Clinic 4 Kidz, P.O. Box 1711, Sausalito, CA 94966, USA.
Department of Pediatrics, Division of Gastroenterology, School of Medicine, Stanford University, Palo Alto, CA 94304-5660, USA.
Nutrients. 2022 Nov 1;14(21):4602. doi: 10.3390/nu14214602.
The purpose of this study was to evaluate the effectiveness of an interdisciplinary home-based feeding program, which is a unique service delivery model.
Data were provided on oral intake, tube feeding elimination, and weight for patients who were dependent on tube feedings ( = 78). Weight data were collected for patients who showed failure to thrive ( = 49). Number of foods consumed and percentage of solids were collected for patients who were liquid-dependent ( = 23), and number of foods consumed were collected for patients who were food-selective ( = 61).
Data were analyzed using paired sample -test with 95% confidence interval. For patients dependent on tube feedings, 81% achieved tube feeding elimination. Tube elimination was achieved after 8 months of treatment on average. All failure-to-thrive patients showed weight gain from baseline to discharge. For liquid-dependent patients, there was an increase in foods consumed from 2 foods at admission to 32 foods at discharge. For food selective patients, there was an increase from 4 foods at admission to 35 foods at discharge. For all dependent variables, results showed statistical significance and a large-sized effect.
These data show that an intensive interdisciplinary home-based program can be successful in treating complex feeding problems in children.
本研究旨在评估一种以家庭为基础的跨学科喂养计划的有效性,这是一种独特的服务提供模式。
对依赖管饲的患者(n=78)的口服摄入量、管饲消除和体重数据进行了提供。对表现出生长不良的患者(n=49)收集了体重数据。对依赖液体的患者(n=23)收集了消耗的食物数量和固体食物的百分比,对挑食的患者(n=61)收集了消耗的食物数量。
使用具有 95%置信区间的配对样本 t 检验对数据进行了分析。对于依赖管饲的患者,81%的患者实现了管饲消除。平均治疗 8 个月后实现了管饲消除。所有生长不良的患者从入院到出院时体重均有所增加。对于依赖液体的患者,从入院时的 2 种食物增加到出院时的 32 种食物。对于挑食的患者,从入院时的 4 种食物增加到出院时的 35 种食物。对于所有依赖变量,结果均显示出统计学意义和大效应。
这些数据表明,密集的跨学科家庭计划可以成功治疗儿童复杂的喂养问题。