ESPE2021 ePoster Category 2 Growth and syndromes (to include Turner syndrome) (56 abstracts)
Hamad General Hospital, Doha, Qatar
Background: Liquid nutritional supplements (ONS) are used successfully in the management of underweight infants and young children with undernutrition. However, their use in healthy old children and adolescents with underweight and/or poor weight gain has not been reported.
Aim: This study describes the effect of OSN on nutritional outcomes in healthy underweight children and adolescents with no systemic illness.
Methods: 20 underweight children (BMI SDS < -1), aged 10.1 ±3.8 years, received ONS (1.5 cal/1ml, 500 kcal/day) in addition to their habitual diet for one year. We recorded their anthropometric measurements including weight, height, BMI, weight gain /day (WGD), height growth velocity (GV), height SDS (HtSDS) for a year.
Results: WGD and linear GV markedly improved during the year of ONS. After 6 months of ONR, there was a significant increase in the BMI SDS and GVSDS. After a year of OSN, GVSDS continued to increase and there was a significant increase in the HtSDS. After OSN, there was a significant decrease in the difference between the HtSDS and their mid parental HtSDS (MPHt SDS).
At presentation | ||||||
Age (yr) | N. | WGD1 | HtSDS1 | BMI SDS1 | GVSD1 | |
Mean SD | 10.1 3.8 | 20 | 5.7 | -2.1 0.7 | -1.3 0.3 | -.4* 1.8 |
After 6 months | After 1yr | ||||||
HtSDS2 | BMISDS2 | WGD2 | GVSD2 | HtSDS3 | BMI SDS3 | WGD3 | GVSD3 |
-2.1 0.6 | -1 0.9 | 14.1* 10.8 | 0.08 1.4 | -1.8** 0.7 | -1.2 1.1 | 11.6 6.6 | 1.3** 2.0 |
Conclusions: ONS is effective in improving nutritional/growth outcomes in underweight older children and adolescents with slow weight gain and poor appetite who had no systemic illness.