Monitoring steatorrhoea in cystic fibrosis

Curtis, Mario De; Santamaria, Francesca; Ercolini, P; Sica, Giulia; Bianco, Vincenzo; Ciccimarra, F

doi:10.1007/bf01983404

Cited by 1 publication

(2 citation statements)

References 9 publications

(10 reference statements)

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“…The median fecal fat loss in our cohort was within the range of that found in other studies of similarly aged children with CF and PI (15,26,28,29,50). Previous studies have reported fecal fat losses ranging from 8 to 17 g/d in children with CF compared with losses ranging from only 2 to 4 g/d in control children (26,28,50).…”

Section: Discussionsupporting

confidence: 66%

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Energy balance and the accuracy of reported energy intake in preadolescent children with cystic fibrosis

Trabulsi

Schall

Ittenbach

et al. 2006

The American Journal of Clinical Nutrition

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Background: Suboptimal growth and nutritional status are common among children with cystic fibrosis (CF) and pancreatic insufficiency (PI). A better understanding of energy balance is required to improve prevention and treatment of malnutrition. Objective: Our objective was to characterize energy balance and the reporting accuracy of dietary intake in children with CF by evaluating the relations between energy intake (EI), energy expenditure (EE), fecal energy loss, nutritional status, and growth. Design: The subjects were participants of a 24-mo prospective study of children 6 -10 y of age with CF and PI. EE, EI, fecal energy loss, and anthropometric measures were obtained at baseline and at 24 mo. Results: The children (n ҃ 69) had suboptimal growth at baseline (x Ȁ SD: weight-for-age z score, Ҁ0.53 Ȁ 1.19; adjusted heightfor-age z score, Ҁ0.67 Ȁ 1.06; body mass index z score, Ҁ0.29 Ȁ 1.12), and these variables remained suboptimal at 24 mo. The median ratios of EI to EE at baseline and 24 mo were 1.15 and 1.18, respectively, which decreased to 1.09 and 1.10, respectively, when adjusted for fecal energy loss (EI ҀFL :EE). At baseline, 7% of subjects were underreporters, 64% were accurate reporters, and 23% were overreporters of energy intake; the percentages were similar at 24 mo. Conclusions: Although EI ҀFL :EE ratios were higher than expected at both baseline and 24 mo, this cohort showed only age-appropriate weight gain. Self-reported dietary intake data at the individual level should be interpreted with caution, and weight gain velocity may serve as an objective measure of long-term energy balance. J Clin Nutr 2006;84:523-30. Am

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Section: Discussionsupporting

confidence: 66%

“…Previous studies have reported fecal fat losses ranging from 8 to 17 g/d in children with CF compared with losses ranging from only 2 to 4 g/d in control children (26,28,50). Our subjects with CF and PI lost from 4 to 26 g/d of fat in stool, which corresponds to an energy loss of Ȃ36 to 234 kcal/d.…”

Section: Discussionmentioning

confidence: 88%