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Open AccessArticle

Nutritional Outcome in Home Gastrostomy-Fed Children with Chronic Diseases

1
Department of Pediatrics, School of Medicine, University of Valencia, Hospital Clínico Universitario of Valencia, Avenida Blasco Ibáñez 15–17, 46010 Valencia, Spain
2
Gastroenterology and Nutrition Unit, Hospital Clínico Universitario, Avenida Blasco Ibáñez 17, 46010 Valencia, Spain
3
Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, 08035 Barcelona, Spain
4
Department of Pediatrics, Hospital de Dénia, Partida de Beniadtlá s/n. Denia, 03700 Valencia, Spain
5
Gastroenterology and Nutrition Unit, Hospital Infantil Universitario Niño Jesús, Menéndez Pelayo 65, 28009 Madrid, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(5), 956; https://doi.org/10.3390/nu11050956
Received: 25 March 2019 / Revised: 18 April 2019 / Accepted: 23 April 2019 / Published: 26 April 2019
(This article belongs to the Special Issue Update of Enteral Nutrition)
The aim of the study was to assess the anthropometric outcomes after gastrostomy tube (GT) placement in children with chronic diseases and the influence of primary diagnosis, age, and nutritional support. A longitudinal, multicenter, and prospective study was performed evaluating 65 children with GT feeding and chronic diseases (61.5% with neurological disease). Each child was evaluated three times (at baseline and at 6 and 12 months after GT placement) and the following data was collected: primary diagnosis, age at GT placement, anthropometry, and feeding regime. Repeated measures ANOVA were used to analyze the main effects (intra and intergroup) and the interactions effects on weight gain and linear growth at 6 and 12 months after GT placement. All patients significantly improved their body mass index (BMI)-for-age z-score (p < 0.001) and height-for-age z-score (p < 0.05) after 6 and 12-month of follow-up. BMI gain increased significantly the first 6 months, followed by a plateau, while height followed a linear trend. Children with GT placement before 18 months old experienced an accelerated growth rate during the first 6 months post-GT. This technique showed the effectiveness of GT placement improving nutritional status and growth catch up regardless of their primary diagnosis and the type of nutritional support. View Full-Text
Keywords: gastrostomy; home enteral nutrition; home nutritional support; chronic illness; nutritional support in children gastrostomy; home enteral nutrition; home nutritional support; chronic illness; nutritional support in children
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MDPI and ACS Style

Martínez-Costa, C.; Calderón, C.; Gómez-López, L.; Borraz, S.; Crehuá-Gaudiza, E.; Pedrón-Giner, C. Nutritional Outcome in Home Gastrostomy-Fed Children with Chronic Diseases. Nutrients 2019, 11, 956. https://doi.org/10.3390/nu11050956

AMA Style

Martínez-Costa C, Calderón C, Gómez-López L, Borraz S, Crehuá-Gaudiza E, Pedrón-Giner C. Nutritional Outcome in Home Gastrostomy-Fed Children with Chronic Diseases. Nutrients. 2019; 11(5):956. https://doi.org/10.3390/nu11050956

Chicago/Turabian Style

Martínez-Costa, Cecilia; Calderón, Caterina; Gómez-López, Lilianne; Borraz, Soraya; Crehuá-Gaudiza, Elena; Pedrón-Giner, Consuelo. 2019. "Nutritional Outcome in Home Gastrostomy-Fed Children with Chronic Diseases" Nutrients 11, no. 5: 956. https://doi.org/10.3390/nu11050956

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