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Free lactose children

Maria Grazia Cagetti, Giovanna Congiu, Fabio Cocco, Gianfranco Meloni, Silvana Sale, Guglielmo Campus
BACKGROUND: Actual caries figures emphasize the need to identify the risk indicators involved in the disease's development. The hypothesis that certain risk indicators might affect the dynamic evolution of the caries process was assessed; to clarify this premise, a cross-sectional survey was performed in school children. METHODS: A total of 390 subjects aged 6-8 years old were randomly selected. Caries was assessed, and the subjects were stratified as follows: i) highest caries score; ii) most prevalent caries score; and iii) number of affected teeth...
December 1, 2016: BMC Public Health
Moinak Sen Sarma, Anshu Srivastava, Surender Kumar Yachha, Ujjal Poddar, Amrita Mathias
OBJECTIVE: To analyze the presentation and predictors of outcome of children with galactosemia. METHODS: Analysis of clinical, laboratory, microbiological profile and outcome of patients fulfilling the diagnostic criteria: i) clinical setting; ii) reduced erythrocyte Gal-1-PUT enzyme activity; and iii) unequivocal response to lactose-free diet. RESULTS: 24 patients; median age of symptom onset and diagnosis: 10 (3-75) d and 55 (15-455) days, respectively...
January 2016: Indian Pediatrics
Ivan D Florez, Reem Al-Khalifah, Javier M Sierra, Claudia M Granados, Juan J Yepes-Nuñez, Carlos Cuello-Garcia, Giordano Perez-Gaxiola, Adriana M Zea, Gilma N Hernandez, Areti-Angeliki Veroniki, Gordon H Guyatt, Lehana Thabane
BACKGROUND: Acute diarrhea and acute gastroenteritis (AD/AGE) are common among children in low- and middle-income countries (LMIC) and high-income countries (HIC). Supportive therapy including maintaining feeding, prevention of dehydration, and use of oral rehydration solution (ORS), is the mainstay of treatment in all children. Several additional treatments aiming to reduce the episode duration have been compared to placebo, but the differences in effectiveness among them are unknown...
January 20, 2016: Systematic Reviews
Carlo Tolone, Valeria Pellino, Margherita Piccirillo, Mariarosaria Letizia, Ivano Belfiore, Salvatore Tolone
BACKGROUND: Recurrent abdominal pain (RAP) is a common disorder in childhood. However it is not clear what the incidence of organic disease is if there is absence of alarm symptoms or signs. Aim of this study was to clarify if the performance of diagnostic tests can be useful in revealing underlying organic disorders. METHODS: Participants were 4 to 16 years old children, who were referred to our tertiary care pediatric center. We selected 98 children (48 males, 50 females) with RAP but without any alarm symptoms or signs...
January 8, 2016: Minerva Pediatrica
Lucas Wauters, Trevor Brown, Carina Venter, Robert Dziubak, Rosan Meyer, Breege Brogan, Joanne Walsh, Adam T Fox, Neil Shah
OBJECTIVES: Cow's milk allergy (CMA) is the most common food allergy in children with many clinical manifestations, leading to misdiagnoses such as gastro-oesophageal reflux, infantile colic, and lactose intolerance with inappropriate prescribing. We aimed to determine the impact of infant feeding guidelines on CMA prescribing in UK primary care using a simple and inexpensive training package. METHODS: Prospectively collected data of infant feeding prescriptions in Northern Ireland from June 2012 to March 2014 were analysed with the intervention period between November 2012 and March 2013...
May 2016: Journal of Pediatric Gastroenterology and Nutrition
György Miklós Buzás
The author summarises the interrelations between lactose intolerance, calcium and vitamin D metabolism and osteoporosis. Lactose intolerance enhances the risk of forearm and hip fractures in some patients. Lactase gene genotype and fracture risk are related in some populations. Calcium and vitamin D supplementation increase bone mineral content and they are justified in children, during pregnancy and lactation, and in postmenopausal women. The intake of milk and milk products could increase the risk of ovarian carcinoma...
October 25, 2015: Orvosi Hetilap
K J Newens, J Walton
BACKGROUND: Government and health organisations worldwide have recently reviewed the evidence on the role of dietary sugars in relation to health outcomes. Hence, it is timely to review current intakes of dietary sugars with respect to this guidance and as a benchmark for future surveillance. METHODS: This review collates data from nationally representative dietary surveys across the world and reports estimates of intakes of total and added sugars, and sucrose in different population subgroups...
April 2016: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
Juliette M T M Rutten, Judith J Korterink, Leonie M A J Venmans, Marc A Benninga, Merit M Tabbers
BACKGROUND AND OBJECTIVE: Various nonpharmacologic treatments are available for pediatric abdominal pain-related functional gastrointestinal disorders (AP-FGIDs). Data on efficacy and safety are scarce. The goal of this study was to summarize the evidence regarding nonpharmacologic interventions for pediatric AP-FGIDs: lifestyle interventions, dietary interventions, behavioral interventions, prebiotics and probiotics, and alternative medicine. METHODS: Searches were conducted of the Medline and Cochrane Library databases...
March 2015: Pediatrics
Pornthep Tanpowpong, Sarabeth Broder-Fingert, Aubrey J Katz, Carlos A Camargo
OBJECTIVE: Prior studies have shown that dietary gluten avoidance (DGA) is relatively common in children without previously diagnosed celiac disease (CD), and several clinical predictors of DGA have been found. However, available data on predictors of DGA in adults without diagnosed CD are limited. The aim of this study was to determine the independent predictors of DGA in this population. METHODS: We performed a structured medical record review of 376 patients, ages ≥ 20 y, who had never been formally diagnosed with CD, presenting for an initial CD evaluation (ICD-9-CM 579...
January 2015: Nutrition
Natalie Uy, Lauren Graf, Kevin V Lemley, Frederick Kaskel
Emerging evidence suggests an association between food sensitivity and gut microbiota in children with nephrotic syndrome. Diminished proteinuria resulted from eliminating cow's milk and the use of an oligoantigenic diet which excluded gluten, especially in patients with immune-related conditions, i.e., celiac disease and nephrotic syndrome. The mechanisms underlying the association of diet, gut microbiota, and dysregulation of the immune system are unknown. Gut microbiota is influenced by a number of factors including diet composition and other environmental epigenetic exposures...
January 2015: Pediatric Research
Lora L Iannotti, Indi Trehan, Kathryn L Clitheroe, Mark J Manary
Children with severe acute malnutrition complicated by diarrhoea require special care due to their unique physiological vulnerability and increased mortality risks. A systematic literature review (1950-2013) was conducted to identify the most effective diagnostic and therapeutic measures for the community-based management of severely malnourished children with diarrhoea. No studies directly addressed this question, so the search was broadened to include inpatient care. Of the 129 studies identified, 32 were selected for full review and found to contain varying degrees of indirectness, inconsistency and bias...
April 2015: Journal of Paediatrics and Child Health
Osman Gulseven, Michael Wohlgenant
This article investigates the socio-demographic determinants affecting the demand for functional and nutritional enhancements in milk products based on a two-stage model. In order to derive the implicit market values of these enhancements, first we estimated the relationship between the prices of differentiated dairy products and the amount or respectively the presence of specific characteristics in these products. Next, using these implicit prices along with the information on households' demographic background, we analyzed the socio-demographic factors that affect consumer demand for specific functional and nutritional enhancements...
October 2014: Appetite
Alfredo Guarino, Shai Ashkenazi, Dominique Gendrel, Andrea Lo Vecchio, Raanan Shamir, Hania Szajewska
OBJECTIVES: These guidelines update and extend evidence-based indications for the management of children with acute gastroenteritis in Europe. METHODS: The guideline development group formulated questions, identified data, and formulated recommendations. The latter were graded with the Muir Gray system and, in parallel, with the Grading of Recommendations, Assessment, Development and Evaluations system. RESULTS: Gastroenteritis severity is linked to etiology, and rotavirus is the most severe infectious agent and is frequently associated with dehydration...
July 2014: Journal of Pediatric Gastroenterology and Nutrition
Michelle F Gaffey, Kerri Wazny, Diego G Bassani, Zulfiqar A Bhutta
BACKGROUND: Current WHO guidelines on the management and treatment of diarrhea in children strongly recommend continued feeding alongside the administration of oral rehydration solution and zinc therapy, but there remains some debate regarding the optimal diet or dietary ingredients for feeding children with diarrhea. METHODS: We conducted a systematic search for all published randomized controlled trials evaluating food-based interventions among children under five years old with diarrhea in low- and middle-income countries...
2013: BMC Public Health
Lanlan Geng, Ding-You Li, Wenji Ou, Qunying Yang, Tiefu Fang, Peiyu Chen, Min Yang, Sitang Gong
BACKGROUND: Congenital sucrase-isomaltase deficiency (CSID) is a rare genetic disorder. The prevalence of CSID in Chinese population is unknown and no single case has been reported. METHODS: Sucrose tolerance tests were performed in three children suspected of CSID. Glucose tolerance tests were performed to exclude glucose malabsorption. Blood glucose was measured at fasting and at 30 min, 60 min, 120 min, and 180 min of the study. Gastrointestinal symptoms were recorded up to 4 hours after the study...
2014: BMC Pediatrics
Stephen MacGillivray, Tom Fahey, William McGuire
BACKGROUND: Young children with acute diarrhoea, typically due to infectious gastroenteritis, may temporarily stop producing lactase, the intestinal enzyme that digests lactose. This means they may not digest lactose, the main sugar in milk, and this may worsen or prolong the diarrhoeal illness. However, there is uncertainty whether avoiding lactose-containing milk or milk products helps young children recover from acute diarrhoea more quickly. OBJECTIVES: To assess if avoiding or reducing intake of lactose-containing milk or milk products shortens the duration and severity of illness in young children with acute diarrhoea...
October 31, 2013: Cochrane Database of Systematic Reviews
R Assathiany, R Guedj, A Bocquet, G Thiebault, C Salinier, J-P Girardet
UNLABELLED: Acute gastroenteritis (AGE) is a very common reason for pediatric consultations. Various expert committees have issued guidelines for its management, based on systematic use of an oral rehydration solution (ORS), early appropriate nutrition (most recent previous diet), and avoiding routine treatment with medication. The aim of the study was to assess the application of these guidelines by pediatricians in outpatient practice for mild to moderate AGE. A secondary objective was to question pediatricians about their practices for vaccination against rotavirus...
October 2013: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Ujjal Poddar
Differences between children and adults in celiac disease (CD) presentation and epidemiology are reviewed here. Clinical manifestations, histological changes, serology, and response to gluten-free diet are similar. Differences exist in epidemiology, type of clinical presentations, coexisting diseases, complications, and association with obesity. CD is two to five times more common in children than in adults. Classical CD with gastrointestinal symptoms is more common in children whereas nonclassical CD dominates in adults...
September 2013: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
Keila L Perez, M Jahangir Alam, Alejandro Castillo, T Matthew Taylor
Escherichia albertii is an emerging gram-negative facultative rod that has been implicated in multiple cases of human diarrheal disease, particularly in young children. When biochemical and other typing methods have been used, this organism has often been misidentified due to similarities with other members of the family Enterobacteriaceae. Isolates have been reported to be capable of producing attachment and effacement lesions via the synthesis of intimin, cytolethal distending toxin, and a variant form of Shiga toxin...
January 2013: Journal of Food Protection
C Biggs
BACKGROUND: In Sub-Saharan Africa, children commonly present with severe acute malnutrition (SAM) complicated by HIV/AIDS. In 2005, the South African Department of Health implemented the World Health Organization (WHO) Ten Step programme for the inpatient treatment of SAM. Dietary management with F75 and F100 (where the terms F75 and F100 refer to a mixture of milk, sugar, oil and a vitamin and mineral mix) may not be appropriate for relatively well resourced settings such as South Africa...
April 2013: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
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