Assessment of nutritional status and bone health in neurologically impaired children: a challenge in pediatric clinical practice

Abstract

I, López Pedrosa JM. Infl uencia del suplemento con inulina enriquecida con fructooligosacáridos sobre el contenido y la densidad mineral ósea tras el parto y la lactación en ratas. AbstractIntroduction: Pregnancy and lactation are related with temporary decreases in maternal bone mineral density (BMD). Calcium supplementation could be benefi cial to prevent bone loss of maternal skeleton. Other nutrients, such as prebiotics have showed to produce an increase of the mineral absorption and therefore affecting bone mineralization. Objective: To study the effect of maternal diet supplementation with prebiotic oligofructose-enriched inulin during gestation and lactation on the maternal bone mineral content (BMC) and BMD at the end of lactation. Methods: Pregnant rats were fed with standard diet (CC group), calcium fortifi ed diet (Ca group) or with prebiotic oligofructose-enriched inulin supplemented diet until the end of the lactation period. At weaning, bone mineral content (BMC) and BMD were determined by dual-energy X-ray absorptiometry and the pH of the cecal content was also determined. Results: In absolute terms, the highest BMD and BMC were found in the Pre group as compared with the other two groups being signifi cant in the tibia when compared Pre group and CC group with Ca group. The pH of the cecal content in the Pre group was also signifi cantly lower as compared with the other two groups. Conclusion: Prebiotic oligofructose-enriched inulin supplementation, in calcium no-defi cient conditions, during gestation and lactation exerts a protection on maternal skeleton during pregnancy and lactation in the rats and could be considered as a plausible nutritional option for protecting maternal bone mass during these periods.

Policy on healthy practices to improve the nutritional status of children under 5 years of age

“…The regional policy on healthy practices to improve the nutritional status of children under 5 years of age in San Martín has focused on several key areas: Promotion of breastfeeding: Awareness and support programs were implemented to encourage exclusive breastfeeding during the first six months of the child's life. [16][17][18][19][20][21][22][23][24] Friendly spaces for nursing mothers were established in health centers and public places to facilitate breastfeeding anytime, anywhere.…”

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“…The regional policy on healthy practices to improve the nutritional status of children under 5 years of age in San Martín has focused on several key areas: Promotion of breastfeeding: Awareness and support programs were implemented to encourage exclusive breastfeeding during the first six months of the child's life. [16][17][18][19][20][21][22][23][24] Friendly spaces for nursing mothers were established in health centers and public places to facilitate breastfeeding anytime, anywhere.…”

What Is New in Pediatric Bone Health

“…Vitamin D level in patients with neuromuscular disorders is mainly determined by their level of physical maturity and mobility60 and is similar to those reported in healthy children. However, the prevalence of low BMD is high in neurologically impaired children suggesting adjusting BMD scores for height and age to not over diagnose low BMD 61…”

“…However, the prevalence of low BMD is high in neurologically impaired children suggesting adjusting BMD scores for height and age to not over diagnose low BMD. 61…”