Tolerance of an Enteral Formula with Insoluble and Prebiotic Fiber in Children with Compromised Gastrointestinal Function

Background: A lack of safe and reliable treatments for abdominal pain-related functional gastrointestinal disorders (FGIDs) has prompted interest in new therapies. Aim: To systematically evaluate the effect of dietary fibers for treating abdominal pain-related FGIDs in children. Methods: In December 2011, MEDLINE, EMBASE and the Cochrane Library were searched for randomized controlled trials (RCTs) evaluating fiber supplementation in children with FGIDs. Results: Only 3 RCTs were identified, which enrolled a total of 167 children and adolescents (5–17 years old) with recurrent abdominal pain. Only 1 study used the Rome III criteria. Patients were supplemented with different dietary fiber types for 4–6 weeks. The use of dietary fibers did not influence the proportion of responders to treatment, and improvement did not occur in reported clinically relevant outcomes such as no pain or a significant decrease in pain intensity (risk ratio 1.17, 95% confidence interval 0.75–1.81). Conclusion: There is no evidence that supplementation with fiber as a dietary manipulation may be useful for treating children with FGIDs. However, one should not overlook the fact that the main limitation for recommendation of the routine fiber use in clinical practice derives from the weak quality and paucity of available studies.

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“…1) [9,16,17,19,20,21,22,23,24,25]. Of these studies, only 3 RCTs met the inclusion criteria [16,17,25].…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Randomized Controlled Trials: Fiber Supplements for Abdominal Pain-Related Functional Gastrointestinal Disorders in Childhood

Horvath

Dziechciarz

Szajewska³

2012

Ann Nutr Metab

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“…On the other hand, gastrointestinal function can also be compromised in children with a variety of disorders (Khoshoo, Sun, & Storm, 2010). Many studies were implemented to assess the effects of various fiber sources in the prevention or treatment of constipation in different patient groups (Taylor, Northstone, Wernimont, & Emmett, 2016).…”

Section: 64mentioning

confidence: 99%

Dietary fibre: eating habits and knowledge in different regions of the globe

Szűcs

Guiné

Leal

et al. 2017

mill

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. Dietary fibre: eating habits and knowledge in different regions of the globe. Millenium, 2(2), 61-71. m 2 62 RESUMO Introdução: A fibra dietética (FD) é um componente importante de uma dieta saudável e o seu consumo constitui uma ferramenta que pode ser utilizada para diminuir os factores de risco para muitas doenças. Objetivos: Porque a FD apresenta tantos benefícios para a saúde, este estudo teve como objetivo comparar os hábitos alimentares e atitudes em relação à rotulagem, bem como o conhecimento sobre alimentos ricos em fibras e seus efeitos na saúde em três países situados em diferentes partes do globo (Argentina, Portugal e Hungria). Métodos: Foi realizado um estudo descritivo transversal usando uma amostra de conveniência não-probabilística de 1525 participantes, mediante inquérito por questionário. Resultados: Os resultados mostraram que a ingestão de FD ficou, nos três países, abaixo as doses recomendadas, e as pessoas em geral não se preocupam muito sobre a informação nutricional nos rótulos dos alimentos ou o seu conteúdo em FD. A internet surgiu como um meio de comunicação muito importante que as pessoas usam para obter informações sobre FD ou uma alimentação saudável, enquanto os hospitais e centros de saúde parecem ter pouco sucesso naquele que deveria ser o seu papel educativo. Conclusões: Em geral, os entrevistados mostraram um nível moderado de conhecimento sobre a natureza e as fontes de FD, mas um melhor conhecimento sobre os seus efeitos na saúde humana, sendo este semelhante entre os países em estudo. Palavras-chave:Alimentos ricos em fibras; fibras alimentares; fontes de fibra; hábitos alimentares; inquérito por questionário. ABSTRACTIntroduction: Dietary fibre (DF) is an important component in a healthy diet and its consumption constitutes one tool that can be used to lower risk factors for many diseases. Objetives: Because DF has so many health benefits, this study aimed at comparing the eating habits and attitudes towards labelling as well as the knowledge about fibre rich foods and their health effects in three countries situated in different parts of the globe (Argentina, Portugal and Hungary). Methods: A descriptive cross-sectional study was carried out on a convenience non-probabilistic sample of 1525 participants, by questionnaire survey. Results:The results showed that the ingestion of DF was below the recommended dosages in the three countries, and people in general do not care much about the nutritional information in the food labels or the contents in DF. Internet appeared as a very important media that people use to get information about DF or healthy eating, while hospitals and health centre seem to fail somewhat on their educational role. Conclusion: In general, the respondents showed a moderate level of knowledge about the nature and sources of DF but a better knowledge about its effects on human health, being this similar among the countries at study.

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“…Studies of 100% WHP and Crohn's disease are characterized in Table 1 [5,10,11,[13][14][15][16][17][18][19][20][21][22][23][24][25] . In a one year prospective study, six Crohn's disease patients (median age, 13.6 years) were treated with an isotonic, 100% WHP semielemental diet to evaluate growth parameters and disease activity measures [11] .…”

Section: Crohn's Diseasementioning

confidence: 99%

“…18 (18) 6 wk Remission rates after 6 wk: 72% (47%-90%) in Twinline group and 67% (41%-87%) in the Elental group Crohn's disease activity index after 6 wk: 82 in Twinline group and 102 in Elental group Khoshoo et al [5] Children with gastrointestinal dysmotility (n = 9), CD (n = 3), mild short bowel syndrome (n = 2)…”

Section: Rctmentioning

confidence: 99%

“…While semi-elemental diets are slightly more expensive then polymeric diets (formulas containing intact protein, complex carbohydrates, and long chain triglycerides), they are widely used because it is suggested that they are better absorbed and tolerated in patients with malabsorptive conditions and are more palatable than conventional elemental formulations [2] . A large volume of clinical studies have demonstrated significant health benefits with semi-elemental diets in all phases of the dietary process [4][5][6] . Indeed, such diet formulas have been shown to reduce the degree of regurgitation, gastric emptying times, and gagging while improving tolerance [7,8] .…”

Section: Introductionmentioning

confidence: 99%

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Nutritional and health benefits of semi-elemental diets: A comprehensive summary of the literature

Alexander¹,

Bylsma²,

Elkayam³

et al. 2016

WJGPT

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AIM:To critically review and summarize the literature on nutritional and health outcomes of semi-elemental formulations on various nutritionally vulnerable patient populations who are unable to achieve adequate nutrition from standard oral diets. METHODS:We conducted a comprehensive literature search of Pubmed and Embase databases. We manually screened articles that examined nutritional and health outcomes (e.g. , growth, disease activity, gastrointestinal impairment, mortality, and economic impact) among various patient groups receiving semi-elemental diets. This review focused on full-text articles of randomized controlled clinical trials and other intervention studies, but pertinent abstracts and case studies were also included. Results pertaining primarily to tolerance, digestion, and absorption were summarized for each patient population in this systematic review.

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Tolerance of an Enteral Formula with Insoluble and Prebiotic Fiber in Children with Compromised Gastrointestinal Function

Cited by 23 publications

References 16 publications

Systematic Review of Randomized Controlled Trials: Fiber Supplements for Abdominal Pain-Related Functional Gastrointestinal Disorders in Childhood

Systematic Review of Randomized Controlled Trials: Fiber Supplements for Abdominal Pain-Related Functional Gastrointestinal Disorders in Childhood

Dietary fibre: eating habits and knowledge in different regions of the globe

Nutritional and health benefits of semi-elemental diets: A comprehensive summary of the literature

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