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Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial

Objective: To determine if oral nutritional supplementation of picky eater children has a beneficial effect in addition to nutritional guidance on anthropometric parameters, nutrient intake, appetite, physical activity, and health complications. Methods: This is a randomized, single-blind, controlle...

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Autores principales: Nogueira-de-Almeida, Carlos Alberto, Del Ciampo, Luiz Antonio, Martinez, Edson Zangiacomi, Contini, Andrea Aparecida, Nogueira-de-Almeida, Maria Eduarda, Ferraz, Ivan Savioli, Epifanio, Matias, da Veiga Ued, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047348/
https://www.ncbi.nlm.nih.gov/pubmed/36980052
http://dx.doi.org/10.3390/children10030495
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author Nogueira-de-Almeida, Carlos Alberto
Del Ciampo, Luiz Antonio
Martinez, Edson Zangiacomi
Contini, Andrea Aparecida
Nogueira-de-Almeida, Maria Eduarda
Ferraz, Ivan Savioli
Epifanio, Matias
da Veiga Ued, Fabio
author_facet Nogueira-de-Almeida, Carlos Alberto
Del Ciampo, Luiz Antonio
Martinez, Edson Zangiacomi
Contini, Andrea Aparecida
Nogueira-de-Almeida, Maria Eduarda
Ferraz, Ivan Savioli
Epifanio, Matias
da Veiga Ued, Fabio
author_sort Nogueira-de-Almeida, Carlos Alberto
collection PubMed
description Objective: To determine if oral nutritional supplementation of picky eater children has a beneficial effect in addition to nutritional guidance on anthropometric parameters, nutrient intake, appetite, physical activity, and health complications. Methods: This is a randomized, single-blind, controlled clinical trial that included Brazilian picky eater children aged 24 to 60 months. The individuals were randomized into a control group (CG) (n = 17) and an intervention group (IG) (n = 18), and were followed up in seven meetings for 180 days (baseline plus one meeting every 30 days). The CG received nutritional guidance for food selectivity, while the IG received the same guidance plus oral nutritional supplementation. Anthropometric and nutrient intake assessments were carried out, and appetite, physical activity and health complications were investigated. Results: In the IG, the z-score of weight and height increased significantly over time (p < 0.05), while the body fat percentage (BFP) and BMI z-score remained unchanged. The percentage of inadequate intake of vitamins D, C and folate reduced in the IG over time compared to the CG (p < 0.05). In the IG, the score assigned by parents to the appetite scale increased over time (p < 0.05). There was no difference between the groups in the scores on the physical activity and global health scales, and in the number of health complications. Conclusions: Picky eater children that were supplemented increased their weight not by gaining fat, but due to an increase in stature, as shown by BMI z-score and BFP, that remained unchanged. Furthermore, they showed a decrease in inadequate micronutrient intake during the intervention. An improvement in appetite was also observed over time, attesting to the benefit of supplementation.
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spelling pubmed-100473482023-03-29 Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial Nogueira-de-Almeida, Carlos Alberto Del Ciampo, Luiz Antonio Martinez, Edson Zangiacomi Contini, Andrea Aparecida Nogueira-de-Almeida, Maria Eduarda Ferraz, Ivan Savioli Epifanio, Matias da Veiga Ued, Fabio Children (Basel) Article Objective: To determine if oral nutritional supplementation of picky eater children has a beneficial effect in addition to nutritional guidance on anthropometric parameters, nutrient intake, appetite, physical activity, and health complications. Methods: This is a randomized, single-blind, controlled clinical trial that included Brazilian picky eater children aged 24 to 60 months. The individuals were randomized into a control group (CG) (n = 17) and an intervention group (IG) (n = 18), and were followed up in seven meetings for 180 days (baseline plus one meeting every 30 days). The CG received nutritional guidance for food selectivity, while the IG received the same guidance plus oral nutritional supplementation. Anthropometric and nutrient intake assessments were carried out, and appetite, physical activity and health complications were investigated. Results: In the IG, the z-score of weight and height increased significantly over time (p < 0.05), while the body fat percentage (BFP) and BMI z-score remained unchanged. The percentage of inadequate intake of vitamins D, C and folate reduced in the IG over time compared to the CG (p < 0.05). In the IG, the score assigned by parents to the appetite scale increased over time (p < 0.05). There was no difference between the groups in the scores on the physical activity and global health scales, and in the number of health complications. Conclusions: Picky eater children that were supplemented increased their weight not by gaining fat, but due to an increase in stature, as shown by BMI z-score and BFP, that remained unchanged. Furthermore, they showed a decrease in inadequate micronutrient intake during the intervention. An improvement in appetite was also observed over time, attesting to the benefit of supplementation. MDPI 2023-03-02 /pmc/articles/PMC10047348/ /pubmed/36980052 http://dx.doi.org/10.3390/children10030495 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nogueira-de-Almeida, Carlos Alberto
Del Ciampo, Luiz Antonio
Martinez, Edson Zangiacomi
Contini, Andrea Aparecida
Nogueira-de-Almeida, Maria Eduarda
Ferraz, Ivan Savioli
Epifanio, Matias
da Veiga Ued, Fabio
Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial
title Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial
title_full Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial
title_fullStr Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial
title_full_unstemmed Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial
title_short Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial
title_sort clinical evolution of preschool picky eater children receiving oral nutritional supplementation during six months: a prospective controlled clinical trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047348/
https://www.ncbi.nlm.nih.gov/pubmed/36980052
http://dx.doi.org/10.3390/children10030495
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