Relation between dietary intake and nutritional status in cystic fibrosis
a Department of Gastroenterology and Clinical Nutrition,
Royal Children's Hospital, Parkville, Melbourne, 3052, Australia, b Department of Paediatrics,
University of Melbourne, Parkville, 3052, Melbourne, Australia, c Department of Psychology, University of
Melbourne
Correspondence to: Ms Anthony. email: anthonyh{at}cryptic.rch.unimelb.edu.au
Accepted 16 October 1997
This study evaluated adherence to current dietary
recommendations of children with cystic fibrosis and mild lung disease
and their siblings by comparing energy intake. Fifty children (25 with
cystic fibrosis) aged between 7 and 12 years completed the study.
Energy intake was assessed by weighed dietary intake, resting energy
expenditure was used to calculate recommended daily intakes. The
children with cystic fibrosis had significant deficits in Z scores for
both height and weight compared with their siblings, but there was no
difference in percentage of ideal weight for height. The cystic
fibrosis group had a significantly higher energy intake per kilogram
body weight per day but there was no difference in the percentage of
energy derived from fat, protein or carbohydrate. Energy intake (per
kg/day) and fat intake (g/kg) were both significant predictors of
weight for height in the cystic fibrosis group. Targets for dietary
management in cystic fibrosis should perhaps be related to fat intake
per kilogram body weight.
© 1998 by Archives of Disease in Childhood
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