Fraser, Lorna K orcid.org/0000-0002-1360-4191, Bedendo, Andre orcid.org/0000-0001-9554-6564, O'neill, Mark et al. (8 more authors) (2024) 'YourTube' the role of different diets in gastrostomy-fed children:Baseline findings from a prospective cohort study. Developmental medicine and child neurology. pp. 755-764. ISSN 1469-8749
Abstract
AIM: To assess the risks, benefits, and resource implications of home-blended food for children with gastrostomy tubes compared with a formula diet. METHOD: This prospective cohort study of children (aged 0-18 years) collected baseline data on gastrointestinal symptoms, nutritional intake, anthropometric outcomes, parent and child quality of life, and resource use. A propensity score-weighted generalized linear mixed model was used to compare children receiving a home-blended versus formula diet. RESULTS: Baseline data were obtained for 180 children (2019-2021; 107 males, 73 females; mean age 9 years 7 months [SD 4 years 5 months]). Children receiving a home-blended diet (n = 104) had similar diagnoses and age but more lived in areas of lower deprivation and parental education was higher compared to the parents of children receiving a formula diet (n = 76). Children receiving home-blended diets had significantly better gastrointestinal scores than those receiving formula diets (B = 13.8, p < 0.001). The number of gut infections and tube blockages were similar between the two groups but with fewer stoma site infections in the group receiving home-blended food. Children receiving a home-blended diet had more fibre in their diet compared to children receiving a formula diet. INTERPRETATION: Home-blended diets should be seen as a safe option for children who are gastrostomy-fed unless clinically contraindicated. Equality of access to home-blended diets for children with gastrostomy should be assessed by local clinical teams.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) |
Depositing User: | Pure (York) |
Date Deposited: | 13 Nov 2023 15:10 |
Last Modified: | 10 Dec 2024 16:10 |
Published Version: | https://doi.org/10.1111/dmcn.15799 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1111/dmcn.15799 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:205275 |
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Description: Develop Med Child Neuro - 2023 - Fraser - YourTube the role of different diets in gastrostomy‐fed children Baseline
Licence: CC-BY 2.5