Beneficial Role of Green Plantain [Musa paradisiaca] in the Management of Persistent Diarrhea: A Prospective Randomized Trial
Beneficial Role of Green Plantain [Musa paradisiaca] in the Management of Persistent Diarrhea: A Prospective Randomized Trial
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DOI：
10.1080/07315724.2009.10719768
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发表时间：
2009-04-01
影响因子：
3.5
通讯作者：
Colina-Chourio, Jose A.
中科院分区：
文献类型：
--
作者：
Alvarez-Acosta, Thais;Leon, Cira;Colina-Chourio, Jose A.
目的：评价与传统的酸奶为主的饮食相比，绿色车前草为主的饮食对持续性腹泻儿童的排便量、排便频率和体重增加的有益影响。方法：在一项前瞻性的住院对照试验中，对80名年龄从1个月到28个月的男女儿童进行了两种不同的治疗，持续腹泻≥ 14天的患者。样本分为两组等热量（100千卡/千克/天）的饮食：实验组和对照组，各40例。试验组随机给予50 g/L熟绿色车前草基础日粮，为期1周。对照组采用以酸奶为基础的饮食。结果：两组在入院时无统计学差异。实验组和对照组分别有21.2%和25%的患者从粪便中分离出病原体;最常见的细菌是嗜水气单胞菌和福氏志贺菌。饲喂绿色大蕉饮食的实验组在以下方面具有显著更好的反应：减少粪便产量和稠度（p < 0.002）、粪便重量、腹泻持续时间（p < 0.001）以及增加每日体重增加（p < 0.001）。结论：绿色车前草对腹泻住院患儿的腹泻时间、体重增长和费用的影响，均与对照组比较，差异有统计学意义（P < 0.005）。
Objective: To evaluate the beneficial effects of green plantain-based diet on stool volume, frequency and weight gain as compared with a traditional yogurt-based diet in children with persistent diarrhea.Methods: In a prospective, in-hospital controlled trial, two different treatments were administered to a sample of 80 children of both sexes, with ages ranging from 1 to 28 months, who had experienced >= 14 days of persistent diarrhea. The sample was divided into two groups of isocaloric (100 kcal/kg/d) diets: experimental and control, of 40 patients each. The experimental group was randomly given a-week treatment consisting of a 50 g/L of cooked green plantain-based diet. The control group was fed on a yogurt-based diet.Results: Both groups were not statistically different at admission. Pathogens were isolated from stools in 21.2% and 25% of patients in the experimental and control groups respectively; Aeromonas hydrophilia and Shigela flexneri were the most frequently found bacteria. The experimental group fed on a green plantain diet had a significantly better response in: diminishing stool output and consistency (p < 0.002), stool weight, diarrhea duration (p < 0.001), and increasing daily body weight gain (p < 0.001) than the yogurt-based diet group. The average duration of diarrhea in the plantain-based diet group was 18 hours shorter (p < 0.005) and it also had lower cost (p < 0.005).Conclusion: Our results support the benefits of green plantain in the dietary management of persistent diarrhea in hospitalized children, in relation to diarrheal duration, weight gain and costs.