The Relative Contribution of Food Groups to Macronutrient Intake in Children with Cystic Fibrosis: A European Multicenter Assessment.
Cystic fibrosis
Food groups
Nutrient intake
Pediatrics
Saturated fatty acids
Journal
Journal of the Academy of Nutrition and Dietetics
ISSN: 2212-2672
Titre abrégé: J Acad Nutr Diet
Pays: United States
ID NLM: 101573920
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
28
02
2018
revised:
31
12
2018
accepted:
04
01
2019
pubmed:
14
3
2019
medline:
12
6
2020
entrez:
14
3
2019
Statut:
ppublish
Résumé
Optimal nutrition for children with cystic fibrosis (CF) improves prognosis and survival, but an increased caloric intake recommendation for this population raises concerns about the nutrient profile of their diets. Our aim was to assess the relative contribution of food groups to the total macronutrient intake of European pediatric patients with CF. We conducted a cross-sectional study in which the participants recorded dietary intake from 2016 to 2017. Specifically developed nutritional composition databases were used to obtain nutritional data, including macronutrients and food groups, according to previously standardized criteria. Two hundred and seven pediatric patients with CF from six European centers were involved in the My App for Cystic Fibrosis self-management project. Participants reported dietary intake with a detailed 4-day food record. Descriptive analyses of nutrient intake, food group consumption, and dietary origin of macronutrients were conducted with R software. Similar patterns were found in nutrient and food group intake; both sugar and saturated fatty acids contributed >10% each to the total daily energy intake in all the centers. Large mean and median percent differences were observed in the intake of other nutrient and food groups, because sweets and snacks were consumed once or twice a day, and fruit and vegetables were consumed two or three times a day. Milk, meat, sweets and snacks, and oils were the main sources of fat in all centers. Study findings indicated less than optimal nutrient profiles, especially for sugars and saturated fatty acids, resulting from the high consumption of meat, dairy, and processed products and low consumption of fish, nuts, and legumes. These results can serve as a basis for future tailored interventions that target improved adherence to nutritional recommendations for patients with CF.
Sections du résumé
BACKGROUND
Optimal nutrition for children with cystic fibrosis (CF) improves prognosis and survival, but an increased caloric intake recommendation for this population raises concerns about the nutrient profile of their diets.
OBJECTIVE
Our aim was to assess the relative contribution of food groups to the total macronutrient intake of European pediatric patients with CF.
DESIGN
We conducted a cross-sectional study in which the participants recorded dietary intake from 2016 to 2017. Specifically developed nutritional composition databases were used to obtain nutritional data, including macronutrients and food groups, according to previously standardized criteria.
PARTICIPANTS/SETTING
Two hundred and seven pediatric patients with CF from six European centers were involved in the My App for Cystic Fibrosis self-management project.
MAIN OUTCOME MEASURES
Participants reported dietary intake with a detailed 4-day food record.
STATISTICAL ANALYSIS PERFORMED
Descriptive analyses of nutrient intake, food group consumption, and dietary origin of macronutrients were conducted with R software.
RESULTS
Similar patterns were found in nutrient and food group intake; both sugar and saturated fatty acids contributed >10% each to the total daily energy intake in all the centers. Large mean and median percent differences were observed in the intake of other nutrient and food groups, because sweets and snacks were consumed once or twice a day, and fruit and vegetables were consumed two or three times a day. Milk, meat, sweets and snacks, and oils were the main sources of fat in all centers.
CONCLUSIONS
Study findings indicated less than optimal nutrient profiles, especially for sugars and saturated fatty acids, resulting from the high consumption of meat, dairy, and processed products and low consumption of fish, nuts, and legumes. These results can serve as a basis for future tailored interventions that target improved adherence to nutritional recommendations for patients with CF.
Identifiants
pubmed: 30862484
pii: S2212-2672(18)30263-6
doi: 10.1016/j.jand.2019.01.003
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1305-1319Commentaires et corrections
Type : ErratumIn
Informations de copyright
Copyright © 2019 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.