Ghosh Apurba K, Kishore Bala, Shaikh Irfan, Satyavrat Vinita, Kumar Anil, Shah Tapan, Pote Prahlad, Shinde Sandeep, Berde Yatin, Low Yen Ling, Tan Verena M H, Huynh Dieu T T
1 Institute of Child Health, Kolkata, India.
2 St Theresas Hospital, Hyderabad, India.
J Int Med Res. 2018 Jul;46(7):2615-2632. doi: 10.1177/0300060518766982. Epub 2018 Apr 25.
Objectives To evaluate the 120-day post-intervention growth trajectory of picky-eating children aged 2 to 6 years who previously completed a 90-day, randomized, controlled trial of oral nutritional supplementation (ONS) plus dietary counselling (DC) (SDC, n = 98) compared with DC alone (n = 105). Methods A total of 203 children were included. Children were free to consume ONS during follow-up. Information on ONS consumption was collected. Weight-for-age percentile (WAP) and height-for-age percentile (HAP) were measured at Day 90 (beginning) and Day 210 (end point). Results Despite continued weight gain, there was a significant decline in WAP in both groups during the post-intervention period. However, children who took ONS voluntarily had a smaller loss in WAP compared with those who did not. Children in the SDC group showed no difference in a decline in HAP between those who took ONS during follow-up and those who did not. However, children in the DC group showed a marginally larger decline in HAP in those who did not take ONS during the follow-up compared with those who did. Conclusions Continued parental self-administration of ONS to their children slows down the loss of growth percentiles, supporting continued weight gain in picky-eating children at nutritional risk.
目的 评估2至6岁挑食儿童在干预后120天的生长轨迹，这些儿童此前完成了一项为期90天的口服营养补充剂（ONS）加饮食咨询（DC）的随机对照试验（SDC组，n = 98），并与单纯饮食咨询组（n = 105）进行比较。方法 共纳入203名儿童。随访期间儿童可自由食用ONS，并收集ONS食用信息。在第90天（开始）和第210天（终点）测量年龄别体重百分位数（WAP）和年龄别身高百分位数（HAP）。结果 尽管体重持续增加，但两组在干预后期间WAP均显著下降。然而，自愿服用ONS的儿童与未服用者相比，WAP下降幅度较小。SDC组中，随访期间服用ONS的儿童与未服用者在HAP下降方面无差异。然而，DC组中，随访期间未服用ONS的儿童与服用者相比，HAP下降幅度略大。结论 父母继续自行给孩子服用ONS可减缓生长百分位数的下降，有助于有营养风险的挑食儿童持续增加体重。
