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Open AccessArticle

Could a Change in Diet Revitalize Children Who Suffer from Unresolved Fatigue?

1
University Medical Centre Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
2
Ziekenhuisgroep Twente, Hengelo, Geerdinksweg 141, 7555 DL Hengelo, The Netherlands
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Author to whom correspondence should be addressed.
Nutrients 2015, 7(3), 1965-1977; https://doi.org/10.3390/nu7031965
Received: 14 January 2015 / Revised: 16 February 2015 / Accepted: 11 March 2015 / Published: 13 March 2015
Many children deal with fatigue for which no proper treatment can be given. A possible explanation for their fatigue is a micro deficiency of minerals and vitamins. In this non-randomized controlled trial, we clinically evaluated symptoms of fatigue in children for whom a nutrient-rich diet was advised. A group of 98 children (2–18 years old) with unexplained symptoms of fatigue was examined. The dietary modifications consisted of green vegetables, beef, whole milk and full-fat butter. Children in the intervention group were asked to follow the diet for three months, whereas the control-group followed their normal diet. The primary outcome was symptoms of fatigue, as determined by a PedsQL Multidimensional Fatigue Scale, and secondary outcomes were compliance with the diet and BMI. Children, who followed the diet showed a significant decrease in the need to sleep (CI 0.83; 14.86, p = 0.03). They slept better through the night and took fewer naps. When analyzing components of the advised diet separately, a significant larger decrease in cognitive fatigue symptoms was seen for eating green vegetables according to the diet guidelines (CI 2.27; 30.63, p = 0.024). Furthermore, a lower need to sleep was seen when whole milk was consumed almost daily (CI 0.02; 14.62, p = 0.049). Our study showed that nutritional advice is an elegant, and effective method for decreasing some symptoms of medically unresolved fatigue in children. View Full-Text
Keywords: children; micronutrients; fatty acids; nutrient intake; fatigue; vegetables children; micronutrients; fatty acids; nutrient intake; fatigue; vegetables
MDPI and ACS Style

Steenbruggen, T.G.; Hoekstra, S.J.; Van der Gaag, E.J. Could a Change in Diet Revitalize Children Who Suffer from Unresolved Fatigue? Nutrients 2015, 7, 1965-1977.

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