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- Title
Nutritional Issues in Children with Dysphagia.
- Authors
Ortiz Pérez, Pilar; Valero-Arredondo, Inés; Torcuato-Rubio, Encarnación; Herrador-López, Marta; Martín-Masot, Rafael; Navas-López, Víctor Manuel
- Abstract
(1) Background: Pediatric dysphagia presents significant nutritional challenges, often impacting growth and development due to reduced oral intake, increased nutritional needs, and gastrointestinal complications; (2) Methods: This prospective quasi-experimental study assessed 117 children under 14 years old (20 patients were under 1 year old, 80 were aged 1–7 years, and 17 were older than 7 years), diagnosed with swallowing disorders, to analyze their caloric, macro-, and micronutrient intake and identify potential deficiencies. The severity of dysphagia was established using functional oral intake scales, and dietary records were reviewed over a 3-day period; (3) Results: The study revealed that 39.8% of participants did not meet their total energy expenditure (TEE), highlighting a high prevalence of malnutrition among these children. Furthermore, patients using feeding devices exhibited a significantly lower caloric intake, and over half required significantly modified food textures. After individualized speech therapy and nutritional rehabilitation, participants showed significant improvements in caloric intake, with their energy coverage increasing from 958% to 1198% of the daily requirement. Rehabilitation also improved tolerance to a broader range of food textures; (4) Conclusions: This research underscores the importance of multidisciplinary, individualized nutritional strategies to address the specific challenges of pediatric dysphagia, emphasizing the role of enteral nutrition and therapeutic interventions in improving the quality of life and nutritional outcomes of these children. Further studies are recommended to assess the long-term impact of such strategies.
- Subjects
SPAIN; NUTRITION disorders in infants; MALNUTRITION; FOOD consumption; NASOENTERAL tubes; THERAPEUTICS; NUTRITIONAL requirements; MICRONUTRIENTS; SEVERITY of illness index; DESCRIPTIVE statistics; DISEASE prevalence; REHABILITATION of children with disabilities; LONGITUDINAL method; ENERGY metabolism; ENTERAL feeding; NUTRITION disorders in children; RESEARCH methodology; QUALITY of life; FOOD diaries; INDIVIDUALIZED medicine; DEGLUTITION; DEGLUTITION disorders; FEEDING tubes; SPEECH therapy; DISEASE complications; ADOLESCENCE; CHILDREN
- Publication
Nutrients, 2024, Vol 16, Issue 11, p1590
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu16111590