Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial
Objective: To determine if oral nutritional supplementation of picky eater children has a beneficial effect in addition to nutritional guidance on anthropometric parameters, nutrient intake, appetite, physical activity, and health complications. Methods: This is a randomized, single-blind, controlle...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/3/495 |
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| author | Carlos Alberto Nogueira-de-Almeida Luiz Antonio Del Ciampo Edson Zangiacomi Martinez Andrea Aparecida Contini Maria Eduarda Nogueira-de-Almeida Ivan Savioli Ferraz Matias Epifanio Fabio da Veiga Ued |
| author_facet | Carlos Alberto Nogueira-de-Almeida Luiz Antonio Del Ciampo Edson Zangiacomi Martinez Andrea Aparecida Contini Maria Eduarda Nogueira-de-Almeida Ivan Savioli Ferraz Matias Epifanio Fabio da Veiga Ued |
| author_sort | Carlos Alberto Nogueira-de-Almeida |
| collection | DOAJ |
| description | Objective: To determine if oral nutritional supplementation of picky eater children has a beneficial effect in addition to nutritional guidance on anthropometric parameters, nutrient intake, appetite, physical activity, and health complications. Methods: This is a randomized, single-blind, controlled clinical trial that included Brazilian picky eater children aged 24 to 60 months. The individuals were randomized into a control group (CG) (<i>n</i> = 17) and an intervention group (IG) (<i>n</i> = 18), and were followed up in seven meetings for 180 days (baseline plus one meeting every 30 days). The CG received nutritional guidance for food selectivity, while the IG received the same guidance plus oral nutritional supplementation. Anthropometric and nutrient intake assessments were carried out, and appetite, physical activity and health complications were investigated. Results: In the IG, the z-score of weight and height increased significantly over time (<i>p</i> < 0.05), while the body fat percentage (BFP) and BMI z-score remained unchanged. The percentage of inadequate intake of vitamins D, C and folate reduced in the IG over time compared to the CG (<i>p</i> < 0.05). In the IG, the score assigned by parents to the appetite scale increased over time (<i>p</i> < 0.05). There was no difference between the groups in the scores on the physical activity and global health scales, and in the number of health complications. Conclusions: Picky eater children that were supplemented increased their weight not by gaining fat, but due to an increase in stature, as shown by BMI z-score and BFP, that remained unchanged. Furthermore, they showed a decrease in inadequate micronutrient intake during the intervention. An improvement in appetite was also observed over time, attesting to the benefit of supplementation. |
| first_indexed | 2024-03-11T06:44:30Z |
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| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T06:44:30Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-19ab460a4b1740c1aa93571e8836ea9c2023-11-17T10:21:03ZengMDPI AGChildren2227-90672023-03-0110349510.3390/children10030495Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical TrialCarlos Alberto Nogueira-de-Almeida0Luiz Antonio Del Ciampo1Edson Zangiacomi Martinez2Andrea Aparecida Contini3Maria Eduarda Nogueira-de-Almeida4Ivan Savioli Ferraz5Matias Epifanio6Fabio da Veiga Ued7Medical Department, Federal University of São Carlos, Brazil—DMED UFSCAR Rod. Washington Luiz, km 235, São Carlos 13565-905, BrazilMedical School, University of São Paulo, Brazil—FMRP-USPAv, Bandeirantes, 3.900, Ribeirao Preto 14049-900, BrazilMedical School, University of São Paulo, Brazil—FMRP-USPAv, Bandeirantes, 3.900, Ribeirao Preto 14049-900, BrazilMedical Department, Federal University of São Carlos, Brazil—DMED UFSCAR Rod. Washington Luiz, km 235, São Carlos 13565-905, BrazilNutrition School, University of São Paulo, Brazil—FMRP-USPAv, Bandeirantes, 3.900, Ribeirao Preto 14049-900, BrazilMedical School, University of São Paulo, Brazil—FMRP-USPAv, Bandeirantes, 3.900, Ribeirao Preto 14049-900, BrazilPediatrics Department, Pontifícia Universidade Católica do Rio Grande do Sul—PUC-RSAv, Ipiranga, 6681-Partenon, Porto Alegre 90619-900, BrazilNutrition School, University of São Paulo, Brazil—FMRP-USPAv, Bandeirantes, 3.900, Ribeirao Preto 14049-900, BrazilObjective: To determine if oral nutritional supplementation of picky eater children has a beneficial effect in addition to nutritional guidance on anthropometric parameters, nutrient intake, appetite, physical activity, and health complications. Methods: This is a randomized, single-blind, controlled clinical trial that included Brazilian picky eater children aged 24 to 60 months. The individuals were randomized into a control group (CG) (<i>n</i> = 17) and an intervention group (IG) (<i>n</i> = 18), and were followed up in seven meetings for 180 days (baseline plus one meeting every 30 days). The CG received nutritional guidance for food selectivity, while the IG received the same guidance plus oral nutritional supplementation. Anthropometric and nutrient intake assessments were carried out, and appetite, physical activity and health complications were investigated. Results: In the IG, the z-score of weight and height increased significantly over time (<i>p</i> < 0.05), while the body fat percentage (BFP) and BMI z-score remained unchanged. The percentage of inadequate intake of vitamins D, C and folate reduced in the IG over time compared to the CG (<i>p</i> < 0.05). In the IG, the score assigned by parents to the appetite scale increased over time (<i>p</i> < 0.05). There was no difference between the groups in the scores on the physical activity and global health scales, and in the number of health complications. Conclusions: Picky eater children that were supplemented increased their weight not by gaining fat, but due to an increase in stature, as shown by BMI z-score and BFP, that remained unchanged. Furthermore, they showed a decrease in inadequate micronutrient intake during the intervention. An improvement in appetite was also observed over time, attesting to the benefit of supplementation.https://www.mdpi.com/2227-9067/10/3/495food fussinessdietary supplementsgrowthnutrition rehabilitationmicronutrientschildren |
| spellingShingle | Carlos Alberto Nogueira-de-Almeida Luiz Antonio Del Ciampo Edson Zangiacomi Martinez Andrea Aparecida Contini Maria Eduarda Nogueira-de-Almeida Ivan Savioli Ferraz Matias Epifanio Fabio da Veiga Ued Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial Children food fussiness dietary supplements growth nutrition rehabilitation micronutrients children |
| title | Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial |
| title_full | Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial |
| title_fullStr | Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial |
| title_full_unstemmed | Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial |
| title_short | Clinical Evolution of Preschool Picky Eater Children Receiving Oral Nutritional Supplementation during Six Months: A Prospective Controlled Clinical Trial |
| title_sort | clinical evolution of preschool picky eater children receiving oral nutritional supplementation during six months a prospective controlled clinical trial |
| topic | food fussiness dietary supplements growth nutrition rehabilitation micronutrients children |
| url | https://www.mdpi.com/2227-9067/10/3/495 |
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