Alimentation au cours des diarrhées aiguës du nourrisson et du jeune enfant

Chouraqui, J.-P.; Michard-Lenoir, A.-P.

doi:10.1016/s0929-693x(07)80024-8

Cited by 10 publications

(4 citation statements)

References 46 publications

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“…Replacing protein may modify growth consequences of diarrhea by increasing protein availability or by influencing hormonal regulation [ 67 – 69 ]. The combination of high protein and zinc may restore integrity of damaged mucosal surfaces and improve nutrient absorption [ 70 – 72 ]. However evidence around the effect of zinc on markers of intestinal permeability, as measured by the lactulose to mannitol ratio, are inconsistent [ 49 , 73 , 74 ].…”

Section: Discussionmentioning

confidence: 99%

Interventions to reduce post-acute consequences of diarrheal disease in children: a systematic review

et al. 2018

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BackgroundAlthough acute diarrhea often leads to acute dehydration and electrolyte imbalance, children with diarrhea also suffer long term morbidity, including recurrent or prolonged diarrhea, loss of weight, and linear growth faltering. They are also at increased risk of post-acute mortality. The objective of this systematic review was to identify interventions that address these longer term consequences of diarrhea.MethodsWe searched Medline for randomized controlled trials (RCTs) of interventions conducted in low- and middle-income countries, published between 1980 and 2016 that included children under 15 years of age with diarrhea and follow-up of at least 7 days. Effect measures were summarized by intervention. PRISMA guidelines were followed.ResultsAmong 314 otherwise eligible RCTs, 65% were excluded because follow-up did not extend beyond 7 days. Forty-six trials were included, the majority of which (59%) were conducted in Southeast Asia (41% in Bangladesh alone). Most studies were small, 76% included less than 200 participants. Interventions included: therapeutic zinc alone (28.3%) or in combination with vitamin A (4.3%), high protein diets (19.6%), probiotics (10.9%), lactose free diets (10.9%), oral rehydration solution (ORS) formulations (8.7%), dietary supplements (6.5%), other dietary interventions (6.5%), and antimicrobials (4.3%). Prolonged or recurrent diarrhea was the most commonly reported outcome, and was assessed in ORS, probiotic, vitamin A, and zinc trials with no consistent benefit observed. Seven trials evaluated mortality, with follow-up times ranging from 8 days to 2 years. Only a single trial found a mortality benefit (therapeutic zinc). There were mixed results for dietary interventions affecting growth and diarrhea outcomes in the post-acute period.ConclusionDespite the significant post-acute mortality and morbidity associated with diarrheal episodes, there is sparse evidence evaluating the effects of interventions to decrease these sequelae. Adequately powered trials with extended follow-up are needed to identify effective interventions to prevent post-acute diarrhea outcomes.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5092-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Interventions to reduce post-acute consequences of diarrheal disease in children: a systematic review

et al. 2018

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“…Indeed, 10%–20% of infants under two years presenting with diarrheal episodes show lactose intolerance, often in combination with cow’s milk allergy. Only a few studies have been performed in this respect in infants under 4–6 months of age (when only milk is given): a cautious and temporary use of lactose-free formula (or hydrolysates) can be considered in those cases of severe and persistent diarrhea [86]. …”

Section: Potential Mechanisms Of Action: How?mentioning

confidence: 99%

GI Symptoms in Infants Are a Potential Target for Fermented Infant Milk Formulae: A Review

et al. 2014

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Besides pre- and pro-biotic-containing infant formulae, fermented infant formulae are commonly used to relieve or prevent symptoms of gastrointestinal (GI) discomfort in young infants. During the fermentation process in cow’s milk-based formulae, the beneficial bacteria modulate the product by forming several beneficial compounds, which contribute to the alleviation of the symptoms observed. This review summarizes the clinical evidence on the impact of fermented infant formulae on common pediatric GI-symptoms. The potential mechanisms involved are discussed: i.e., the lactose and protein (in-) digestibility, effects on gastric emptying and gut transit and modulation of the colonic microbiota. Although initial evidence indicates a beneficial effect of fermented formulae on GI discomfort in newborns, validation and confirmation of the clinical proof obtained so far is warranted, as well as further research to (more fully) understand the mode of action.

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“…However, the use of lactose-free formula is not advised to all patients with acute diarrhea because there is no evidence showing that it promotes the recovery of those with acute diarrhea or that it prevents lactose intolerance during the acute phase. Most patients with acute gastroenteritis do not present with lactose intolerance and usually recover well with breastfeeding or formula feeding [ 2 3 ].…”

Section: Lactose-free Formulamentioning

confidence: 99%

Types of Special Infant Formulas Marketed in Korea and Their Indications

Hong

2018

Pediatr Gastroenterol Hepatol Nutr

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Infant formula is classified into standard cow's milk-based and special formulas. This review aimed at summarizing the types of special milk formulas currently sold in Korea, and the appropriate indications for the use of these formulas; lactose free formula, soy-based formula, protein hydrolysate formula, amino acid-based formula, preterm formula, medium chain triglyceride formula, low-phosphorus formula, protein-energy-enriched formula, and formulas for inborn errors of metabolism.

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Alimentation au cours des diarrhées aiguës du nourrisson et du jeune enfant

Cited by 10 publications

References 46 publications

Interventions to reduce post-acute consequences of diarrheal disease in children: a systematic review

Interventions to reduce post-acute consequences of diarrheal disease in children: a systematic review

GI Symptoms in Infants Are a Potential Target for Fermented Infant Milk Formulae: A Review

Types of Special Infant Formulas Marketed in Korea and Their Indications

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