We have demonstrated a significant decrease in total cholesterol and triglycerides in elementary school-aged children after 10 weeks of a restricted-carbohydrate, unlimited protein, and unlimited energy diet. We suggest that this diet may decrease cardiovascular risk factors in obese children. Long-term studies will be needed to substantiate these data.
c onstipation generally refers to a failure to evacuate the lower colon and is a subjective interpretation of bowel function disturbance. constipation is associated with infrequent bowel movements, difficulty defecating, abdominal pain, straining, bloating, and pain upon defecation (Dains, Baumann, & Scheibel, 2020). constipation is one of the most common reasons for healthcare consultation, affecting approximately 15% of the general population and up to 50% of individuals older than 65 years (Raji & Srinivasan, 2018). constipation disproportionately affects women and non-White individuals (Mukherjee & Marwill, 2021) and contributes to increased healthcare dollar expenditures (Betts, 2021). Many people affected by constipation report intermittent symptoms that require minimal or no intervention. Others report long-standing negative impacts interfering with daily life quality, requiring further investigation (Dains et al., 2020). Pathophysiologythere is a lack of broad agreement on stool frequency, consistency, and size norms, with considerable uncertainty into how much deviation is required to constitute a constipation diagnosis (Dains et al., 2020). Self-reports of constipation must be looked at closely on a case-by-case basis. table 1 includes constipation risk factors. constipation is classified as either primary or secondary in nature. Both primary and secondary constipation may result from altered rectal motor activity, delays in colonic transit, and/or pelvic floor dysfunction (Mukherjee & Marwill, 2021). primary (functional) constipation is more common than secondary constipation and can be divided into three categories: normal transit, slow transit, or outlet obstruction (table 2).primary constipation stems from a problem within the gastrointestinal (GI) tract and is defined by the Rome Foundation as at least two of the following nonconsecutive symptoms over a period of 12 weeks during the preceding 6 months:• Infrequent bowel movements (less than three bowel movements per week); • Straining during greater than 25% of bowel movements;
Probiotics are live microorganisms that can confer health benefits. Current recommendations for probiotic dosing in pediatrics for acute gastroenteritis range from 109 to 1011 colony forming units (CFUs)/day. In the present study, commercial yogurts were investigated for probiotic content and concentration. A total of 10 yogurts and 1 probiotic supplement were tested. Culture and enumeration were performed on Lactobacillus specific agar, and presence of gram positive rods were confirmed with gram staining. Various PCR techniques were also used to identify different Lactobacillus species. Good colony growth was noted on all cultures, with enumeration results ranging from 4.8 x 109 to 9.5 x 1010 CFU in a single 100mL serving. A wide variety of bacterial species was noted, including unidentified bacteria. All yogurt samples had enough probiotic content to meet current recommendations for treatment of acute gastroenteritis. Physicians should use yogurts with caution in this setting until full bacterial repertoires are available for commercial yogurts.
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