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J Pediatr ; 218: 130-137, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-31982089

RESUMEN

OBJECTIVES: To examine factors that may affect nutritional status in adolescents with esophageal atresia. STUDY DESIGN: Anthropometric measurements, blood samples, pH measuring, mapping of dysphagia with a modified Easting Assessment Test questionnaire, 4-day dietary record, and a semistructured interview about eating habits and nutrition counseling were performed in a cross-sectional cohort of adolescents with esophageal atresia. RESULTS: Out of 102 eligible patients, 68 (67%) participated. The median height-for-age Z score was -0.6 (-4.6 to 1.8). Ten (15%) were classified as stunted (height-for-age Z score <-2). Fourteen (21%) were overweight. More than two-thirds reported symptoms of dysphagia (Easting Assessment Test score ≥3) and avoided specific foods. Forty-eight (71%) completed the 4-day dietary record, which showed daily intake of energy below age-appropriate recommendations. One-third reported an energy intake below their estimated basal metabolic rate. Only 24% had received counselling from a dietitian. CONCLUSIONS: Adolescents with a history of esophageal atresia have growth below reference values and energy intake below recommendations. Energy intake and its relation to stunting needs to be further studied in patients with esophageal atresia.


Asunto(s)
Atresia Esofágica/fisiopatología , Atresia Esofágica/terapia , Estado Nutricional , Adolescente , Antropometría , Índice de Masa Corporal , Estudios Transversales , Trastornos de Deglución/complicaciones , Trastornos de Deglución/fisiopatología , Dieta , Ingestión de Energía , Femenino , Estudios de Seguimiento , Reflujo Gastroesofágico/fisiopatología , Humanos , Concentración de Iones de Hidrógeno , Masculino , Micronutrientes , Noruega , Sobrepeso , Encuestas y Cuestionarios , Adulto Joven
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