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The Importance of Nutritional Assessment and Dietary Counseling in Infants and Young Children with Common Illnesses

소아의 흔한 질병 상황에서 식이, 영양의 중요성

  • Jeong, Su-Jin (Department of Pediatrics, CHA Bundang Medical Center, CHA University)
  • 정수진 (차의과학대학교 분당차병원 소아청소년과학교실)
  • Received : 2011.03.05
  • Accepted : 2011.03.17
  • Published : 2011.03.30

Abstract

The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.

Keywords

References

  1. Iron deficiency anemia: reexamining the nature and magnitude of the public health problem. Proceedings of a conference. May 21-24, 2000. Belmont, Maryland, USA. J Nutr 2001;131:563-703. https://doi.org/10.1093/jn/131.2.563S
  2. Schumann K, Ettle T, Szegner B, Elsenhans B, Solomons NW. On risks and benefits of iron supplementation recommendations for iron intake revisited. J Trace Elem Med Biol 2007;21:147-68. https://doi.org/10.1016/j.jtemb.2007.06.002
  3. Jeong WJ, Kim KS, Kim MK, Kim SN. Iron deficiency anemia in infants. J Korean Pediatr Soc 1995;38: 1253-61.
  4. Yang YJ, Kim SK, Hong YJ, Hong KS. Prevalence of Iron def. Anemia in preschool children. Korean J Pediatr Hematol Oncol 1998;5:14-20.
  5. O KH, Park JO, Shin SM, Lee SJ. Recognition of cow milk in weaning periods infants. J Korean Pediatr Soc 1994:178-82.
  6. Beard J. Iron deficiency alters brain development and functioning. J Nutr 2003;133:1468-72. https://doi.org/10.1093/jn/133.5.1468S
  7. Erikson KM, Jones BC, Hess EJ, Zhang Q, Beard JL. Iron deficiency decreases dopamine D1 and D2 receptors n rat brain. Pharmacol Biochem Behav 2001;69:409-18. https://doi.org/10.1016/S0091-3057(01)00563-9
  8. Lozoff B, Georgieff MK. Iron deficiency and brain development. Semin Pediatr Neurol 2006;13:158-65. https://doi.org/10.1016/j.spen.2006.08.004
  9. Roa R, Georgieff MK, Iron in fetal and neonatal nutrition. Semin Fetal Neonatal Med 2007;12:54-63. https://doi.org/10.1016/j.siny.2006.10.007
  10. Lozoff B, Beard J, Connor J, Barbara F, Georgieff M, Schaller T. Long-lasting neural and behavioral effects of iron deficiency in infancy. Nutr Rev 2006;64:34-43. https://doi.org/10.1301/nr.2006.may.S34-S43
  11. Dommergues JP, Archambeaud MP, Ducot B, Gerval Y, Hiard C, Rossignol C, et al. Iron deficiency and psychomotor development tests. Longitudinal study between 10 months and 4 years of age. Arch Fr Pediatr 1989;46:487-90.
  12. Lozoff B, Jimenez E, Hagen J, Mollen E, Wolf AW. Poorer behavioral and developmental outcome more than 10 years after treatment for iron deficiency in infancy. Pediatrics 2000;105:E51. https://doi.org/10.1542/peds.105.4.e51
  13. Grantham-McGregor SM, Ani CC. The role of micronutrients in psychomotor and cognitive development. British Medical Bullertin 1999;55:511-27. https://doi.org/10.1258/0007142991902583
  14. Walter T. Effects of iron deficiency anemia on cognitive skills and neuromaturation in infancy and childhood. J Korean Diet Assoc 1999;5:225-30.
  15. Bruner AB, Joffe A, Duggan AK, Casella JF, Brandt J. Randomised study of cognitive effect of iron supplementation in non anemic iron-deficient girls. Lancet 1996;348:992-6. https://doi.org/10.1016/S0140-6736(96)02341-0
  16. Griffin IJ, Abrams SA. Iron and breastfeeding. Pediatr Clin North Am 2001;48:401-13. https://doi.org/10.1016/S0031-3955(08)70033-6
  17. Innis SM, Nelson CM, Wadsworth LD, MacLaren IA, Lwanga D. Incidence of iron-deficiency anemia and depleted iron stores among nine month old infants in Vancouver, Canada. Can J Public Health 1997;88:80-4.
  18. Pizarro F, Yip R, Dallman PR, Olivares M, Hertrampf E, Walter T. Iron status with different infant feeding regimens: relevance to screening and prevention of iron deficiency. J Pediatr 1991;118:687-92. https://doi.org/10.1016/S0022-3476(05)80027-7
  19. Calvo EB, Galindo AC, Aspre NB. Iron status in exclusively brest fed infants. Pediatrics 1992;90:375-9.
  20. Friel JK, Andrews WL, Simmons BS, L'Abbe MR, Mercer C, MacDonald A, et al. Evaluation of full-term infants fed an evaporated milk formula. Acta Pediatr 1997;86:448-53. https://doi.org/10.1111/j.1651-2227.1997.tb08910.x
  21. Noh SJ, Na BM, Kim MJ. Iron deficiency and early, low-dose iron supplementation in breast-fed infants. Korean J Pediatr Gastroenterol Nutr 2008;11:169-78.
  22. Kwon JW, Park H, Whang EM. The effects of milk group on take to dietary diversity score and nutrient adequacy ration among toddler. Korean J Nutr 2001;34:30-28.
  23. Kleinman RE. editor Iron deficiency. Pediatric nutritional handbook. AAP 1998;299-312.
  24. Simren M, Mansson A, Langkilde AM, Svedlund J, Abrahamsson H, Bengtsson U, et al. Food-related gastro-intestinal symptoms in the irritable bowel syndrome. Digestion 2001;63:108-15.
  25. Simren M, Abrahansson H, Bosaeus I, Brumnner RJ, Dolk A, Lindberg G, et al. Nutritional aspects in patients with functional gastrointestinal disorders and motor dysfunction in the gut. Working team report of the Swedish Motility Group (SMoG). Dig Liver Dis 2007; 39:495-504. https://doi.org/10.1016/j.dld.2006.11.016
  26. Simren M, Abrahansson H, Bjomsson ES. An exaggerated sensory component of the gastrocolonic response in patients with irritable bowel syndrome. Gut 2001;48:20-7. https://doi.org/10.1136/gut.48.1.20
  27. King TS, Elia M, Hunter JO. Abnormal colonic fermentation in irritable bowel syndrome. Lancet 1998; 352:1187-9. https://doi.org/10.1016/S0140-6736(98)02146-1
  28. Serra J, Salvoli B, Azpiroz F, Malagelada JR. Lipid induced intestinal gas retention in irritable bowel syndrome. Gastroenterology 2002;123:700-6. https://doi.org/10.1053/gast.2002.35394
  29. Gui XY. Mast cells: a possible link between psychological stress, enteric infection, food allergy and gut hypersensitivity in the irritable bowel syndrome. J Gastronetrol Hepatol 1998;13:980-9. https://doi.org/10.1111/j.1440-1746.1998.tb00558.x
  30. Dainses R, Galliani EA, De Lazzari F, Di Leo V, Naccarato R. Discrepancies between reported food intolerance and sensitization test findings in irritable bowel syndrome patients. Am J Gastronetol 1999;94: 1892-7. https://doi.org/10.1111/j.1572-0241.1999.01226.x
  31. Floch MH, Narayan R. Diet in the irritable bowel syndrome. J Clin Gastronenterol 2002;35:45s-52s. https://doi.org/10.1097/00004836-200207001-00009
  32. Camilleri M. Management of the irritable bowel syndrome. Gastroenterology 2001;120:652-68. https://doi.org/10.1053/gast.2001.21908
  33. William CL, Bollerlla MC, Winder EL. A new recommendation for dietary fiber in childhood. Pediatrics 1995;96:985-8.
  34. William CL, Bollerlla MC. Is a high-fiber diet safe for children? Pedatrics 1995;96:1014-9.
  35. Hsun CC, Ming WL, Man SK, Shih YC. Cut off volume of dietary fiber to ameliorate constipation in children. J Pediatr 2008;153:45-9. https://doi.org/10.1016/j.jpeds.2007.12.044
  36. Zia R, Fereshteh G, Nakia JC. What treatments work best for constipation in children? J Fam Practice 2009;58:329-22.
  37. Kokke FT, Scholtens PA, Alles MS, Decates TS, Fiselier TJ, Tolboom JJ, et al. A dietary fiber mixture versus lactulose in the treatment of childhood constipation: a double blind randomized controlled trial. J Pediatr Gastroentrol Nutr 2008;47:592-7. https://doi.org/10.1097/MPG.0b013e318162c43c
  38. Feldman W, McGrath P, Hodgson C, Ritter H, Shipman RT. The use of dietary fiber in the management of simple, childhood, idiopathic, recurrent, abdominal pain. Results in a prospective, double-blind, randomized, controlled trial. Am J Dis Child 1985;139:1216-8. https://doi.org/10.1001/archpedi.1985.02140140050025
  39. Arnaud MJ. Mild dehydration: a risk factor of constipation. EJCN 2003;57:744-9.
  40. Young RJ, Beerman LE, Vanderhoof JA. Increasing oral fluids in chronic constipation in children. Gastroenterolgy Nursing 1998;21:156-61. https://doi.org/10.1097/00001610-199807000-00002
  41. Bae SH, Son JS, Lee R. Effect of fluid intake on the outcome of constipation in children PEG4000 vs Lactulose. Pediatr Int 2010;52:594-7. https://doi.org/10.1111/j.1442-200X.2009.03017.x
  42. Agostoni C, Grandi F, Scaglioni S, Gianni ML. Growth pattern of breastfed and nonbreastfed infants with atopic dermatitis in the first year of life. Pediatrics 2000; 106:E73. https://doi.org/10.1542/peds.106.5.e73
  43. Kristmundsdottir F, David TJ. Growth impairment in children with atopic eczema. J R Soc Med 1987;80:9-12. https://doi.org/10.1177/014107688708000106
  44. Massarano AA, Hollis S, Devlin J, David TJ. Growth in atopic eczema. Arch Dis Child 1993;68:677-9. https://doi.org/10.1136/adc.68.5.677
  45. Palit A, Handa S, Bhalla AK, Kumar B. A mixed longitudinal study of physical growth in children with atopic dermatitis. Indian J Dermatol Venereol Leprol 2007;73:171-5 https://doi.org/10.4103/0378-6323.32740
  46. Voss LD, Mulligan J. Short normal stature-nature or nurture. Pediatr Res 1993;33:S57.
  47. Wahlgren CF. Pathophysiology of itching in urticaria and atopic dermatitis. Allergy 1992;47:66-75.
  48. Baum WF, Schneyer U, Lantzsch AM, Kloditz E. Delay of growth and development in children with bronchial asthma, atopic dermatitis and allergic rhinitis. Exp Cli Endocrinol Diabetes 2002;110:53-9. https://doi.org/10.1055/s-2002-23486
  49. Sicherer SH, Sampson HA. Food hypersensitivity and atopic dermatitis: Pathophysiology, epidemiology, diagnosis, and management. J Allergy Clin Immunol 1999; 104:S114-22. https://doi.org/10.1016/S0091-6749(99)70053-9
  50. Niggermann B, Sielaff B, Beyer K, Binder C, Wahn U. Outcome of double-blind, placebo-controlled food challenge test in 107 children with atopic dermatitis. Clin Exp Allergy 1999;29:91-6. https://doi.org/10.1046/j.1365-2222.1999.00454.x
  51. Eigenmann PA, Sicherer SH, Borkowski TA, Cohen BA, Sampson HA. Prevalence of IgE mediated food allergy among children with atopic dermatitis. Pediatrcs 1998; 101:E8.
  52. Burks AW, Mallory SB, Williams LW, Shirrell MA. Atopic dermatitis: clinical relevance of food hypersensitivity reations. J Pediatr 1998;113:447-51.
  53. Novembre E, De Martino M, Vierucci A. Food and respiratory allergy. J Allergy Clin Immunol 1998;81: 1059-65.
  54. Halken SA, Host AB. Prevention. Curr Opin Allergy Clin Immunol 2001;1:229-36. https://doi.org/10.1097/01.all.0000011019.11362.f3
  55. Arshad SH. Food allergen avoidance in primary prevention of food allergy. Allergy 2001;56:113-6. https://doi.org/10.1034/j.1398-9995.2001.00933.x
  56. Zeiger RS. Dietary aspect of food allergy prevention in infant and children. J Pediatr Gastroentrol Nutr 2000;30: S77-86. https://doi.org/10.1097/00005176-200001001-00012
  57. Lee SI, Choi HM. Nutrition for infants and children. 1st ed. Seoul: Kyomunsa, 2003.
  58. Chung SJ, Han YS, Chung SW. Marasmus and kwashiorkor by nutritional ignorance related to vegetarian diet and infants with atopic dermatitis in South Korea. KNS 2004;37:540-9.
  59. Devereux G, Seaton A. Diet as a risk for atopy and asthma. J Allergy Clin Immunol 2005;115:1109-17. https://doi.org/10.1016/j.jaci.2004.12.1139
  60. Kalantar-Zadeh K, Lee GH, Block G. Relationship between dietary antioxidants and childhood asthma: more epidemiological studies are needed. Med Hypotheses 2004;62:280-90. https://doi.org/10.1016/j.mehy.2003.10.001
  61. Barth GA, Weigl L, Boeing H, Borelli S. Food intake of patients with atopic dermatitis. Eur J Dermatol 2001;11: 199-202.
  62. Kim KE, Jung BJ, Lee KY. The incidence and principle foods of food allergy in children with asthma. Pediatr Allergy Respir Dis 1995;2:96-106.
  63. Sampson HA. Food allergy. J Allergy Clin Immunol 1999;103:717-28. https://doi.org/10.1016/S0091-6749(99)70411-2
  64. Han YS, Chung SJ, Cho YY. Analysis of the rate of sensitization to food allergen in children with atopic dermatitis. Korean J Community Nutrition 2004;9:90-7.
  65. Host A. Cow's milk protein allergy and intolerance in infancy. Pediatr Allergy Immunol 1994;5:5-36.
  66. Horrobin DF. Low prevalence of coronary heart disease, psoriasis, asthma and rheumatoid arthritis in Eskimos. Are they caused by high dietary intake of EPA, genetic variation of essential fatty acid metabolism or a combination of both? Med Hypotheses 1987;22:421-8. https://doi.org/10.1016/0306-9877(87)90037-5
  67. Kromann N, Green A. Epidemiological studies in the Upernavik District, Greenland. Acta Med Scand 1980; 208:401-6.
  68. Hodge L, Salome CE, Peat JK. Consumption of oily fish and childhood asthma risk. Med J Aust 1996;164:137-40.
  69. Biermann CW, Shapiro GG, Christie DL, Arsdel PP. Allergy grand rounds eczema, rickets and food allergy. J Allergy Clin Immunol 1978;2:119-227.
  70. Drouet M, Sellin J, Sabbah A. Does the pork/cat syndrome constitute a predisposition to heparin allergy? Allerg Immunol 1997;29:43-5.
  71. Weigl L, Disch R. Protein contact urticaria in a food handler from different meat. Allergy 1997;20:192-4.
  72. Fogarty A, Lewis S, Weiss S, Britton J. Dietary vitamin E, IgE concentrations and atopy. Lancet 2000;356: 1573-4. https://doi.org/10.1016/S0140-6736(00)03132-9
  73. David TJ, Weddington E, Stanton RH. Nutritional hazards of elimination diets in children with atopic dermatitis. Arch Dis Child 1984;59:323-5. https://doi.org/10.1136/adc.59.4.323
  74. Devlin J, Stanton RH, David TJ. Calcium intake and cow's milk free diet. Arch Dis Child 1989;64:1183-4. https://doi.org/10.1136/adc.64.8.1183
  75. Biemann CW, Shapiro GG, Christie DL, Arsdel PP. Allergy grand rounds-eczema, rickets, and food allergy. J Allergh Clin Immunol 1978;2:119-227.
  76. Chen R, Hu Z, Seaton A. Eating more vegetables might explain reduced asthma symptoms. BMJ 2004;328:1380.
  77. Ellwood P, Asher MI, Bjorsten B, Burr M. Diet and asthma, allergic rhinoconjunctivitis and atopic eczema symptom prevalence: an ecological analysis of the international Study of Asthma and Allergies in Childhood. Eur Resir J 2001;17:436-43. https://doi.org/10.1183/09031936.01.17304360
  78. Bodner C, Godden D, Brown K, Little J. Anti-oxidant intake and adult onset wheeze: a case-control study. Eur Resir J 1999;13:22-30. https://doi.org/10.1183/09031936.99.13102299
  79. Hijazi N, Abalkhail B, Seaton A. Diet and childhood asthma in a society in transition: a study in urban and rural Saudi Arabia. Thorax 2000;55:775-9. https://doi.org/10.1136/thorax.55.9.775
  80. Inchley J, Todd J, Bryce C, Currie C. Dietary trends among Scottish school children in the 1990s. J Hum Nutr Diet 2001;14:207-16. https://doi.org/10.1046/j.1365-277X.2001.00285.x
  81. Farchi S, Forastiere F, Agabiti N, Corbo G. Dietary factor associated with wheezing and allergic rhinitis in children. Eur Repir J 2003;22:772-80. https://doi.org/10.1183/09031936.03.00006703
  82. Hartert TV, Peebles RS. Dietary antioxidants and adult asthma. Curr Opin Allergy Clin Immunol 2001;1:421-9. https://doi.org/10.1097/00130832-200110000-00007
  83. Shaheen SO. Dietary antioxidants and asthma in adult: Population based case-control study. Am J Respir Crit Care Med 2001;164:1823-28. https://doi.org/10.1164/ajrccm.164.10.2104061
  84. Solvoll K, Soyland E, Sandstad B, Drevon CA. Dietary habits among patients with atopic dermatitis. Eur J Clin Nutr 2000;54:93-7. https://doi.org/10.1038/sj.ejcn.1600901
  85. Jacob RA, Burri BJ. Oxidative damage and defense. Am J Cliln Nutr 1996;63:985-90. https://doi.org/10.1093/ajcn/63.6.985
  86. Dunder T. Diet, serum fatty acids and atopic disease in childhood. Allergy 2001;56:425-8. https://doi.org/10.1034/j.1398-9995.2001.056005425.x
  87. Troisi RJ, Willett WC, Weiss ST, Trichopoulos D. A prospective study of diet and adult onset of asthma. Am J Respir Crit Care Med 1995;151:1401-8. https://doi.org/10.1164/ajrccm.151.5.7735592
  88. Song YJ, Paik HY, Lee YS. Qualitative assessment of dietary intake of college students in Seoul area. Korean Home Economics Association 1998;36:201-16.
  89. Biber T. Atopic dermatitis. N Engl J Med 2008;358: 1483-94. https://doi.org/10.1056/NEJMra074081
  90. Imokawa G, Abe A, Jin K, Higaki Y, Kawashima M. Decreased level of ceremides in stratum corneum of atopic dermatitis: an etiologic factor in atopic dry skin? J Dermatol 1991;96:523-6.
  91. Laske N, Niggemann B. Does the severity of atopic dermatitis correlate with serum IgE levels? Pediatr Allergy Immunol 2004;15:86-8. https://doi.org/10.1046/j.0905-6157.2003.00106.x
  92. Zeiger RS, Haller S. The development and prediction of atopy in high risk children: follow up at age seven years in a prospective randomized study of combined maternal and infant food allerten avoidance. J Allergy Clin Immunol 1995;95:1179-90. https://doi.org/10.1016/S0091-6749(95)70074-9
  93. Park JH, Choi YL, Namkung JH, Kim WS. Characteristics of extrinsic vs. intrinsic atopic dermatitis in infancy: correlations with laboratory variabled. Br J Dermatol 2006;155:778-83. https://doi.org/10.1111/j.1365-2133.2006.07394.x
  94. Ii S, Von Mutius E, Lau S, Nickel R. The natural course of atopic dermatitis from birth to age 7 years and the association with asthma. J Allergy Clin Immunol 2004;113:925-31. https://doi.org/10.1016/j.jaci.2004.01.778
  95. Pajno GB, Peroni DG, Barberio G, Pietrobelli A. Predictive features for persistence of atopic dermatitis in children. Pediatr Allergy Immunol 2003;14:292-5. https://doi.org/10.1034/j.1399-3038.2003.00060.x
  96. Hauk PJ. The role of food allergy in atopic dermatitis. Curr Allergy Asthma Res 2008;8:188-94. https://doi.org/10.1007/s11882-008-0032-8
  97. Wang IJ, Lin YT, Ynag YH, Chen CL. Correlation between age and allergens in pediatric atopic dermatitis. Ann Allergy Asthma Immunol 2004;93:334-8. https://doi.org/10.1016/S1081-1206(10)61391-9
  98. Son BK, Lim DH. Allergic skin test. Korean J Pediatr 2007;50:409-15. https://doi.org/10.3345/kjp.2007.50.5.409
  99. Venter C, Pereira B, Voigt K, Grundy J. Factors associated with maternal dietary intake, feeding and weaning pratices and the development of food hypersensitivity in the infant. Pediatr Allergy Immunol 2009;20:320-7. https://doi.org/10.1111/j.1399-3038.2008.00832.x
  100. Heine RG, Tang ML. Dietary approaches to the prevention of food allergy. Curr Opin Clin Nutr Metab Care 2008;11:320-8. https://doi.org/10.1097/MCO.0b013e3282fbf589
  101. Friedman NJ, Zeiger RS. The role of breast feeding in the development of allergies and asthma. J Allergy Clin Immunol 2005;115:1238-48. https://doi.org/10.1016/j.jaci.2005.01.069
  102. Oddy WH, Peat JK. Breast feeding, asthma, and atopic disease: an epidemiological review of the literature. J Hum Lact 2003;19:250-61. https://doi.org/10.1177/0890334403255516
  103. Almqvist C, Garden F, Xuan W, Mihrshahi S. Omega-3 and omega-6 fatty acid exposure from early life dose not affect atopy and asthma at age 5 years. J Allergy Clin Immunol 2007;119:2438-44.

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