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feeding disorders are common among children, which sometimes become
progressive, and consequently, children may refuse to eat anything. Parents
have lots of difficulties to reset such a disturbed eating pattern. The aim of
this study was to perform an analysis of clinical intervention in behavioral
feeding disorders in young children. Methods: We conducted a retrospective
analysis of data of 28 children aged 1 - 9 years with behavioral feeding disorders.
A pediatrician and pediatric social worker conducted the training in two
groups: outpatient or inpatient setting. Both groups were treated with parental
education and guidance. The inpatient group also had a temporarily (2 weeks)
resetting of the pedagogic climate in a pediatric ward of a general hospital
under guidance of a pediatric social worker. Results: Almost all parents were
inconsistent in applying appropriate behavioral contingencies during meals.
Eleven patients followed 8 months of outpatient treatment and 25 patients
followed 2 weeks of inpatient treatment. The overall success rate of outpatient
treatment after 2 weeks was 18%, and that of inpatient treatment after 8 months
was 88%. The corrected relapse rates are 18% and 56% respectively after 6
months. Conclusion: Short clinical intervention in a structured pedagogic
environment is a successful treatment in behavioral feeding disorders.
Herewith, pediatricians have a powerful tool for treating behavioral feeding
disorders by temporarily resetting and changing the pedagogic climate.
Background: Immunological mechanism and dietary nutrients are important mediators in the health of children. In this intervention study a dietary advice is given to children between 1 and 6 years of age with recurrent respiratory tract infections. Could a change in nutrient intake result in an altered clinical outcome? Design: In this prospective cohort study 61 children were included and evaluated at a paediatric outpatient clinic. The control group consisted of 32 children included at an infant welfare centre. The patient group followed the dietary advice (green vegetables, beef, whole milk, full-fat butter) for three months, in which parents filled out their dietary intake and health status on a daily basis. A follow up form was filled out by the parents 3 months after completion of the study period. For statistical analysis the programme SPSS version 15.0 was used. Results: In the patient group there was a statistical significant reduction in days with a respiratory infection (15.7 to 11.5 days a month), subfebrile temperature days (1.9 to 0.5 days a month) and febrile temperature days (1.0 to 0.7 days a month) compared to the control group. Also, antibiotic use decreased significantly. No significant changes were measured in body mass index. Conclusions: A change of diet towards green vegetables, beef, whole milk and full-fat butter has positive health effects in children. This diet may work by adding nutrients to optimize immunological mechanisms. There were no adverse effects and it can be utilized by general pediatricians and general practitioners.