Differential Calming Responses to Sucrose Taste in Crying Infants With and Without Colic

Barr, Ronald G.; Young, Simon N.; Wright, James K.; Gravel, Ronald; Alkawaf, Rajaa

doi:10.1542/peds.103.5.e68

Cited by 54 publications

(38 citation statements)

References 49 publications

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“…40 Numerous subsequent studies reported the same findings. [41][42][43][44][45][46][47] Calming effects were clearly nonsedating, with infants remaining alert after sucrose administration. 19 In addition, effects were observed to be sweet-taste dependent, sucrose was more effective than glucose, and the least sweet sugar, lactose, was no more effective than water in reducing crying.…”

Section: Human Model Studiesmentioning

confidence: 96%

Sucrose for Procedural Pain Management in Infants

2012

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The use of oral sucrose has been the most extensively studied pain intervention in newborn care to date. More than 150 published studies relating to sweet-taste-induced calming and analgesia in human infants have been identified, of which 100 (65%) include sucrose. With only a few exceptions, sucrose, glucose, or other sweet solutions reduced pain responses during commonly performed painful procedures in diverse populations of infants up to 12 months of age. Sucrose has been widely recommended for routine use during painful procedures in newborn and young infants, yet these recommendations have not been translated into consistent use in clinical practice. One reason may be related to important knowledge and research gaps concerning analgesic effects of sucrose. Notably, the mechanism of sweet-taste-induced analgesia is still not precisely understood, which has implications for using research evidence in practice. The aim of this article is to review what is known about the mechanisms of sucrose-induced analgesia; highlight existing evidence, knowledge gaps, and current controversies; and provide directions for future research and practice. Pediatrics 2012;130:918-925

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Section: Human Model Studiesmentioning

confidence: 96%

Sucrose for Procedural Pain Management in Infants

2012

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“…Infants who cry more persistently differ from those who cry less in that they have a higher crying-to-fussing ratio (suggesting greater intensity). In addition, according to Barr et al, infants with colic were found to be less likely to be placated by an orally administered sucrose solution than infants without colic [12].…”

Section: Common Physiological and Behavioral Problemsmentioning

confidence: 99%

Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler

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Gürakan

2014

Marmara Medical Journal

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Primary health care visits during the first years of life are designed for more than physical complaints [1]. While a somatic history and physical examination are important components of each visit, many topics are discussed including nutrition, vaccinations, development, safety and behavior. Developmental or behavioral problems are identified in approximately 20% of children [2,3]. While some parents arrive at the pediatrician's office with concerns about their child's behavior, others are unaware of their child's problems until they are asked specific questions about their child's conduct. Physicians must therefore ascertain potential problems and identify contributing ÖZET Hekim muayenehanesine getirilen bazı bebek ve çocukların ebeveynleri, bebek ve çocuklarının yaşadığı bazı fizyolojik fonksiyon sıkıntıları ve/veya davranış değişikliği konusunda endişeli iken, diğer bir kısmı, çocuklarının iletişimi konusunda spesifik sorular sorulmadıkça farkında değildirler. Bebekte ve çocukta fizyolojik sıkıntı ve davranış değişikliği yaratan faktörleri anlamak için, hangi durumlarda bu sıkıntıların ve davranış değişikliklerinin görüldüğünü, davranış öncesinde görülen olayları ve sonuçlarını doğru değerlendirmek, hekimler için kritik öneme sahiptir. Bu nedenle, birinci basamak hekimleri potansiyel problemleri kesinleştirmeli, spesifik girişim önerileri için eşlik eden faktörleri belirlemeli, ya da aileyi uygun uzmana yönlendirmelidirler. Bu makale, özellikle birinci basamak hekimlerine yol gösterici olması düşüncesi ile, bebek ve çocuklarda görülen yaygın fizyolojik fonksiyon sıkıntılarının ve davranış değişikliklerinin oluş nedenlerini ve problemlerini derleyerek, sosyal pediatri hekimlerinin etkili bir şekilde aileleri yönlendirmelerini, dolayısı ile çocuğun ve ailenin rahatlamasının sağlanması için hazırlanmıştır.Anahtar Kelimeler: Davranış sorunları, Çocuklar, Belirleme, Primer bakım ABSTRACT While some parents arrive at the physician's office with concerns about their child's behavior, others are unaware of their child's physiological and behavioral problems until they are asked specific questions about their child's conduct. An understanding of the child's physiological and temperamental factors, together with an assessment of the settings in which the behaviors occur are critical for the physician to provide a successful treatment plan, as are events preceding the behavior, and consequences of the behavior. Physicians must therefore ascertain potential problems and identify contributing factors in order to recommend specific interventions, or refer the child to the appropriate specialist. This article reviews common physiological and behavioral problems of children so that primary care physicians can effectively aid families in identifying problem behaviors and promoting appropriate behaviors.

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“…Generally, the direct causes were incompletely understood, but it has been assumed that it is imputed to different contributors such as central nervous system pathway disturbance, inconvenient infant-family relationship, parental anxiety, and different gastrointestinal pathologies like cow's milk allergy, gastroesophegeal reflux or motility disorders. [12][13][14][15][16] Moreover, altered micro-biota theory is also suggested to affect gut motility and gas production, leading to the colicky episodes. 17 There was old concept linked to breastfeeding influential effect against infantile colic, but recently one study rejects this concept and proved that breastfeeding did not have a protective effect on the development of colic.…”

Section: Causes Of Infantile Colicmentioning

confidence: 99%

Infantile colic: is it an early sign of an allergy?

Eltyeb

Gohal

2018

Int J Adv Med

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Infantile colic is a worrisome problem to the parents and caregivers, characterized by the inconsolable crying of infants that usually occur in the first 4months of life. It constitutes the frequent complaint seen by physicians in early infants' life. The episodes generally disappear by the age of five or six months. However, there was growing evidence demonstrate the later impact of these episodes in later children' life. Many interventions were tried to reduce the symptoms associated with infantile colic and to foresee the etiological backgrounds. The allergic role is implicated to have a major role in the pathophysiology of infantile colic and in the later atopic outcome; however, more intensive reliable studies should be done to strengthen these evidences.

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Differential Calming Responses to Sucrose Taste in Crying Infants With and Without Colic

Cited by 54 publications

References 49 publications

Sucrose for Procedural Pain Management in Infants

Sucrose for Procedural Pain Management in Infants

Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler

Infantile colic: is it an early sign of an allergy?

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