Efficacy of milk versus yogurt offered as part of a mixed diet in acute noncholera diarrhea among malnourished children

被引:29
作者
Bhatnagar, S
Singh, KD
Sazawal, S
Saxena, SK
Bhan, MK [1 ]
机构
[1] All India Inst Med Sci, Div Gastroenterol, Dept Pediat, ICMR Adv Ctr Diarrheal Dis Res, New Delhi 110029, India
[2] All India Inst Med Sci, Div Hepatol, Dept Pediat, ICMR Adv Ctr Diarrheal Dis Res, New Delhi 110029, India
[3] All India Inst Med Sci, Div Nutr, Dept Pediat, ICMR Adv Ctr Diarrheal Dis Res, New Delhi 110029, India
[4] Kasturba Med Coll & Hosp, Dept Pediat, Delhi, India
关键词
D O I
10.1016/S0022-3476(98)70398-1
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We compared the clinical outcome of acute diarrhea in 96 malnourished boys (aged 4 to 47 months) receiving full-strength milk compared with yogurt offered as part of a mixed diet. All had weight for height less than or equal to 80% of the National Centre for Health Statistics median. They were randomly assigned to receive milk formula (MF; 67 cal/100 mi) or yogurt formula (YF; prepared from the same milk formula) at the rate of 120 ml/kg body weight in seven divided feedings. Stool-reducing substances (> 1%) were detected more frequently in the MF group, and the differences were significant for day 3 of the study (p = 0.04). However, the geometric mean (95% confidence interval) of the total stool weights (gm/kg) during 0 to 72 hours (IMF 128.8 [103, 161.4]; YF 110.9 [87, 142.2]) was comparable (p = 0.37) as was the median (range) duration of diarrhea (hours) (MF 45 [4, 183]; YF 52 [7, 173] p = 0.94). The treatment failure rates in the MF (8.2%) and YF (6.3%) groups were also similar (p = 0.67). The children consuming milk had higher median percent weight gain at the end of 72 hours of the study (p = 0.04) and at recovery (p = 0.02). Routine substitution of yogurt as small frequent feedings as an addition for semisolid food to malnourished children with acute diarrhea does not achieve any significant clinical benefit versus milk.
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页码:999 / 1003
页数:5
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