Many pediatric patients with gastroparesis do not receive dietary education.
Many pediatric patients with gastroparesis do not receive dietary education.
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DOI：
10.1186/s12876-023-02865-6
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发表时间：
2023-07-17
影响因子：
2.4
通讯作者：
Shulman, Robert J. J.
中科院分区：
文献类型：
--
作者：
Eseonu, Debra;Dongarwar, Deepa;Salihu, Hamisu;Chumpitazi, Bruno P. P.;Shulman, Robert J. J.
胃轻瘫是指在没有梗阻的情况下胃排空延迟；改变饮食是一线治疗。然而，我们不知道与提供饮食建议有关的因素。我们试图确定胃瘫儿童患者多久接受一次饮食教育(来自胃肠病提供者和营养师)，给出的建议，以及与这些结果相关的因素。我们对由我们机构的儿科胃肠病提供者管理的2至18岁的儿童进行了回顾性图表回顾。记录患者的人口统计数据和临床数据、饮食建议(如果有)、营养师咨询(如果有)、执业地点和促动力使用情况。调整后的二项回归模型确定了与饮食教育提供、营养师咨询和S推荐的饮食相关的因素。在符合标准的161名患者中，98名(60.8%)接受了饮食教育，42名(26.1%)接受了营养师的治疗。胃肠病医师和营养师最普遍的建议是调整饮食结构(分别为26.5%和47.6%)。恶心/呕吐的患者不太可能接受饮食教育或被建议调整饮食结构。体重减轻/不能茁壮成长的患者更有可能接受营养师的支持。在社区VS医疗中心门诊就诊的患者更有可能被推荐低脂肪饮食。只有一半多一点的胃瘫儿童接受了饮食教育，而使用营养师的专业知识的频率要低得多。症状和临床环境似乎与提供什么指导、在哪里提供指导以及由谁提供指导有关。
Gastroparesis is delayed gastric emptying in the absence of obstruction; dietary modifications are first-line treatment. However, we do not know the factors related to provision of dietary recommendations. We sought to determine how often pediatric patients with gastroparesis receive dietary education (from a gastroenterology provider vs dietitian), the recommendations given, and factors related to these outcomes. We performed a retrospective chart review of children 2- to 18-years-old managed by pediatric gastroenterology providers at our institution. Patient demographics and clinical data, dietary advice given (if any), and dietitian consultation (if any), practice location, and prokinetic use were captured. An adjusted binomial regression model identified factors associated with dietary education provision, dietitian consultation, and diet(s) recommended. Of 161 patients who met criteria, 98 (60.8%) received dietary education and 42 (26.1%) met with a dietitian. The most common recommendation by gastroenterology providers and dietitians was diet composition adjustment (26.5% and 47.6%, respectively). Patients with nausea/vomiting were less likely to receive dietary education or be recommended to adjust diet composition. Patients with weight loss/failure to thrive were more likely to receive dietitian support. Patients seen in the community vs medical center outpatient setting were more likely to be recommended a low-fat diet. Only a little over half of children with gastroparesis receive dietary education and use of a dietitian’s expertise is much less frequent. Symptoms and clinical setting appear related to what, where, and by whom guidance is provided.
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影响因子：
3.1
作者：
Wytiaz, Victoria;Homko, Carol;Parkman, Henry P.
通讯作者：
Parkman, Henry P.
DOI：
10.1016/j.jpeds.2020.12.048
发表时间：
2021-04
期刊：
The Journal of pediatrics
影响因子：
--
作者：
Febo-Rodriguez L;Chumpitazi BP;Musaad S;Sher AC;Shulman RJ
通讯作者：
Shulman RJ
影响因子：
3.4
作者：
Edwards, Sarah;Davis, Ann M.;Hyman, Paul
通讯作者：
Hyman, Paul
影响因子：
3.5
作者：
Schol, Jolien;Wauters, Lucas;Tack, Jan
通讯作者：
Tack, Jan
影响因子：
3.5
作者：
Lu, P. L.;Moore-Clingenpeel, M.;Mousa, H. M.
通讯作者：
Mousa, H. M.