Pub Date : 2015-10-01DOI: 10.1177/1941406415601482
Kathryn Stewart, M. Rittenhouse, J. Gloeckner, D. Torisky
Objective. To determine which method(s) of metabolic bone disease (MBD) screening and treatment seem(s) to be most common in current neonatal intensive care units (NICU) across the country. Methods. Used an anonymous survey to determine current practices of NICUs across the country regarding MBD screening and treatment methods. Results. Ninety-four percent of participants worked in NICUs where infants are checked for MBD. One hundred percent of participants used alkaline phosphatase to check for MBD in their NICUs, while other biochemical laboratory values were used less frequently. Conclusion. It is clear that further research is needed to identify biochemical laboratory values and/or radiological techniques that can be used as reliable MBD screening tools.
{"title":"Screening for Metabolic Bone Disease in Preterm Infants","authors":"Kathryn Stewart, M. Rittenhouse, J. Gloeckner, D. Torisky","doi":"10.1177/1941406415601482","DOIUrl":"https://doi.org/10.1177/1941406415601482","url":null,"abstract":"Objective. To determine which method(s) of metabolic bone disease (MBD) screening and treatment seem(s) to be most common in current neonatal intensive care units (NICU) across the country. Methods. Used an anonymous survey to determine current practices of NICUs across the country regarding MBD screening and treatment methods. Results. Ninety-four percent of participants worked in NICUs where infants are checked for MBD. One hundred percent of participants used alkaline phosphatase to check for MBD in their NICUs, while other biochemical laboratory values were used less frequently. Conclusion. It is clear that further research is needed to identify biochemical laboratory values and/or radiological techniques that can be used as reliable MBD screening tools.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123770179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-01DOI: 10.1177/1941406415601193
A. Childs, R. John
Primary care providers commonly see and treat cases of constipation. The condition can be emotionally and financially taxing for the patient and family. Nutrition as a therapeutic measure for constipation should be discussed with the family as an acceptable nonpharmacologic solution. There is not enough equivocal evidence to support or discredit the use of nutrition as the only tool in addressing constipation, and additional research is still needed to understand its role in functional constipation. Improved nutrition as treatment for functional constipation may be requested by patients, with no harmful consequences. This article intends to summarize the available clinical evidence regarding the use of diet and nutrition to resolve functional constipation in the pediatric primary care setting.
{"title":"Pooping Shouldn’t Be This Hard: Using Nutrition to Address Constipation in Primary Care","authors":"A. Childs, R. John","doi":"10.1177/1941406415601193","DOIUrl":"https://doi.org/10.1177/1941406415601193","url":null,"abstract":"Primary care providers commonly see and treat cases of constipation. The condition can be emotionally and financially taxing for the patient and family. Nutrition as a therapeutic measure for constipation should be discussed with the family as an acceptable nonpharmacologic solution. There is not enough equivocal evidence to support or discredit the use of nutrition as the only tool in addressing constipation, and additional research is still needed to understand its role in functional constipation. Improved nutrition as treatment for functional constipation may be requested by patients, with no harmful consequences. This article intends to summarize the available clinical evidence regarding the use of diet and nutrition to resolve functional constipation in the pediatric primary care setting.","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"734 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114931749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-01DOI: 10.1177/1941406415600752
Olivia Marquez, M. Racey, M. Preyde, G. Hendrie, Genevieve Newton
Objective. Effective interventions are needed to address the reported inadequacies of dairy product and calcium (Ca) intakes among adolescents. The present review investigated interventions aimed at increasing adolescent dairy and/or Ca intakes and determined the characteristics associated with successful interventions. Design. A PRISMA systematic review search identified 17 interventions, described in 16 publications, between 1993 and 2015 (February). Studies were evaluated for population, delivery, dietary targets and outcomes measures, measure of intervention intensity, use of behavior change techniques, intervention effectiveness, and effect size and quality. Setting. Interventions targeting an increase in dairy food or Ca intake, either exclusively or in combination with other dietary modifications. Subjects. Adolescents, aged 12 to 18 years. Results. Twelve of the 17 interventions were found to be effective. Effective interventions tended to be higher in overall intensity (mean intensity: negative i...
{"title":"Interventions to Increase Dairy Consumption in Adolescents A Systematic Review","authors":"Olivia Marquez, M. Racey, M. Preyde, G. Hendrie, Genevieve Newton","doi":"10.1177/1941406415600752","DOIUrl":"https://doi.org/10.1177/1941406415600752","url":null,"abstract":"Objective. Effective interventions are needed to address the reported inadequacies of dairy product and calcium (Ca) intakes among adolescents. The present review investigated interventions aimed at increasing adolescent dairy and/or Ca intakes and determined the characteristics associated with successful interventions. Design. A PRISMA systematic review search identified 17 interventions, described in 16 publications, between 1993 and 2015 (February). Studies were evaluated for population, delivery, dietary targets and outcomes measures, measure of intervention intensity, use of behavior change techniques, intervention effectiveness, and effect size and quality. Setting. Interventions targeting an increase in dairy food or Ca intake, either exclusively or in combination with other dietary modifications. Subjects. Adolescents, aged 12 to 18 years. Results. Twelve of the 17 interventions were found to be effective. Effective interventions tended to be higher in overall intensity (mean intensity: negative i...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131880284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-01DOI: 10.1177/1941406415596342
R. Watowicz, A. Tindall, J. Hummel, I. Eneli
Background. Severely obese youth respond poorly to current conventional lifestyle interventions when compared with their overweight and obese peers. The protein-sparing modified fast (PSMF) intervention is a reduced-calorie, low-carbohydrate, high-protein diet that is thought to improve weight loss. The objective of this study is to describe 2 inpatient cases and 1 outpatient case that used the PSMF for adolescents. Methods. Three patients followed a PSMF for approximately 12 to 52 weeks, initially consuming 20 to 40 grams of carbohydrate per day for the first 12 weeks. Two of these patients were admitted as inpatients for the first 2 to 4 weeks of the diet. Results. The PSMF led to rapid weight loss and a decrease in body mass index. For 2 patients, there was an improvement in liver function tests or liver disease following the PSMF diet. All the patients demonstrated an improvement in some abnormal laboratory indices, for example, liver function tests and hemoglobin A1c, but had a clinically insignifica...
{"title":"The Protein-Sparing Modified Fast for Adolescents With Severe Obesity: A Case Series","authors":"R. Watowicz, A. Tindall, J. Hummel, I. Eneli","doi":"10.1177/1941406415596342","DOIUrl":"https://doi.org/10.1177/1941406415596342","url":null,"abstract":"Background. Severely obese youth respond poorly to current conventional lifestyle interventions when compared with their overweight and obese peers. The protein-sparing modified fast (PSMF) intervention is a reduced-calorie, low-carbohydrate, high-protein diet that is thought to improve weight loss. The objective of this study is to describe 2 inpatient cases and 1 outpatient case that used the PSMF for adolescents. Methods. Three patients followed a PSMF for approximately 12 to 52 weeks, initially consuming 20 to 40 grams of carbohydrate per day for the first 12 weeks. Two of these patients were admitted as inpatients for the first 2 to 4 weeks of the diet. Results. The PSMF led to rapid weight loss and a decrease in body mass index. For 2 patients, there was an improvement in liver function tests or liver disease following the PSMF diet. All the patients demonstrated an improvement in some abnormal laboratory indices, for example, liver function tests and hemoglobin A1c, but had a clinically insignifica...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"271 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116152432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-10-01DOI: 10.1177/1941406415591209
Juliet Bishop, M. Irby, J. Skelton
Objective. To better understand families’ perceptions of a family-inclusive pediatric obesity treatment program. Methods. We sought the perspectives of families actively and inactively enrolled in a family-based pediatric obesity treatment program via semistructured interviews. Responses were analyzed by an inductive thematic approach. Results. Twenty-three families participated. Families reported appreciation for program resources and recognized positive changes in family functioning. Logistical issues were reported as major barriers to participation and the primary reason for dropout. Work was perceived as the main barrier to participation for fathers. Families preferred addressing health behaviors in a structured environment. Siblings recognized changes within the family. Conclusions. Families consistently recognized barriers to participation and observed positive influences on family function. Insights were gained from the perspectives of various family members, suggesting that obesity treatment progr...
{"title":"Family Perceptions of a Family-Based Pediatric Obesity Treatment Program","authors":"Juliet Bishop, M. Irby, J. Skelton","doi":"10.1177/1941406415591209","DOIUrl":"https://doi.org/10.1177/1941406415591209","url":null,"abstract":"Objective. To better understand families’ perceptions of a family-inclusive pediatric obesity treatment program. Methods. We sought the perspectives of families actively and inactively enrolled in a family-based pediatric obesity treatment program via semistructured interviews. Responses were analyzed by an inductive thematic approach. Results. Twenty-three families participated. Families reported appreciation for program resources and recognized positive changes in family functioning. Logistical issues were reported as major barriers to participation and the primary reason for dropout. Work was perceived as the main barrier to participation for fathers. Families preferred addressing health behaviors in a structured environment. Siblings recognized changes within the family. Conclusions. Families consistently recognized barriers to participation and observed positive influences on family function. Insights were gained from the perspectives of various family members, suggesting that obesity treatment progr...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125854982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-31DOI: 10.1177/1941406415602528
Mamta Parashar, S. V. Singh, J. Kishore, B. Patavegar
Background. Breastfeeding confers benefits on both child and mother, including helping protect children against a variety of acute and chronic disorders. Mothers’ poor knowledge about the correct breastfeeding attachment and positioning technique and negative attitude toward breastfeeding, particularly in developing countries, may influence practice of effective breastfeeding. Thus, this study was conducted with the objective of assessing breastfeeding attachment and positioning technique, practices, and related knowledge among mothers. Study Design. A community-based survey. Setting. A resettlement colony consisting of 4 blocks having a population of 23 000. Participants. Two hundred mothers. Analysis. Data were analyzed using the software Epi-Info. Results. Fourteen percent of mothers were exclusively breastfeeding their babies. Colostrum was given to babies by 59% of the mothers. Only 25% of the mothers gave breast milk within 1 hour of their child’s birth. Majority of the mothers (74%) had not induced...
{"title":"Breastfeeding Attachment and Positioning Technique, Practices, and Knowledge of Related Issues Among Mothers in a Resettlement Colony of Delhi","authors":"Mamta Parashar, S. V. Singh, J. Kishore, B. Patavegar","doi":"10.1177/1941406415602528","DOIUrl":"https://doi.org/10.1177/1941406415602528","url":null,"abstract":"Background. Breastfeeding confers benefits on both child and mother, including helping protect children against a variety of acute and chronic disorders. Mothers’ poor knowledge about the correct breastfeeding attachment and positioning technique and negative attitude toward breastfeeding, particularly in developing countries, may influence practice of effective breastfeeding. Thus, this study was conducted with the objective of assessing breastfeeding attachment and positioning technique, practices, and related knowledge among mothers. Study Design. A community-based survey. Setting. A resettlement colony consisting of 4 blocks having a population of 23 000. Participants. Two hundred mothers. Analysis. Data were analyzed using the software Epi-Info. Results. Fourteen percent of mothers were exclusively breastfeeding their babies. Colostrum was given to babies by 59% of the mothers. Only 25% of the mothers gave breast milk within 1 hour of their child’s birth. Majority of the mothers (74%) had not induced...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116886431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-07DOI: 10.1177/1941406415598223
E. Paul
Optimization of nutrition is key in infant development and it is well documented that human milk is the ideal form of nutrition for infants during the first year of life. However, unaltered materna...
{"title":"Minimizing Patient Safety Events Through a Multidisciplinary Approach to Human Milk Management","authors":"E. Paul","doi":"10.1177/1941406415598223","DOIUrl":"https://doi.org/10.1177/1941406415598223","url":null,"abstract":"Optimization of nutrition is key in infant development and it is well documented that human milk is the ideal form of nutrition for infants during the first year of life. However, unaltered materna...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132332811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-01DOI: 10.1177/1941406415596631
S. Groh-Wargo, M. Thompson
{"title":"Response to Article Titled, “Managing the Human-Milk-Fed, Preterm, VLBW Infant at NICU Discharge: A Simpler Algorithm?” by Cohen, Mayer, and Fogleman","authors":"S. Groh-Wargo, M. Thompson","doi":"10.1177/1941406415596631","DOIUrl":"https://doi.org/10.1177/1941406415596631","url":null,"abstract":"","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130088358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-08-01DOI: 10.1177/1941406415591208
M. Walker
Formula supplementation of the breastfed infant is engaged in for numerous reasons, many of which are not evidence based. While clinicians and mothers may view this practice as a benign intervention, there are a number of undesired side effects of which parents and health care providers may be unaware. These side effects can result in adverse outcomes on the maternal milk supply, on the duration and exclusivity of breastfeeding, and on the infant’s gut microbiome. Alterations of the neonatal gut environment from formula supplementation can be responsible for mucosal inflammation and disease, autoimmunity disorders, and allergic conditions in childhood and adulthood. Soy infant formula can contain genetically modified ingredients and present a food with lower nutritional quality. Careful assessment and interventions that are designed to produce outcomes of abundant milk production and rapid resolution of breastfeeding problems help preserve the exclusive breastfeeding experience and result in optimal healt...
{"title":"Formula Supplementation of Breastfed Infants: Helpful or Hazardous?","authors":"M. Walker","doi":"10.1177/1941406415591208","DOIUrl":"https://doi.org/10.1177/1941406415591208","url":null,"abstract":"Formula supplementation of the breastfed infant is engaged in for numerous reasons, many of which are not evidence based. While clinicians and mothers may view this practice as a benign intervention, there are a number of undesired side effects of which parents and health care providers may be unaware. These side effects can result in adverse outcomes on the maternal milk supply, on the duration and exclusivity of breastfeeding, and on the infant’s gut microbiome. Alterations of the neonatal gut environment from formula supplementation can be responsible for mucosal inflammation and disease, autoimmunity disorders, and allergic conditions in childhood and adulthood. Soy infant formula can contain genetically modified ingredients and present a food with lower nutritional quality. Careful assessment and interventions that are designed to produce outcomes of abundant milk production and rapid resolution of breastfeeding problems help preserve the exclusive breastfeeding experience and result in optimal healt...","PeriodicalId":398639,"journal":{"name":"ICAN: Infant, Child, & Adolescent Nutrition","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123575580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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