The nutritional management of acute diarrhea in young infants : effect of carbohydrate ingested

Wall, C. R., Webster, J., Quirk, P., Robb, T. A., Cleghorn, Geoffrey J., Davidson, G. P., & Shepherd, R. W. (1994) The nutritional management of acute diarrhea in young infants : effect of carbohydrate ingested. Journal of Pediatric Gastroenterology and Nutrition, 19(2), pp. 170-174.

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To compare the efficacy of a low-lactose hy-drolyzed milk formula, a lactose-free corn syrup-based milk formula, and a standard lactose-containing formula during refeeding after rehydration in infants with gastroenteritis, 135 patients older than 2 years were studied by randomized trial. Clearly demonstrated disadvantages in terms of early weight loss and longer duration of diarrhea were observed with the lactose-based formula compared with early weight gains on both the low-lactose formulae, and thus the lactose-containing formula was discontinued after 91 patients. The early weight loss with the lactose-containing formula was statistically significantly related to the degree of relative (rehydrated) underweight. The two low-lactose formulae were further compared in the remaining 44 patients. Early weight gain (48 h) was sig-nificantly greater with the lactose-hydrolyzed formula compared with the corn syrup-based formula, but no statistically significant differences were observed in duration of diarrhea, energy intake, treatment failures, or late weight gain. We conclude that the routine use of a low-lactose formula during refeeding after rehydration in infants with gastroenteritis may have some advantages in underweight infants and toddlers in whom it is important to prevent further weight loss. © 1994 Raven Press Ltd, New York.

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9 citations in Web of Science®

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ID Code: 90009
Item Type: Journal Article
Refereed: Yes
Additional Information: Cited By :11 Export Date: 1 September 2015
Keywords: Acute diarrhea, Gastroenteritis, Nutrition, carbohydrate, galactose, glucose, lactose, maltodextrin, article, artificial milk, bottle feeding, caloric intake, carbohydrate intake, child, clinical trial, controlled clinical trial, controlled study, feces analysis, feces culture, human, infant, infant nutrition, major clinical study, newborn, priority journal, randomized controlled trial, refeeding, rehydration, Rotavirus, single blind procedure, syrup, weight gain, Acute Disease, Diarrhea, Infantile, Dietary Carbohydrates, Humans, Infant Food, Infant Nutrition Physiology, Prospective Studies, Weight Loss, Zea mays
ISSN: 0277-2116
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Deposited On: 13 Nov 2015 00:55
Last Modified: 13 Nov 2015 00:55

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