Determination of Nutritional Status in Children with Cystic Fibrosis

Yıl 2023, , 19 - 25, 02.07.2023

Sevcan Arkın , Berrak Baştürk

https://doi.org/10.48124/husagbilder.1297383

Öz

Cystic fibrosis is a disease that affects quality of life and life span as a result of mutation in the transmembrane conductivity regulator gene. The aim of this study is to determine the nutritional status of 2–18-year-old children with cystic fibrosis.75 children with cystic fibrosis between the ages of 2-18 were included in the study. The data were obtained online with the "Sociodemographic Form", "Nutrition Evaluation Form" and "24-Hour Food Consumption Record". Dietary quality, energy intake, macro and micronutrient intakes of the participants were determined by taking a 24-hour food consumption record. IBM Statistical Package for Social Sciences Version 24 statistical program and BEBIS 8.2 program were used to analyze the data obtained through the questionnaire.
In this study 32 girls and 43 boys were included. It was determined that the daily energy intake of the girls was 1368 ± 394 kcal, and the boys were 1496 ± 494 kcal. When the z-score values of the participants are examined, the z-score value according to the height is minimum -4.16, maximum 3.05; It has been determined that the z-score value for weight is minimum -3.79 and maximum 2.60. The mean z-score of the participants for height was -0.25; The mean z score according to weight was determined as -0.40. The average weight of the boys is 30 kg, and the girls are 28.4 kg. More studies are needed to determine nutritional status, new nutritional therapies, and supplemental doses in children with cystic fibrosis.

Anahtar Kelimeler

Cystic fibrosis, nutrition, nutritional status

Kaynakça

• 1. Turck D., Braegger C.P., Colombo C., Declercq D., Morton A., Pancheva R., Robberecht E., Stern M., Strandvik B., Wolfe S., Schneider S.M., Wilschanski M. (2016) ESPEN-ESPGHAN-ECFS Guidelines on Nutrition Care for Infants, Children, and Adults with Cystic Fibrosis. Clinical Nutrition, Volume 35, Issue 3, Pages 557-577, ISSN 0261-5614.
• 2. Shaw V. (2019) (ed) Cystic Fibrosis, Clinical Pediatric Nutrition, 4 th edition, WILEY Blackwell, p: 222-241.
• 3. Saxby N., Painter C., Kench A., King S., Crowder T., Van der Haak N. (2017). and the Australian and New Zealand Cystic Fibrosis Nutrition Guideline Authorship Group. Nutrition guidelines for Cystic Fibrosis in Australia and New Zealand. Bell S, editor, Sydney: Thoracic Society of Australia and New Zealand.
• 4. Radlović N. (2012) Cystic Fibrosis. Srp Arh Celok Lek., Mar-Apr;140(3-4):244-9. PMID: 22650116.
• 5. Scotet V., Gutierrez H., Farrell P.M. (2020) Newborn Screening for CF Across the Globe—Where Is It Worthwhile? International Journal of Neonatal Screening; 6(1):18.
• 6. Cesur Y., Dogan M., Arıyuca S., Peker E., Okur M., Akbayram S., Dogan S.Z (2010) The Evaluation of Cystic Fibrosis Frequency in Children with Malnutrition and/ or Recurrent Pulmonary Infection, Selcuk University Medicine Journal, 26(4), 138-141.
• 7. Griese M., Kappler M., Gaggar A., Hartl D. (2008) Inhibition of Airway Proteases in Cystic Fibrosis Lung Disease. Eur Respir J. Sep;32(3):783-95.
• 8. Rafeeq M.M., Murad H.A.S. (2017) Cystic Fibrosis: Current Therapeutic Targets and Future Approaches. J Transl Med. Apr 27;15(1):84.
• 9. Farrell P.M., White T.B., Ren C.L., Hempstead S.E., Accurso F., Derichs N., Howenstine M., McColley S.A., Rock M., Rosenfeld M., Sermet-Gaudelus I., Southern K.W., Marshall B.C., Sosnay P.R. (2017) Diagnosis of Cystic Fibrosis: Consensus Guidelines from the Cystic Fibrosis Foundation, The Journal of Pediatrics, Volume 181, Supplement, Pages S4-S15.e1, ISSN 0022-3476.
• 10. Mahan L.K., Raymond J.L. (2017) (eds) Medical Nutrition Therapy for Pulmonary Disease. Food & The Nutrition Care Process. 14 th edition, p:681-699.
• 11. Bruzzese E., Callegari M.L., Raia V., Viscovo S., Scotto R., Ferrari S., Morelli L., Buccigrossi V., Vecchio A.L., Ruberto E., Guarino A. (2014) Disrupted Intestinal Microbiota and Intestinal Inflammation in Children with Cystic Fibrosis and Its Restoration with Lactobacillus GG: A Randomised Clinical Trial, PLoS One; 9(2): e87796.
• 12. Potter K. J., Boudreau V., Shohoudi A., Mailhot M., François Tremblay F., Lavoie A., Carricart M., Senior P.A., Rabasa-Lhoret R. (2021) Influence of Pre-diabetic and Pancreatic Exocrine States on Pulmonary and Nutritional Status in Adults with Cystic Fibrosis, Journal of Cystic Fibrosis, Volume 20, Issue 5, 2021, Pages 803-809, ISSN 1569-1993.
• 13. Culhane S., George C., Pearo B., Spoede E. (2013) Malnutrition in Cystic Fibrosis: A Review, Nutrition in Clinical Practice 28, Pages 676-683.
• 14. Calvo-Lerma J., Boon M., Colombo C., de Koning B., Asseiceira I, Garriga M., Roca M., Claes I., Bulfamante A, Walet S., Pereira L., Ruperto M., Masip E., Asensio-Grau A., Giana A., Affourtit P., Heredia A., Vicente S., Andrés A., de Boeck K., Hulst J., Ribes-Koninckx C. (2021) Clinical Evaluation of An Evidence-Based Method Based on Food Characteristics to Adjust Pancreatic Enzyme Supplements Dose in Cystic Fibrosis, Journal of Cystic Fibrosis, Volume 20, Issue 5, Pages e33-e39, ISSN 1569-1993.
• 15. Brownell J.N., Bashaw H., Stallings V.A. (2019) Growth and Nutrition in Cystic Fibrosis. Semin Respir Crit Care Med. Dec;40(6):775-791.
• 16. Koksal, G., Ozen, H. (2010). Cystic Fibrosis and Nutrition, Pediatric Respiratory Diseases and Cystic Fibrosis Society, Ankara.
• 17. Erskine J.M., Lingard C., Sontag M. (2007) Update on Enteral Nutrition Support for Cystic Fibrosis. Nutr Clin Pract. Apr;22(2):223-32.
• 18. El-Koofy N., El-Mahdy M., Fathy M., El Falaki M., El Dine Hamed D. H. (2020) Nutritional Rehabilitation for Children with Cystic Fibrosis: Single Center Study. Clinical Nutrition ESPEN, 35, 201–206.
• 19. Poulimeneas D., Grammatikopoulou M.G., Devetzi P., Petrocheilou A., Kaditis A.G., Papamitsou T., Doudounakis S. E., Vassilakou T. (2020) Adherence to Dietary Recommendations, Nutrient Intake Adequacy and Diet Quality Among Pediatric Cystic Fibrosis Patients: Results from the GreeCF Study. Nutrients, 12(10), 3126.
• 20. Neri L.C.L., Bergamaschi D.P., Silva Filho L. (2019) Evaluation of Nutritional Status in Patients with Cystic Fibrosis According to Age Group. Rev Paul Pediatr. 37:58-64.
• 21. Sutherland R., Katz T., Liu V., Quintano J., Brunner R., Tong C.W., Collins C. E., Ooi, C.Y. (2018) Dietary Intake of Energy-Dense, Nutrient-Poor and Nutrient-Dense Food Sources in Children with Cystic Fibrosis. Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society, 17(6), 804–810.