Dietary intake in children and adolescents with cystic fibrosis.

Abstract

BACKGROUND & AIMS

The recommendation for caloric intake in CF patients is to obtain intakes between 110 and 200% of the estimated average requirement (EAR) for age groups and gender, of which 35-40 energy% should be from fat. It is questionable whether the advice is met.

METHODS

1726 Completed 3-day dietary food records of 234 CF patients (111 girls) and 2860 completed two non-consecutive 24-h dietary assessments of healthy controls (1411 girls) were studied. The dietary intake in CF patients was compared with that of healthy controls by using independent sample t tests.

RESULTS

Caloric intake in children with CF varied highly with age (88-127% EAR), which is below or in the lower range of the recommended 110-200% EAR. However the absolute caloric intake in CF children was significantly higher compared to controls at all ages. In addition, apart from boys aged 1-3 years, all CF children had a fat intake of 35 energy% or more. This fat intake was significantly higher than in controls, as was the consumption of saturated fat, the latter being well above 10% of the total energy intake.

CONCLUSION

Although CF patients generally do not meet the EAR recommendations, they had a significantly higher caloric intake than controls. Moreover fat intake in CF patients does generally meet recommendations, but this resulted in a considerable consumption of saturated fat; a reduction of the latter seems appropriate.

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  • Authors+Show Affiliations

    ,

    Internal Medicine and Dermatology, Dietetics and, Cystic Fibrosis Centre Utrecht, University Medical Centre Utrecht, Internal Address KH.01.419.0, P.O. Box 85500, 3508 GA Utrecht, The Netherlands. Electronic address: j.w.woestenenk@umcutrecht.nl.

    ,

    Department of Paediatric Gastroenterology and, Cystic Fibrosis Centre Utrecht, University Medical Centre Utrecht, Internal Address KE.04.133.1, P.O. Box 85500, 3508 GA Utrecht, The Netherlands.

    ,

    Department of Paediatric Pulmonology and, Cystic Fibrosis Centre Utrecht, University Medical Centre Utrecht, Internal address KH.01.419.0, P.O. Box 85500, 3508 GA Utrecht, The Netherlands.

    Department of Paediatric Gastroenterology and, Cystic Fibrosis Centre Utrecht, University Medical Centre Utrecht, Internal Address KE.04.133.1, P.O. Box 85500, 3508 GA Utrecht, The Netherlands.

    Source

    MeSH

    Adolescent
    Body Height
    Body Weight
    Case-Control Studies
    Child
    Child, Preschool
    Cystic Fibrosis
    Diet Records
    Dietary Carbohydrates
    Dietary Fats
    Dietary Proteins
    Energy Intake
    Female
    Humans
    Infant
    Male
    Nutrition Assessment
    Nutritional Requirements
    Nutritional Status
    Retrospective Studies

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    23920501

    Citation

    Woestenenk, J W., et al. "Dietary Intake in Children and Adolescents With Cystic Fibrosis." Clinical Nutrition (Edinburgh, Scotland), vol. 33, no. 3, 2014, pp. 528-32.
    Woestenenk JW, Castelijns SJ, van der Ent CK, et al. Dietary intake in children and adolescents with cystic fibrosis. Clin Nutr. 2014;33(3):528-32.
    Woestenenk, J. W., Castelijns, S. J., van der Ent, C. K., & Houwen, R. H. (2014). Dietary intake in children and adolescents with cystic fibrosis. Clinical Nutrition (Edinburgh, Scotland), 33(3), pp. 528-32. doi:10.1016/j.clnu.2013.07.011.
    Woestenenk JW, et al. Dietary Intake in Children and Adolescents With Cystic Fibrosis. Clin Nutr. 2014;33(3):528-32. PubMed PMID: 23920501.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary intake in children and adolescents with cystic fibrosis. AU - Woestenenk,J W, AU - Castelijns,S J A M, AU - van der Ent,C K, AU - Houwen,R H J, Y1 - 2013/07/20/ PY - 2013/03/19/received PY - 2013/07/11/revised PY - 2013/07/13/accepted PY - 2013/8/8/entrez PY - 2013/8/8/pubmed PY - 2014/12/23/medline KW - Cystic fibrosis KW - Diet KW - Diet records KW - Nutrition therapy SP - 528 EP - 32 JF - Clinical nutrition (Edinburgh, Scotland) JO - Clin Nutr VL - 33 IS - 3 N2 - BACKGROUND & AIMS: The recommendation for caloric intake in CF patients is to obtain intakes between 110 and 200% of the estimated average requirement (EAR) for age groups and gender, of which 35-40 energy% should be from fat. It is questionable whether the advice is met. METHODS: 1726 Completed 3-day dietary food records of 234 CF patients (111 girls) and 2860 completed two non-consecutive 24-h dietary assessments of healthy controls (1411 girls) were studied. The dietary intake in CF patients was compared with that of healthy controls by using independent sample t tests. RESULTS: Caloric intake in children with CF varied highly with age (88-127% EAR), which is below or in the lower range of the recommended 110-200% EAR. However the absolute caloric intake in CF children was significantly higher compared to controls at all ages. In addition, apart from boys aged 1-3 years, all CF children had a fat intake of 35 energy% or more. This fat intake was significantly higher than in controls, as was the consumption of saturated fat, the latter being well above 10% of the total energy intake. CONCLUSION: Although CF patients generally do not meet the EAR recommendations, they had a significantly higher caloric intake than controls. Moreover fat intake in CF patients does generally meet recommendations, but this resulted in a considerable consumption of saturated fat; a reduction of the latter seems appropriate. SN - 1532-1983 UR - https://www.unboundmedicine.com/medline/citation/23920501/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0261-5614(13)00202-1 DB - PRIME DP - Unbound Medicine ER -