Murillo S, Waterlow J C, Vargas W, Mata L
Bol Med Hosp Infant Mex. 1980 May-Jun;37(3):483-97.
This study was conducted at the National Children's Hospital, in Costa Rica. Fifteen malnourished children (means upon admission: age 7.5 months; 55.2% weight for age; 74.3 weight for height) were treated according to a new feeding scheme in which hypercaloric formulas were given to children from the seventh day onwards. The children achieved a mean weight gain of 8.7 g/kg/day after the first week of hospitalization. A strong correlation was found between caloric intake and weight gain (r = 0.78). The equation Y = -10.36 + 0.1X indicates and additional caloric requirement of 10 Kcal/kg/day for synthesis of tissue of 1 g/kg/day. Children achieved an average of 90% weight/height four weeks after initiation of treatment, advancing from grade III to grade II (weight deficit, Gómez classification) The application of this feeding scheme will reduce hospitalization cost, the risk of cross-infections, the rate of readmissions, and will favor a better adaptation of the child to his own environment.
本研究在哥斯达黎加的国家儿童医院开展。15名营养不良儿童（入院时平均年龄：7.5个月；年龄别体重55.2%；身高别体重74.3%）按照一种新的喂养方案进行治疗，从第七天起给儿童提供高热量配方奶粉。住院第一周后，儿童平均体重增加8.7克/千克/天。热量摄入与体重增加之间发现有很强的相关性（r = 0.78）。方程Y = -10.36 + 0.1X表明，合成1克/千克/天的组织每天额外需要10千卡/千克的热量。治疗开始四周后，儿童平均达到身高别体重的90%，从Ⅲ级（体重不足，戈麦斯分类法）升至Ⅱ级。应用这种喂养方案将降低住院成本、交叉感染风险、再入院率，并有利于儿童更好地适应自身环境。
