Adequacy of Dietary Intake Declines with Age in Children with Sickle Cell Disease
Abstract Dietary intake (24-hour recall) was evaluated prospectively over four annual visits in 97 children and adolescents (53 female), aged 1.5 to 18.7 years, with sickle cell disease, type SS. Macro- and micronutrient intakes were compared to Dietary Reference Intakes (DRI) and expressed as %DRI....
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| Veröffentlicht in: | Journal of the American Dietetic Association 2007-05, Vol.107 (5), p.843-848 |
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| creator | Kawchak, Deborah A., MS, RD Schall, Joan I., PhD Zemel, Babette S., PhD Ohene-Frempong, Kwaku, MD Stallings, Virginia A., MD |
| description | Abstract Dietary intake (24-hour recall) was evaluated prospectively over four annual visits in 97 children and adolescents (53 female), aged 1.5 to 18.7 years, with sickle cell disease, type SS. Macro- and micronutrient intakes were compared to Dietary Reference Intakes (DRI) and expressed as %DRI. z scores for height, weight, and body mass index were calculated to assess growth status. Both t tests and Mann-Whitney U tests were used for year 1 comparisons, and longitudinal mixed effects analysis was used for the longitudinal data. Intake of vitamins E and D, folate, calcium, and fiber as %DRI was low for children of all ages. Intake of protein, vitamin C, riboflavin, vitamin B-12, and magnesium was lower by at least 28% DRI in the oldest (aged 14 to 18 years) compared to the youngest children (aged 1 to 3 years), and intake of vitamin A, magnesium, and phosphorus was suboptimal in children older than 9 years. After adjusting for initial age and sex, intake of riboflavin, zinc, calcium, magnesium, and phosphorus declined steeply (8% to 16% DRI annually) across the 3 years. Weight and body mass index z scores also declined over time. Dietary intake was particularly poor in adolescents. Efforts are needed to ensure dietary adequacy in children with sickle cell disease, type SS and to understand the etiology of poor dietary intake. |
| doi_str_mv | 10.1016/j.jada.2007.02.015 |
| format | Article |
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Macro- and micronutrient intakes were compared to Dietary Reference Intakes (DRI) and expressed as %DRI. z scores for height, weight, and body mass index were calculated to assess growth status. Both t tests and Mann-Whitney U tests were used for year 1 comparisons, and longitudinal mixed effects analysis was used for the longitudinal data. Intake of vitamins E and D, folate, calcium, and fiber as %DRI was low for children of all ages. Intake of protein, vitamin C, riboflavin, vitamin B-12, and magnesium was lower by at least 28% DRI in the oldest (aged 14 to 18 years) compared to the youngest children (aged 1 to 3 years), and intake of vitamin A, magnesium, and phosphorus was suboptimal in children older than 9 years. After adjusting for initial age and sex, intake of riboflavin, zinc, calcium, magnesium, and phosphorus declined steeply (8% to 16% DRI annually) across the 3 years. Weight and body mass index z scores also declined over time. Dietary intake was particularly poor in adolescents. Efforts are needed to ensure dietary adequacy in children with sickle cell disease, type SS and to understand the etiology of poor dietary intake.</description><identifier>ISSN: 0002-8223</identifier><identifier>ISSN: 2212-2672</identifier><identifier>EISSN: 1878-3570</identifier><identifier>EISSN: 2212-2680</identifier><identifier>DOI: 10.1016/j.jada.2007.02.015</identifier><identifier>PMID: 17467383</identifier><identifier>CODEN: JADAAE</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; adolescent nutrition ; adolescents ; African Americans ; age ; Age differences ; Age Distribution ; Anemia, Sickle Cell - complications ; Body Mass Index ; Child ; child nutrition ; Child Nutritional Physiological Phenomena ; Child, Preschool ; children ; Children & youth ; Cohort Studies ; dehydration (animal physiology) ; Diet ; diet recall ; Diet Surveys ; dietary minerals ; dietary nutrient sources ; Dietary Reference Intakes ; energy intake ; Energy Intake - physiology ; Female ; Gastroenterology and Hepatology ; Growth - physiology ; Humans ; Infant ; Internal Medicine ; Male ; Nutrition ; nutrition assessment ; Nutrition Policy ; nutritional adequacy ; Nutritional Requirements ; nutritional status ; Prospective Studies ; Sex Distribution ; sickle cell anemia ; Sickle cell disease ; Teenagers ; United States ; vitamins</subject><ispartof>Journal of the American Dietetic Association, 2007-05, Vol.107 (5), p.843-848</ispartof><rights>American Dietetic Association</rights><rights>2007 American Dietetic Association</rights><rights>Copyright American Dietetic Association May 2007</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-bb0c06f362c675915749331258ee54620920e574a6d7f5c42c5121319c9445543</citedby><cites>FETCH-LOGICAL-c460t-bb0c06f362c675915749331258ee54620920e574a6d7f5c42c5121319c9445543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jada.2007.02.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17467383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawchak, Deborah A., MS, RD</creatorcontrib><creatorcontrib>Schall, Joan I., PhD</creatorcontrib><creatorcontrib>Zemel, Babette S., PhD</creatorcontrib><creatorcontrib>Ohene-Frempong, Kwaku, MD</creatorcontrib><creatorcontrib>Stallings, Virginia A., MD</creatorcontrib><title>Adequacy of Dietary Intake Declines with Age in Children with Sickle Cell Disease</title><title>Journal of the American Dietetic Association</title><addtitle>J Am Diet Assoc</addtitle><description>Abstract Dietary intake (24-hour recall) was evaluated prospectively over four annual visits in 97 children and adolescents (53 female), aged 1.5 to 18.7 years, with sickle cell disease, type SS. Macro- and micronutrient intakes were compared to Dietary Reference Intakes (DRI) and expressed as %DRI. z scores for height, weight, and body mass index were calculated to assess growth status. Both t tests and Mann-Whitney U tests were used for year 1 comparisons, and longitudinal mixed effects analysis was used for the longitudinal data. Intake of vitamins E and D, folate, calcium, and fiber as %DRI was low for children of all ages. Intake of protein, vitamin C, riboflavin, vitamin B-12, and magnesium was lower by at least 28% DRI in the oldest (aged 14 to 18 years) compared to the youngest children (aged 1 to 3 years), and intake of vitamin A, magnesium, and phosphorus was suboptimal in children older than 9 years. After adjusting for initial age and sex, intake of riboflavin, zinc, calcium, magnesium, and phosphorus declined steeply (8% to 16% DRI annually) across the 3 years. Weight and body mass index z scores also declined over time. Dietary intake was particularly poor in adolescents. Efforts are needed to ensure dietary adequacy in children with sickle cell disease, type SS and to understand the etiology of poor dietary intake.</description><subject>Adolescent</subject><subject>adolescent nutrition</subject><subject>adolescents</subject><subject>African Americans</subject><subject>age</subject><subject>Age differences</subject><subject>Age Distribution</subject><subject>Anemia, Sickle Cell - complications</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>child nutrition</subject><subject>Child Nutritional Physiological Phenomena</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Children & youth</subject><subject>Cohort Studies</subject><subject>dehydration (animal physiology)</subject><subject>Diet</subject><subject>diet recall</subject><subject>Diet Surveys</subject><subject>dietary minerals</subject><subject>dietary nutrient sources</subject><subject>Dietary Reference Intakes</subject><subject>energy intake</subject><subject>Energy Intake - physiology</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Growth - physiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Nutrition</subject><subject>nutrition assessment</subject><subject>Nutrition Policy</subject><subject>nutritional adequacy</subject><subject>Nutritional Requirements</subject><subject>nutritional status</subject><subject>Prospective Studies</subject><subject>Sex Distribution</subject><subject>sickle cell anemia</subject><subject>Sickle cell disease</subject><subject>Teenagers</subject><subject>United States</subject><subject>vitamins</subject><issn>0002-8223</issn><issn>2212-2672</issn><issn>1878-3570</issn><issn>2212-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk1r3DAQhkVpaTZp_0APrekhN7ujbxtKYdn0IxAoZZuz0MrjRF6vnUh2y_77ynhpIYeeJA3P-zLzagh5Q6GgQNWHtmhtbQsGoAtgBVD5jKxoqcucSw3PyQoAWF4yxs_IeYxteoKk8JKcUS2U5iVfkR_rGh8n647Z0GRXHkcbjtl1P9o9ZlfoOt9jzH778T5b32Hm-2xz77s6YL8Ut97tO8w22HVJHdFGfEVeNLaL-Pp0XpDbL59_br7lN9-_Xm_WN7kTCsZ8twMHquGKOaVlRaUWFeeUyRJRCsWgYoCpaFWtG-kEc5IyymnlKiGkFPyCXC6-D2F4nDCO5uCjS43YHocpGg1CUKVm8P0TsB2m0KfeDKOloFRwmiC2QC4MMQZszEPwhxSGoWDmtE1r5rTNnLYBZlLaSfT25DztDlj_k5ziTcC7BWjsYOxd8NHcbhlQnky0kNVMfFwITFH98hhMdB57h7UP6EZTD_7_HXx6Ip-_zDvb7fGI8e-g1MQkMNt5I-aFAJ0us8EfjimqEQ</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Kawchak, Deborah A., MS, RD</creator><creator>Schall, Joan I., PhD</creator><creator>Zemel, Babette S., PhD</creator><creator>Ohene-Frempong, Kwaku, MD</creator><creator>Stallings, Virginia A., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Adequacy of Dietary Intake Declines with Age in Children with Sickle Cell Disease</title><author>Kawchak, Deborah A., MS, RD ; Schall, Joan I., PhD ; Zemel, Babette S., PhD ; Ohene-Frempong, Kwaku, MD ; Stallings, Virginia A., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-bb0c06f362c675915749331258ee54620920e574a6d7f5c42c5121319c9445543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>adolescent nutrition</topic><topic>adolescents</topic><topic>African Americans</topic><topic>age</topic><topic>Age differences</topic><topic>Age Distribution</topic><topic>Anemia, Sickle Cell - complications</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>child nutrition</topic><topic>Child Nutritional Physiological Phenomena</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Children & youth</topic><topic>Cohort Studies</topic><topic>dehydration (animal physiology)</topic><topic>Diet</topic><topic>diet recall</topic><topic>Diet Surveys</topic><topic>dietary minerals</topic><topic>dietary nutrient sources</topic><topic>Dietary Reference Intakes</topic><topic>energy intake</topic><topic>Energy Intake - physiology</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Growth - physiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Nutrition</topic><topic>nutrition assessment</topic><topic>Nutrition Policy</topic><topic>nutritional adequacy</topic><topic>Nutritional Requirements</topic><topic>nutritional status</topic><topic>Prospective Studies</topic><topic>Sex Distribution</topic><topic>sickle cell anemia</topic><topic>Sickle cell disease</topic><topic>Teenagers</topic><topic>United States</topic><topic>vitamins</topic><toplevel>online_resources</toplevel><creatorcontrib>Kawchak, Deborah A., MS, RD</creatorcontrib><creatorcontrib>Schall, Joan I., PhD</creatorcontrib><creatorcontrib>Zemel, Babette S., PhD</creatorcontrib><creatorcontrib>Ohene-Frempong, Kwaku, MD</creatorcontrib><creatorcontrib>Stallings, Virginia A., MD</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Dietetic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawchak, Deborah A., MS, RD</au><au>Schall, Joan I., PhD</au><au>Zemel, Babette S., PhD</au><au>Ohene-Frempong, Kwaku, MD</au><au>Stallings, Virginia A., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adequacy of Dietary Intake Declines with Age in Children with Sickle Cell Disease</atitle><jtitle>Journal of the American Dietetic Association</jtitle><addtitle>J Am Diet Assoc</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>107</volume><issue>5</issue><spage>843</spage><epage>848</epage><pages>843-848</pages><issn>0002-8223</issn><issn>2212-2672</issn><eissn>1878-3570</eissn><eissn>2212-2680</eissn><coden>JADAAE</coden><abstract>Abstract Dietary intake (24-hour recall) was evaluated prospectively over four annual visits in 97 children and adolescents (53 female), aged 1.5 to 18.7 years, with sickle cell disease, type SS. Macro- and micronutrient intakes were compared to Dietary Reference Intakes (DRI) and expressed as %DRI. z scores for height, weight, and body mass index were calculated to assess growth status. Both t tests and Mann-Whitney U tests were used for year 1 comparisons, and longitudinal mixed effects analysis was used for the longitudinal data. Intake of vitamins E and D, folate, calcium, and fiber as %DRI was low for children of all ages. Intake of protein, vitamin C, riboflavin, vitamin B-12, and magnesium was lower by at least 28% DRI in the oldest (aged 14 to 18 years) compared to the youngest children (aged 1 to 3 years), and intake of vitamin A, magnesium, and phosphorus was suboptimal in children older than 9 years. After adjusting for initial age and sex, intake of riboflavin, zinc, calcium, magnesium, and phosphorus declined steeply (8% to 16% DRI annually) across the 3 years. Weight and body mass index z scores also declined over time. Dietary intake was particularly poor in adolescents. Efforts are needed to ensure dietary adequacy in children with sickle cell disease, type SS and to understand the etiology of poor dietary intake.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>17467383</pmid><doi>10.1016/j.jada.2007.02.015</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent adolescent nutrition adolescents African Americans age Age differences Age Distribution Anemia, Sickle Cell - complications Body Mass Index Child child nutrition Child Nutritional Physiological Phenomena Child, Preschool children Children & youth Cohort Studies dehydration (animal physiology) Diet diet recall Diet Surveys dietary minerals dietary nutrient sources Dietary Reference Intakes energy intake Energy Intake - physiology Female Gastroenterology and Hepatology Growth - physiology Humans Infant Internal Medicine Male Nutrition nutrition assessment Nutrition Policy nutritional adequacy Nutritional Requirements nutritional status Prospective Studies Sex Distribution sickle cell anemia Sickle cell disease Teenagers United States vitamins |
| title | Adequacy of Dietary Intake Declines with Age in Children with Sickle Cell Disease |
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