Calatayud F M, Calatayud B, Gallego J G, González-Martín C, Alguacil L F
Pediatra en Clínica infanto-juvenil "La Palma", C/Palma 17, bajo A, Ciudad Real, DP: 13001, Spain.
Nutricionista en Clínica infanto-juvenil "La Palma", C/Palma 17, bajo A, Ciudad Real, DP: 13001, Spain.
Allergol Immunopathol (Madr). 2017 Sep-Oct;45(5):417-424. doi: 10.1016/j.aller.2016.08.006. Epub 2016 Dec 7.
In recent years, traditional diets enriched with fresh plant-based foods have been gradually abandoned, increasing the consumption of animal foods and highly processed food. The aim of this study was to assess the effects of a nutritional intervention with a Traditional Mediterranean Diet in patients with recurring colds (RC) and frequent inflammatory complications (IC).
Prospective before-after comparison study of 63 girls and 65 boys aged 1-5 years were included over a year in the nutritional programme "Learning to eat from the Mediterranean". We studied clinical and therapeutic variables and various anthropometric parameters.
All the studied indicators (number of catarrhal episodes CB, degree of intensity, emergency and hospital admissions) showed a positive and statistically significant evolution, evidenced from the first weeks of starting treatment, until the end of the year, after which 53.9% of patients had no CB, 25% had only one, and 16.4% had two episodes, compared to the 4.64 episodes on average in the previous year. Antibiotic use decreased by 87.4%, from 3.85±1.27 times/patient/year to 0.49±0.79 (p<0.001). Symptomatic treatment decreased by 56.7%, from 7.03±2.76 to 3.05±1.69 (p<0.001). The satisfaction of the families was very high. The Kidmed index, which assesses the quality of the Mediterranean Diet, increased from 7.8 to 10.9 points.
The adoption of a Traditional Mediterranean Diet could be a major contribution to the improvement of patients with recurring colds and frequent inflammatory complications.
近年来,富含新鲜植物性食物的传统饮食逐渐被摒弃,动物性食物和高度加工食品的消费量不断增加。本研究旨在评估传统地中海饮食营养干预对反复感冒(RC)和频繁出现炎症并发症(IC)患者的影响。
对63名女孩和65名1至5岁男孩进行了前瞻性前后对照研究,他们参加了为期一年的“从地中海学习饮食”营养计划。我们研究了临床和治疗变量以及各种人体测量参数。
所有研究指标(卡他性发作次数CB、强度程度、急诊和住院次数)均呈现积极且具有统计学意义的变化,从开始治疗的第一周起直至年底均有体现。相比上一年平均4.64次发作,年底时53.9%的患者无CB发作,25%的患者仅有一次发作,16.4%的患者有两次发作。抗生素使用量减少了87.4%,从3.85±1.27次/患者/年降至0.49±0.79次/患者/年(p<0.001)。对症治疗减少了56.7%,从7.03±2.76降至3.05±1.69(p<0.001)。家庭满意度非常高。评估地中海饮食质量的基德姆指数从7.8分提高到了10.9分。
采用传统地中海饮食可能对改善反复感冒和频繁出现炎症并发症的患者有重大帮助。