Eating Habits of Children Under 4 Years with Poor-Feeding

윤영훈,; 박영봉,; 양은석,; 노영일,; 김은영,; 문경래,; 이철갑,

doi:10.5223/kjpgn.2003.6.2.167

Cited by 5 publications

(3 citation statements)

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“…As a standard clinical practice guideline for the diagnosis and management of children with anorexia has not been developed, it is clinically meaningful to analyze the efficacy and safety of HM, which is widely used in Asian countries (Yoon et al, 2003;Choi et al, 2010). Therefore, this review was conducted to summarize the available evidence.…”

Section: Clinical Implicationmentioning

confidence: 99%

“…In Korea, Korean medicine (KM) hospitals are the most common medical institutions where parents of children with anorexia receive counseling for anorexia (68%) in addition to pediatrics (20%) and internal medicine (3%) (Yoon et al, 2003). Around 10% of outpatients in the department of pediatrics in KM hospitals are presented with eating problems, including anorexia (Choi et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Herbal Medicine for the Treatment of Anorexia in Children: A Systematic Review and Meta-Analysis

et al. 2022

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Background: Anorexia is a common obstacle to adequate nutrition in childhood, a critical period for physical growth. East Asian traditional medicine treatment modalities including herbal medicine (HM) a re considered an attractive therapeutic option, especially in East Asian countries. The purpose of this systematic review was to comprehensively examine the efficacy and safety of HM for anorexia in children.Methods: A total of 12 electronic databases from their inception date to June 2021 were searched for randomized controlled trials (RCTs) assessing the efficacy of HM for the treatment of anorexia in children. The primary outcome was an improvement in anorexia clinical symptoms after treatment. In this meta-analysis, continuous and binary outcomes were assessed, and the data are presented as the mean difference or standardized mean difference and risk ratio (RR) with their 95% confidence intervals (CIs). The risk of bias and quality of evidence were assessed using the Cochrane Collaboration’s risk of bias tool and Grading of Recommendations, Assessment, Development, and Evaluations tool.Results: A total of 205 RCTs were included. A comparison of HM with placebo revealed that the total effective rate based on anorexia symptom improvement was significantly higher in the HM group (RR 1.58, 95% CI 1.34, 1.85). In comparison with controls, HM as monotherapy or adjunctive therapy to dietary supplements or conventional medications led to significant improvements in anorexia symptoms, body measurements, levels of blood biomarkers related to gastrointestinal function, and nutrition indices, with a lower recurrence rate of anorexia. No serious adverse events related to HM were reported. The risk of bias of the included studies was generally unclear, and the quality of evidence was generally low to moderate.Conclusion: Our study showed that HM could improve clinical symptoms, some anthropometric outcomes, and some biological markers related to appetite and growth in children with anorexia. However, considering the high risk of bias of the included studies and the heterogeneity of the HMs used, future research should focus on the use of standardized HMs and the implementation of methodologically robust clinical trials.Systematic Review Registration: https://www.crd.york.ac.uk/prosperodisplay_record.php?ID=CRD42021274376, identifier CRD42021274376

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Section: Clinical Implicationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Herbal Medicine for the Treatment of Anorexia in Children: A Systematic Review and Meta-Analysis

et al. 2022

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“…In a cross-sectional study of pediatric patients who visited the Department of Pediatrics in the Hospital of Korean Medicine in the Republic of Korea, 1432 (30.6%) of the 4677 first-time patients visited the hospital for digestive system complaints, of which anorexia accounted for the largest proportion (1035 [72.2%]) [ 12 ]. In the Republic of Korea, the majority of children with anorexia mainly attend Korean medicine (KM) hospitals (68%) for counseling to determine their nutritional status and the cause of anorexia, followed by pediatrics (20%) and internal medicine (3%) hospitals [ 13 ]. East Asian medicine (including KM and Chinese medicine) treatment methods for anorexia involves treatment methods such as herbal medicine [ 14 ], acupuncture [ 15 ], and pediatric tuina (Chinese massage) [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Survey of Clinical Practice Patterns of Korean Medicine Doctors for Anorexia in Children: A Preliminary Study for Clinical Practice Guidelines

Lee

Kim

et al. 2022

Children

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Parents often have concerns regarding anorexia in their children and visiting medical institutions for the intervention of it. This study aimed to investigate the clinical practice patterns of Korean medicine doctors (KMDs) for anorexia in children using a web-based survey. A link to the questionnaire was sent via email to all KMDs that were affiliated with the Association of Korean Medicine. The questionnaire covered items on the sociodemographic characteristics and clinical characteristics related to Korean medicine (KM), such as diagnosis, treatment, awareness, safety, and effectiveness. Of 23,910 KMDs, 384 agreed to participate and complete the questionnaire. Anorexia in children was diagnosed mainly by clinical features (36.4%) and the pattern identification (PI) theory of ‘Qi, Blood, Fluid, Humor, and Organ system diagnoses’ (32.8%). The most frequently used PIs was ‘spleen-stomach qi deficiency’ (38.6%), which was followed by ‘spleen failure in transportation’ (23.3%), ‘stomach yin deficiency’ (15.5%), and ‘liver depression’ (14.2%). Herbal medicine (38.1%) was the primary KM treatment for anorexia, and the names of the most frequently prescribed herbal decoctions were Sogunjung-tang (16.5%), Hyangsayukgunja-tang (15.9%), and Bojungikgi-tang (13.9%). This study provides information on the existing clinical practice patterns of KMDs for anorexia in children. Based on this survey, the clinical practice guidelines will be developed.

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Effects of Yigong-san for the Treatment of Anorexia in Children: A Systematic Review and Meta-Analysis

Lee¹,

Ha²,

Huh³

et al. 2022

J Int Korean Med

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Objectives: The purpose of this study was to assess the effect of Yigong-san on anorexia in children by conducting a systematic review and meta-analysis of randomized controlled trials (RCTs).Methods: Eleven electronic databases were searched on May 30, 2022 to collect relevant studies. All studies published up to the search date were considered. RCTs reporting the effect of Yigong-san on the treatment of anorexia in children were included. The primary outcome was an improvement in clinical anorexia symptoms after treatment. In this meta-analysis, continuous and binary outcomes were assessed, and the data were presented as the mean difference and risk ratio with their 95% confidence intervals. The risk of bias was assessed using the Cochrane Collaboration’s risk of bias tool.Results: A total of nine studies were included in this systematic review. The treatment group (Yigong-san only or Yigong-san plus conventional treatment) showed a statistically significant effect compared to the control group (conventional treatment only) in total effective rate (Yigong-san only: RR 1.26, 95% CI 1.17, 1.36, I2=0%; Yigong-san plus conventional treatment: RR 1.32, 95% CI 1.18, 1.47, I2=0%), clinical symptoms, some of the anthropometric outcomes, and biological markers related to appetite and growth in children with anorexia. No serious adverse events related to Yigong-san were reported.Conclusions: Yigong-san showed statistically significant effects as a treatment for anorexia in children. However, the number of studies included in the meta-analysis was insufficient, and the herbs contained in the Yigong-san used in the included studies were not standardized. Future research should focus on the implementation of methodologically robust clinical research.

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Eating Habits of Children Under 4 Years with Poor-Feeding

Cited by 5 publications

References 0 publications

Herbal Medicine for the Treatment of Anorexia in Children: A Systematic Review and Meta-Analysis

Herbal Medicine for the Treatment of Anorexia in Children: A Systematic Review and Meta-Analysis

Survey of Clinical Practice Patterns of Korean Medicine Doctors for Anorexia in Children: A Preliminary Study for Clinical Practice Guidelines

Effects of Yigong-san for the Treatment of Anorexia in Children: A Systematic Review and Meta-Analysis

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