Department of Pediatrics, Hospital Universitario de Maracaibo, Centro Médico, San Francisco, CA, USA.
J Am Coll Nutr. 2009 Apr;28(2):169-76. doi: 10.1080/07315724.2009.10719768.
To evaluate the beneficial effects of green plantain-based diet on stool volume, frequency and weight gain as compared with a traditional yogurt-based diet in children with persistent diarrhea.
In a prospective, in-hospital controlled trial, two different treatments were administered to a sample of 80 children of both sexes, with ages ranging from 1 to 28 months, who had experienced >or= 14 days of persistent diarrhea. The sample was divided into two groups of isocaloric (100 kcal/kg/d) diets: experimental and control, of 40 patients each. The experimental group was randomly given a-week treatment consisting of a 50 g/L of cooked green plantain-based diet. The control group was fed on a yogurt-based diet.
Both groups were not statistically different at admission. Pathogens were isolated from stools in 21.2% and 25% of patients in the experimental and control groups respectively; Aeromonas hydrophilia and Shigela flexneri were the most frequently found bacteria. The experimental group fed on a green plantain diet had a significantly better response in: diminishing stool output and consistency (p < 0.002), stool weight, diarrhea duration (p < 0.001), and increasing daily body weight gain (p < 0.001) than the yogurt-based diet group. The average duration of diarrhea in the plantain-based diet group was 18 hours shorter (p < 0.005) and it also had lower cost (p < 0.005).
Our results support the benefits of green plantain in the dietary management of persistent diarrhea in hospitalized children, in relation to diarrheal duration, weight gain and costs.
评价以绿蕉为基础的饮食对粪便量、频率和体重增加的有益效果，与以传统酸奶为基础的饮食相比，在持续性腹泻的儿童中。
在一项前瞻性、住院对照试验中，对 80 名男女儿童进行了两种不同的治疗，这些儿童的年龄在 1 至 28 个月之间，经历了 >或= 14 天的持续性腹泻。该样本分为两组等热量（100 kcal/kg/d）饮食：实验组和对照组，每组 40 例。实验组随机给予为期一周的治疗，包括 50 g/L 的熟绿蕉饮食。对照组给予酸奶饮食。
两组入院时无统计学差异。实验组和对照组分别有 21.2%和 25%的患者粪便中分离出病原体；气单胞菌和福氏志贺菌是最常见的细菌。实验组喂食绿蕉饮食的患者在以下方面有明显更好的反应：减少粪便量和稠度（p < 0.002）、粪便重量、腹泻持续时间（p < 0.001）和增加每日体重增加（p < 0.001），与酸奶饮食组相比。基于绿蕉的饮食组的腹泻平均持续时间缩短了 18 小时（p < 0.005），而且成本也更低（p < 0.005）。
我们的结果支持绿蕉在住院持续性腹泻儿童的饮食管理中的益处，与腹泻持续时间、体重增加和成本有关。
