Effect of Oral Supplementation on Catch-Up Growth in Picky Eaters

Alarcón, Pedro A. de; Lin, Lung–Huang; Noche, Miguel; Hernandez, Virginia C.; Cimafranca, Leonard; Lam, Wayne; Comer, Gail M.

doi:10.1177/000992280304200304

Cited by 46 publications

(80 citation statements)

References 25 publications

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“…A comparison of five different studies referenced on a commercially-sponsored website [34] provides a case study [35,36,37,38,39]. Collectively, these studies provided a concentrated liquid supplement (1 kcal/mL; 12% protein, 44% carbohydrate, 44% fat) and are cited to support the statement “clinically proven nutrition to help kids grow” [34].…”

Section: The Scientific Rationale For the Claims: The Nature Of Thmentioning

confidence: 99%

“…Ninety-two “picky eaters” aged 3 to 5 years with “evidence of growth faltering” were randomized to receive either nutrition counseling alone, or nutrition counseling plus the nutritional supplement for 90 days [36]. The latter group gained more weight and height than the unsupplemented, counseled group.…”

Section: The Scientific Rationale For the Claims: The Nature Of Thmentioning

confidence: 99%

“…The latter two studies, designed as RCTs, do not actually control for the supplement itself. Instead, Fisberg et al [37] offered the nutritional product with and without an added fortified synbiotic (which had no significant effect on the incidence of illness, number of sick days, or number of sick episodes); Alarcon et al [36] offered the nutritional product in addition to nutritional counseling, as a comparison to the control group that was provided counseling only. …”

Section: Proof: Intervention Causalitymentioning

confidence: 99%

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Promoting Healthy Growth or Feeding Obesity? The Need for Evidence-Based Oversight of Infant Nutritional Supplement Claims

2016

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The Developmental Origins of Health and Disease (DOHaD) model recognizes growth in infancy and childhood as a fundamental determinant of lifespan health. Evidence of long-term health risks among small neonates who subsequently grow rapidly poses a challenge for interventions aiming to support healthy growth, not merely drive weight gain. Defining healthy growth beyond “getting bigger” is essential as infant and young child feeding industries expand. Liquid-based nutritional supplements, originally formulated for undernourished children, are increasingly marketed for and consumed by children generally. Clarifying the nature of the evidentiary base on which structure/function claims promoting “healthy growth” are constructed is important to curb invalid generalizations. Evidence points to changing social beliefs and cultural practices surrounding supplementary feeding, raising specific concerns about the long-term health consequences of an associated altered feeding culture, including reduced dietary variety and weight gain. Reassessing the evidence for and relevance of dietary supplements’ “promoting healthy growth” claims for otherwise healthy children is both needed in a time of global obesity and an opportunity to refine intervention approaches among small children for whom rapid subsequent growth in early life augments risk for chronic disease. Scientific and health care partnerships are needed to consider current governmental oversight shortfalls in protecting vulnerable populations from overconsumption. This is important because we may be doing more harm than good.

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Section: The Scientific Rationale For the Claims: The Nature Of Thmentioning

confidence: 99%

Section: The Scientific Rationale For the Claims: The Nature Of Thmentioning

confidence: 99%

Section: Proof: Intervention Causalitymentioning

confidence: 99%

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Promoting Healthy Growth or Feeding Obesity? The Need for Evidence-Based Oversight of Infant Nutritional Supplement Claims

2016

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“…This trial showed greater increases in growth parameters in children who received ONS plus dietary counselling compared with those who received only dietary counselling. 6 Another recent study demonstrated that ONS with dietary counselling improved nutrient adequacy in young Chinese children with picky eating behaviour and with weight-for-height below the 25th percentile. 16 In a 48-week nutritional intervention study, provision of ONS combined with dietary counselling promoted catch-up growth in weight and improved linear growth during the growth maintenance phase.…”

Section: Discussionmentioning

confidence: 99%

Continuation of oral nutritional supplementation supports continued growth in nutritionally at-risk children with picky eating behaviour: A post-intervention, observational follow-up study

et al. 2018

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ObjectivesTo evaluate the 120-day post-intervention growth trajectory of picky-eating children aged 2 to 6 years who previously completed a 90-day, randomized, controlled trial of oral nutritional supplementation (ONS) plus dietary counselling (DC) (SDC, n = 98) compared with DC alone (n = 105).MethodsA total of 203 children were included. Children were free to consume ONS during follow-up. Information on ONS consumption was collected. Weight-for-age percentile (WAP) and height-for-age percentile (HAP) were measured at Day 90 (beginning) and Day 210 (end point).ResultsDespite continued weight gain, there was a significant decline in WAP in both groups during the post-intervention period. However, children who took ONS voluntarily had a smaller loss in WAP compared with those who did not. Children in the SDC group showed no difference in a decline in HAP between those who took ONS during follow-up and those who did not. However, children in the DC group showed a marginally larger decline in HAP in those who did not take ONS during the follow-up compared with those who did.ConclusionsContinued parental self-administration of ONS to their children slows down the loss of growth percentiles, supporting continued weight gain in picky-eating children at nutritional risk.

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“…We could identify only two trials in children published in peer reviewed journals. One trial described favourable short-term increases in weight and height for children taking HEOS aged >3 years in Taiwan and the Philippines 1. However, a trial in the UK of HEOS use in children with cystic fibrosis did not show any difference in body mass index (BMI) in the treated group 2…”

Section: Introductionmentioning

confidence: 99%

The impact of stopping high-energy oral nutritional supplements on eating behaviour and weight gain

Wright

Chillingworth

2015

Arch Dis Child

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Effect of Oral Supplementation on Catch-Up Growth in Picky Eaters

Cited by 46 publications

References 25 publications

Promoting Healthy Growth or Feeding Obesity? The Need for Evidence-Based Oversight of Infant Nutritional Supplement Claims

Promoting Healthy Growth or Feeding Obesity? The Need for Evidence-Based Oversight of Infant Nutritional Supplement Claims

Continuation of oral nutritional supplementation supports continued growth in nutritionally at-risk children with picky eating behaviour: A post-intervention, observational follow-up study

The impact of stopping high-energy oral nutritional supplements on eating behaviour and weight gain

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