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http://dx.doi.org/10.5223/kjpgn.2011.14.1.33

The Importance of Nutritional Assessment and Dietary Counseling in Infants and Young Children with Common Illnesses  

Jeong, Su-Jin (Department of Pediatrics, CHA Bundang Medical Center, CHA University)
Publication Information
Pediatric Gastroenterology, Hepatology & Nutrition / v.14, no.1, 2011 , pp. 33-44 More about this Journal
Abstract
The influence of nutrition during early life on physical growth as well as mental development has been thoroughly discussed in the literature. The physical dimensions of the body are greatly influenced by nutrition, particularly during the period of rapid growth in early childhood. Nutritional status affects every pediatric patient's response toillness. Good nutrition is important for achieving normal growth and development. It is indicated that permanent impairment of the central nervous system may result from dietary restriction of imbalance during certain periods of life. If children under 3 years of age show a good nutritional status, it may be assumed that they are well nourished. Several common diseases of children such as iron deficiency, chronic constipation and atopic dermatitis are known food related diseases. Patients with chronic illness and those at risk of malnutrition should have detailed nutritional assessments done. Components of a complete nutritional assessment include a medical history, nutritional history including dietary intake, physical examination, anthropometrics (weight, length or stature, head circumference, midarm circumference, and triceps skinfold thickness), pubertal staging, skeletal maturity staging, and biochemical tests of nutritional status. The use of age, gender, and disease-specific growth charts is essential in assessing nutritional status and monitoring nutrition interventions. Nutrition assessment and dietary counseling is helpful for the cure of disease, and moreover, the prevention of illness.
Keywords
Nutritional assessment; Dietary counseling; Child;
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1 Zia R, Fereshteh G, Nakia JC. What treatments work best for constipation in children? J Fam Practice 2009;58:329-22.
2 Kokke FT, Scholtens PA, Alles MS, Decates TS, Fiselier TJ, Tolboom JJ, et al. A dietary fiber mixture versus lactulose in the treatment of childhood constipation: a double blind randomized controlled trial. J Pediatr Gastroentrol Nutr 2008;47:592-7.   DOI   ScienceOn
3 Feldman W, McGrath P, Hodgson C, Ritter H, Shipman RT. The use of dietary fiber in the management of simple, childhood, idiopathic, recurrent, abdominal pain. Results in a prospective, double-blind, randomized, controlled trial. Am J Dis Child 1985;139:1216-8.   DOI
4 Arnaud MJ. Mild dehydration: a risk factor of constipation. EJCN 2003;57:744-9.
5 Young RJ, Beerman LE, Vanderhoof JA. Increasing oral fluids in chronic constipation in children. Gastroenterolgy Nursing 1998;21:156-61.   DOI   ScienceOn
6 Bae SH, Son JS, Lee R. Effect of fluid intake on the outcome of constipation in children PEG4000 vs Lactulose. Pediatr Int 2010;52:594-7.   DOI   ScienceOn
7 Dainses R, Galliani EA, De Lazzari F, Di Leo V, Naccarato R. Discrepancies between reported food intolerance and sensitization test findings in irritable bowel syndrome patients. Am J Gastronetol 1999;94: 1892-7.   DOI   ScienceOn
8 Floch MH, Narayan R. Diet in the irritable bowel syndrome. J Clin Gastronenterol 2002;35:45s-52s.   DOI
9 Camilleri M. Management of the irritable bowel syndrome. Gastroenterology 2001;120:652-68.   DOI   ScienceOn
10 William CL, Bollerlla MC, Winder EL. A new recommendation for dietary fiber in childhood. Pediatrics 1995;96:985-8.
11 William CL, Bollerlla MC. Is a high-fiber diet safe for children? Pedatrics 1995;96:1014-9.
12 Kwon JW, Park H, Whang EM. The effects of milk group on take to dietary diversity score and nutrient adequacy ration among toddler. Korean J Nutr 2001;34:30-28.
13 Gui XY. Mast cells: a possible link between psychological stress, enteric infection, food allergy and gut hypersensitivity in the irritable bowel syndrome. J Gastronetrol Hepatol 1998;13:980-9.   DOI   ScienceOn
14 Friel JK, Andrews WL, Simmons BS, L'Abbe MR, Mercer C, MacDonald A, et al. Evaluation of full-term infants fed an evaporated milk formula. Acta Pediatr 1997;86:448-53.   DOI   ScienceOn
15 Noh SJ, Na BM, Kim MJ. Iron deficiency and early, low-dose iron supplementation in breast-fed infants. Korean J Pediatr Gastroenterol Nutr 2008;11:169-78.
16 Kleinman RE. editor Iron deficiency. Pediatric nutritional handbook. AAP 1998;299-312.
17 Lozoff B, Georgieff MK. Iron deficiency and brain development. Semin Pediatr Neurol 2006;13:158-65.   DOI   ScienceOn
18 Bruner AB, Joffe A, Duggan AK, Casella JF, Brandt J. Randomised study of cognitive effect of iron supplementation in non anemic iron-deficient girls. Lancet 1996;348:992-6.   DOI   ScienceOn
19 Griffin IJ, Abrams SA. Iron and breastfeeding. Pediatr Clin North Am 2001;48:401-13.   DOI   ScienceOn
20 Erikson KM, Jones BC, Hess EJ, Zhang Q, Beard JL. Iron deficiency decreases dopamine D1 and D2 receptors n rat brain. Pharmacol Biochem Behav 2001;69:409-18.   DOI   ScienceOn
21 Roa R, Georgieff MK, Iron in fetal and neonatal nutrition. Semin Fetal Neonatal Med 2007;12:54-63.   DOI   ScienceOn
22 King TS, Elia M, Hunter JO. Abnormal colonic fermentation in irritable bowel syndrome. Lancet 1998; 352:1187-9.   DOI   ScienceOn
23 Hsun CC, Ming WL, Man SK, Shih YC. Cut off volume of dietary fiber to ameliorate constipation in children. J Pediatr 2008;153:45-9.   DOI   ScienceOn
24 Simren M, Abrahansson H, Bosaeus I, Brumnner RJ, Dolk A, Lindberg G, et al. Nutritional aspects in patients with functional gastrointestinal disorders and motor dysfunction in the gut. Working team report of the Swedish Motility Group (SMoG). Dig Liver Dis 2007; 39:495-504.   DOI   ScienceOn
25 Simren M, Abrahansson H, Bjomsson ES. An exaggerated sensory component of the gastrocolonic response in patients with irritable bowel syndrome. Gut 2001;48:20-7.   DOI   ScienceOn
26 Serra J, Salvoli B, Azpiroz F, Malagelada JR. Lipid induced intestinal gas retention in irritable bowel syndrome. Gastroenterology 2002;123:700-6.   DOI   ScienceOn
27 Dommergues JP, Archambeaud MP, Ducot B, Gerval Y, Hiard C, Rossignol C, et al. Iron deficiency and psychomotor development tests. Longitudinal study between 10 months and 4 years of age. Arch Fr Pediatr 1989;46:487-90.
28 Simren M, Mansson A, Langkilde AM, Svedlund J, Abrahamsson H, Bengtsson U, et al. Food-related gastro-intestinal symptoms in the irritable bowel syndrome. Digestion 2001;63:108-15.
29 Innis SM, Nelson CM, Wadsworth LD, MacLaren IA, Lwanga D. Incidence of iron-deficiency anemia and depleted iron stores among nine month old infants in Vancouver, Canada. Can J Public Health 1997;88:80-4.
30 Lozoff B, Beard J, Connor J, Barbara F, Georgieff M, Schaller T. Long-lasting neural and behavioral effects of iron deficiency in infancy. Nutr Rev 2006;64:34-43.   DOI   ScienceOn
31 Schumann K, Ettle T, Szegner B, Elsenhans B, Solomons NW. On risks and benefits of iron supplementation recommendations for iron intake revisited. J Trace Elem Med Biol 2007;21:147-68.   DOI   ScienceOn
32 Jeong WJ, Kim KS, Kim MK, Kim SN. Iron deficiency anemia in infants. J Korean Pediatr Soc 1995;38: 1253-61.
33 Grantham-McGregor SM, Ani CC. The role of micronutrients in psychomotor and cognitive development. British Medical Bullertin 1999;55:511-27.   DOI   ScienceOn
34 Pizarro F, Yip R, Dallman PR, Olivares M, Hertrampf E, Walter T. Iron status with different infant feeding regimens: relevance to screening and prevention of iron deficiency. J Pediatr 1991;118:687-92.   DOI
35 Calvo EB, Galindo AC, Aspre NB. Iron status in exclusively brest fed infants. Pediatrics 1992;90:375-9.
36 Lozoff B, Jimenez E, Hagen J, Mollen E, Wolf AW. Poorer behavioral and developmental outcome more than 10 years after treatment for iron deficiency in infancy. Pediatrics 2000;105:E51.   DOI   ScienceOn
37 Walter T. Effects of iron deficiency anemia on cognitive skills and neuromaturation in infancy and childhood. J Korean Diet Assoc 1999;5:225-30.
38 Beard J. Iron deficiency alters brain development and functioning. J Nutr 2003;133:1468-72.   DOI
39 Yang YJ, Kim SK, Hong YJ, Hong KS. Prevalence of Iron def. Anemia in preschool children. Korean J Pediatr Hematol Oncol 1998;5:14-20.
40 O KH, Park JO, Shin SM, Lee SJ. Recognition of cow milk in weaning periods infants. J Korean Pediatr Soc 1994:178-82.
41 Laske N, Niggemann B. Does the severity of atopic dermatitis correlate with serum IgE levels? Pediatr Allergy Immunol 2004;15:86-8.   DOI   ScienceOn
42 Iron deficiency anemia: reexamining the nature and magnitude of the public health problem. Proceedings of a conference. May 21-24, 2000. Belmont, Maryland, USA. J Nutr 2001;131:563-703.   DOI
43 Oddy WH, Peat JK. Breast feeding, asthma, and atopic disease: an epidemiological review of the literature. J Hum Lact 2003;19:250-61.   DOI   ScienceOn
44 Almqvist C, Garden F, Xuan W, Mihrshahi S. Omega-3 and omega-6 fatty acid exposure from early life dose not affect atopy and asthma at age 5 years. J Allergy Clin Immunol 2007;119:2438-44.
45 Wang IJ, Lin YT, Ynag YH, Chen CL. Correlation between age and allergens in pediatric atopic dermatitis. Ann Allergy Asthma Immunol 2004;93:334-8.   DOI   ScienceOn
46 Son BK, Lim DH. Allergic skin test. Korean J Pediatr 2007;50:409-15.   DOI   ScienceOn
47 Venter C, Pereira B, Voigt K, Grundy J. Factors associated with maternal dietary intake, feeding and weaning pratices and the development of food hypersensitivity in the infant. Pediatr Allergy Immunol 2009;20:320-7.   DOI   ScienceOn
48 Heine RG, Tang ML. Dietary approaches to the prevention of food allergy. Curr Opin Clin Nutr Metab Care 2008;11:320-8.   DOI   ScienceOn
49 Friedman NJ, Zeiger RS. The role of breast feeding in the development of allergies and asthma. J Allergy Clin Immunol 2005;115:1238-48.   DOI   ScienceOn
50 Imokawa G, Abe A, Jin K, Higaki Y, Kawashima M. Decreased level of ceremides in stratum corneum of atopic dermatitis: an etiologic factor in atopic dry skin? J Dermatol 1991;96:523-6.
51 Zeiger RS, Haller S. The development and prediction of atopy in high risk children: follow up at age seven years in a prospective randomized study of combined maternal and infant food allerten avoidance. J Allergy Clin Immunol 1995;95:1179-90.   DOI   ScienceOn
52 Hauk PJ. The role of food allergy in atopic dermatitis. Curr Allergy Asthma Res 2008;8:188-94.   DOI   ScienceOn
53 Park JH, Choi YL, Namkung JH, Kim WS. Characteristics of extrinsic vs. intrinsic atopic dermatitis in infancy: correlations with laboratory variabled. Br J Dermatol 2006;155:778-83.   DOI   ScienceOn
54 Ii S, Von Mutius E, Lau S, Nickel R. The natural course of atopic dermatitis from birth to age 7 years and the association with asthma. J Allergy Clin Immunol 2004;113:925-31.   DOI   ScienceOn
55 Pajno GB, Peroni DG, Barberio G, Pietrobelli A. Predictive features for persistence of atopic dermatitis in children. Pediatr Allergy Immunol 2003;14:292-5.   DOI   ScienceOn
56 Jacob RA, Burri BJ. Oxidative damage and defense. Am J Cliln Nutr 1996;63:985-90.   DOI
57 Dunder T. Diet, serum fatty acids and atopic disease in childhood. Allergy 2001;56:425-8.   DOI   ScienceOn
58 Troisi RJ, Willett WC, Weiss ST, Trichopoulos D. A prospective study of diet and adult onset of asthma. Am J Respir Crit Care Med 1995;151:1401-8.   DOI   ScienceOn
59 Biber T. Atopic dermatitis. N Engl J Med 2008;358: 1483-94.   DOI   ScienceOn
60 Song YJ, Paik HY, Lee YS. Qualitative assessment of dietary intake of college students in Seoul area. Korean Home Economics Association 1998;36:201-16.
61 Bodner C, Godden D, Brown K, Little J. Anti-oxidant intake and adult onset wheeze: a case-control study. Eur Resir J 1999;13:22-30.   DOI   ScienceOn
62 Hijazi N, Abalkhail B, Seaton A. Diet and childhood asthma in a society in transition: a study in urban and rural Saudi Arabia. Thorax 2000;55:775-9.   DOI   ScienceOn
63 Inchley J, Todd J, Bryce C, Currie C. Dietary trends among Scottish school children in the 1990s. J Hum Nutr Diet 2001;14:207-16.   DOI   ScienceOn
64 Solvoll K, Soyland E, Sandstad B, Drevon CA. Dietary habits among patients with atopic dermatitis. Eur J Clin Nutr 2000;54:93-7.   DOI   ScienceOn
65 Farchi S, Forastiere F, Agabiti N, Corbo G. Dietary factor associated with wheezing and allergic rhinitis in children. Eur Repir J 2003;22:772-80.   DOI   ScienceOn
66 Hartert TV, Peebles RS. Dietary antioxidants and adult asthma. Curr Opin Allergy Clin Immunol 2001;1:421-9.   DOI
67 Shaheen SO. Dietary antioxidants and asthma in adult: Population based case-control study. Am J Respir Crit Care Med 2001;164:1823-28.   DOI   ScienceOn
68 Drouet M, Sellin J, Sabbah A. Does the pork/cat syndrome constitute a predisposition to heparin allergy? Allerg Immunol 1997;29:43-5.
69 Weigl L, Disch R. Protein contact urticaria in a food handler from different meat. Allergy 1997;20:192-4.
70 Fogarty A, Lewis S, Weiss S, Britton J. Dietary vitamin E, IgE concentrations and atopy. Lancet 2000;356: 1573-4.   DOI   ScienceOn
71 David TJ, Weddington E, Stanton RH. Nutritional hazards of elimination diets in children with atopic dermatitis. Arch Dis Child 1984;59:323-5.   DOI   ScienceOn
72 Devlin J, Stanton RH, David TJ. Calcium intake and cow's milk free diet. Arch Dis Child 1989;64:1183-4.   DOI   ScienceOn
73 Biemann CW, Shapiro GG, Christie DL, Arsdel PP. Allergy grand rounds-eczema, rickets, and food allergy. J Allergh Clin Immunol 1978;2:119-227.
74 Chen R, Hu Z, Seaton A. Eating more vegetables might explain reduced asthma symptoms. BMJ 2004;328:1380.
75 Ellwood P, Asher MI, Bjorsten B, Burr M. Diet and asthma, allergic rhinoconjunctivitis and atopic eczema symptom prevalence: an ecological analysis of the international Study of Asthma and Allergies in Childhood. Eur Resir J 2001;17:436-43.   DOI   ScienceOn
76 Han YS, Chung SJ, Cho YY. Analysis of the rate of sensitization to food allergen in children with atopic dermatitis. Korean J Community Nutrition 2004;9:90-7.
77 Host A. Cow's milk protein allergy and intolerance in infancy. Pediatr Allergy Immunol 1994;5:5-36.
78 Hodge L, Salome CE, Peat JK. Consumption of oily fish and childhood asthma risk. Med J Aust 1996;164:137-40.
79 Horrobin DF. Low prevalence of coronary heart disease, psoriasis, asthma and rheumatoid arthritis in Eskimos. Are they caused by high dietary intake of EPA, genetic variation of essential fatty acid metabolism or a combination of both? Med Hypotheses 1987;22:421-8.   DOI   ScienceOn
80 Kromann N, Green A. Epidemiological studies in the Upernavik District, Greenland. Acta Med Scand 1980; 208:401-6.
81 Biermann CW, Shapiro GG, Christie DL, Arsdel PP. Allergy grand rounds eczema, rickets and food allergy. J Allergy Clin Immunol 1978;2:119-227.
82 Lee SI, Choi HM. Nutrition for infants and children. 1st ed. Seoul: Kyomunsa, 2003.
83 Barth GA, Weigl L, Boeing H, Borelli S. Food intake of patients with atopic dermatitis. Eur J Dermatol 2001;11: 199-202.
84 Chung SJ, Han YS, Chung SW. Marasmus and kwashiorkor by nutritional ignorance related to vegetarian diet and infants with atopic dermatitis in South Korea. KNS 2004;37:540-9.
85 Devereux G, Seaton A. Diet as a risk for atopy and asthma. J Allergy Clin Immunol 2005;115:1109-17.   DOI   ScienceOn
86 Kalantar-Zadeh K, Lee GH, Block G. Relationship between dietary antioxidants and childhood asthma: more epidemiological studies are needed. Med Hypotheses 2004;62:280-90.   DOI   ScienceOn
87 Kim KE, Jung BJ, Lee KY. The incidence and principle foods of food allergy in children with asthma. Pediatr Allergy Respir Dis 1995;2:96-106.
88 Sampson HA. Food allergy. J Allergy Clin Immunol 1999;103:717-28.   DOI   ScienceOn
89 Burks AW, Mallory SB, Williams LW, Shirrell MA. Atopic dermatitis: clinical relevance of food hypersensitivity reations. J Pediatr 1998;113:447-51.
90 Novembre E, De Martino M, Vierucci A. Food and respiratory allergy. J Allergy Clin Immunol 1998;81: 1059-65.
91 Halken SA, Host AB. Prevention. Curr Opin Allergy Clin Immunol 2001;1:229-36.   DOI
92 Arshad SH. Food allergen avoidance in primary prevention of food allergy. Allergy 2001;56:113-6.   DOI   ScienceOn
93 Zeiger RS. Dietary aspect of food allergy prevention in infant and children. J Pediatr Gastroentrol Nutr 2000;30: S77-86.   DOI   ScienceOn
94 Eigenmann PA, Sicherer SH, Borkowski TA, Cohen BA, Sampson HA. Prevalence of IgE mediated food allergy among children with atopic dermatitis. Pediatrcs 1998; 101:E8.
95 Baum WF, Schneyer U, Lantzsch AM, Kloditz E. Delay of growth and development in children with bronchial asthma, atopic dermatitis and allergic rhinitis. Exp Cli Endocrinol Diabetes 2002;110:53-9.   DOI   ScienceOn
96 Sicherer SH, Sampson HA. Food hypersensitivity and atopic dermatitis: Pathophysiology, epidemiology, diagnosis, and management. J Allergy Clin Immunol 1999; 104:S114-22.   DOI   ScienceOn
97 Niggermann B, Sielaff B, Beyer K, Binder C, Wahn U. Outcome of double-blind, placebo-controlled food challenge test in 107 children with atopic dermatitis. Clin Exp Allergy 1999;29:91-6.   DOI   ScienceOn
98 Massarano AA, Hollis S, Devlin J, David TJ. Growth in atopic eczema. Arch Dis Child 1993;68:677-9.   DOI   ScienceOn
99 Agostoni C, Grandi F, Scaglioni S, Gianni ML. Growth pattern of breastfed and nonbreastfed infants with atopic dermatitis in the first year of life. Pediatrics 2000; 106:E73.   DOI   ScienceOn
100 Kristmundsdottir F, David TJ. Growth impairment in children with atopic eczema. J R Soc Med 1987;80:9-12.   DOI
101 Palit A, Handa S, Bhalla AK, Kumar B. A mixed longitudinal study of physical growth in children with atopic dermatitis. Indian J Dermatol Venereol Leprol 2007;73:171-5   DOI   ScienceOn
102 Voss LD, Mulligan J. Short normal stature-nature or nurture. Pediatr Res 1993;33:S57.
103 Wahlgren CF. Pathophysiology of itching in urticaria and atopic dermatitis. Allergy 1992;47:66-75.