Evaluation of an energy-dense meal liquefied with amylase of germinated wheat in children with acute watery diarrhoea: A randomized controlled clinical trial

Mitra, Amal K.; Rahman, Mahbubur; Mahalanabis, Dilip; Patra, F. C.; Wahed, M. A.

doi:10.1016/0271-5317(95)00056-o

Cited by 11 publications

(10 citation statements)

References 10 publications

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“…We expected a 35% increase in daily supplementary food intake in the experimental (ARF-SF) group. This estimate was based on food-intake data from a similar diet by children aged 6 to 23 months [9]. In that study, the mean ± SD intake of ARF-treated porridge was 44 ± 13 g and that of untreated porridge was 28 ± 15 g. The sample size required to detect the difference at a 5% level of significance and with 80% power was 37 in each group.…”

Section: Sample Size Estimationmentioning

confidence: 99%

Increased Food Intake after the Addition of Amylase-Rich Flour to Supplementary Food for Malnourished Children in Rural Communities of Bangladesh

Hossain¹,

Wahed²,

Ahmed³

2005

Food Nutr Bull

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Section: Sample Size Estimationmentioning

confidence: 99%

Increased Food Intake after the Addition of Amylase-Rich Flour to Supplementary Food for Malnourished Children in Rural Communities of Bangladesh

Hossain¹,

Wahed²,

Ahmed³

2005

Food Nutr Bull

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“…Other approaches that have been evaluated include the use of amylase-rich flours in cereal-based porridges to decrease viscosity and thus increase nutrient density and children’s nutrient intake. However, these trials have been performed only in children with AD 51 . Also, mixed diets including specific ingredients thought or known to have antidiarrheal properties, such as green banana, have been tested.…”

Section: Treatmentmentioning

confidence: 99%

Management of children with prolonged diarrhea

2016

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Prolonged diarrhea is usually defined as acute-onset diarrhea lasting 7 days or more, but less than 14 days. Its trend has been declining in recent years because of improvement in the management of acute diarrhea, which represents the ideal strategy to prevent prolonged diarrhea. The pathogenesis of prolonged diarrhea is multifactorial and essentially based on persistent mucosal damage due to specific infections or sequential infections with different pathogens, host-related factors including micronutrient and/or vitamin deficiency, undernutrition and immunodeficiency, high mucosal permeability due to previous infectious processes and nutrient deficiency with consequential malabsorption, and microbiota disruption. Infections seem to play a major role in causing prolonged diarrhea in both developing and developed areas. However, single etiologic pathogens have not been identified, and the pattern of agents varies according to settings, host risk factors, and previous use of antibiotics and other drugs. The management of prolonged diarrhea is complex. Because of the wide etiologic spectrum, diagnostic algorithms should take into consideration the age of the patient, clinical and epidemiological factors, and the nutritional status and should always include a search for enteric pathogens. Often, expensive laboratory evaluations are of little benefit in guiding therapy, and an empirical approach may be effective in the majority of cases. The presence or absence of weight loss is crucial for driving the initial management of prolonged diarrhea. If there is no weight loss, generally there is no need for further evaluation. If weight loss is present, empiric anti-infectious therapy or elimination diet may be considered once specific etiologies have been excluded.

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“…Although in some instances this may be because of limited household food availability, in many cases other factors, such as the health status of the child (2,3) and the characteristics of the diet (4), may be the primary influences on energy consumption. Several authors have reported, for example, that the high viscosity of high-energy-density, starch-containing porridges limits the amount that can be consumed (5)(6)(7)(8)(9), although others have found no benefit to liquefaction of these foods (10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Effects of dietary viscosity and energy density on total daily energy consumption by young Peruvian children

Bennett

Morales

González

et al. 1999

The American Journal of Clinical Nutrition

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Background:Results of prior studies of the effect of viscosity reduction of high-energy-density, starch-containing diets on young children's energy intakes are inconsistent, possibly because of differences in the characteristics of the unmodified diets with which the low-viscosity diets were compared. Objective: Our objective was to determine the effects of dietary viscosity and energy density on total daily energy consumption by young, non-breast-fed children. Design: We measured the amount of food consumed and the duration of meals during 3 substudies, in each of which 3 study diets were offered for 4 consecutive days each in random sequence: high energy density, high viscosity (HD-HV); high energy density, low viscosity (HD-LV); and low energy density, low viscosity (LD-LV). The viscosity and energy density of the unmodified starchcontaining HD-HV diet were varied across substudies to determine whether the effect of amylase liquefaction was related to the initial characteristics of the HD-HV diet. The viscosity of the HV diets ranged from 79 000 to 568 000 mPa · s; energy density of the HD diets ranged from Ϸ4.18 to 4.93 kJ (1.00-1.18 kcal)/g. Viscosity of the LV diets was Ϸ3000 mPa · s and the energy density of the LD diets was Ϸ2.47 kJ (0.6 kcal)/g. Results:In each substudy, children consumed more of the LD-LV diet (g · kg body wt Ϫ1 · d Ϫ1 ) than of the other diets and more of the HD-LV diet than of the HD-HV diet (P < 0.001). Energy consumption from the HD-LV diet was greater than from the other diets (P < 0.001), but the energy intakes from the latter diets were not significantly different. Conclusion: Amylase liquefaction of HD-HV porridges resulted in increased energy consumption by young children.Am J Clin Nutr 1999;70:285-91.

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Evaluation of an energy-dense meal liquefied with amylase of germinated wheat in children with acute watery diarrhoea: A randomized controlled clinical trial

Cited by 11 publications

References 10 publications

Increased Food Intake after the Addition of Amylase-Rich Flour to Supplementary Food for Malnourished Children in Rural Communities of Bangladesh

Increased Food Intake after the Addition of Amylase-Rich Flour to Supplementary Food for Malnourished Children in Rural Communities of Bangladesh

Management of children with prolonged diarrhea

Effects of dietary viscosity and energy density on total daily energy consumption by young Peruvian children

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