Fagundes-Neto U, Stump M V, Wehba J
Arq Gastroenterol. 1981 Jan-Mar;18(1):30-4.
The rhythm of nutritional recovery in 11 children with celiac disease after the introduction of a gluten-free diet was studied. The mean age of the patients at the moment of the diagnosis was 2.8 +/- 1.2 years and they were followed up for a period of 3.4 +/- 1.9 years. The nutritional status was evaluated by the utilization of the following parameters: the weight-for-age, height-for-age and weight-for-height. It was verified that none child was well nourished at the moment of the diagnosis and during the evolution 9 of them reached a complete recovery of their nutritional status for the weight in a mean period of time of 5.8 +/- 2.7 months; 5 of these children remained well nourished during the follow-up, 3 for 33 months and 1 for just a month. The other 2 children were initially classified as PCM II and turned to PCM I. The height-for-age index revealed that only 6 children had recovered from malnutrition and only 4 remained like this during all the follow-up. The other 2 children suffered nutritional aggravation and turned to be PCM I, but after a mean time of 18.4 months both resumed the rhythm of growth. Nutritional dwarfsism in 45.45% and chronic evoluted malnutrition in 54.55% were the patterns of malnutrition observed in this group of patients.
对11名乳糜泻患儿在采用无麸质饮食后的营养恢复节奏进行了研究。诊断时患者的平均年龄为2.8±1.2岁，随访时间为3.4±1.9年。通过使用以下参数评估营养状况：年龄别体重、年龄别身高和身高别体重。经证实，诊断时没有患儿营养良好，在病程中，其中9名患儿在平均5.8±2.7个月的时间内体重营养状况完全恢复；其中5名患儿在随访期间保持营养良好，3名持续33个月，1名仅持续1个月。另外2名患儿最初被归类为中度蛋白质 - 热量营养不良（PCM II），后转变为轻度蛋白质 - 热量营养不良（PCM I）。年龄别身高指数显示，只有6名患儿从营养不良中恢复，在整个随访期间只有4名保持这种状态。另外2名患儿营养状况恶化，转变为PCM I，但平均18.4个月后两人都恢复了生长节奏。该组患者观察到的营养不良模式为45.45%的营养性侏儒症和54.55%的慢性进行性营养不良。
