This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Elisabeth Luder, PhD; Meyer Kattan, MD; John C. Thornton, PhD; Kathleen M. Koehler, PhD; Richard J. Bonforte, MD

Am J Dis Child. 1989;143(4):458-464.

Abstract
• We sought to determine if an increased oral intake with a noninvasive nutrition program in patients with cystic fibrosis could influence growth, weight gain, and pulmonary function. Thirty-seven patients, aged 2 to 27 years, were instructed to consume a nonrestricted fat diet during an intervention period of 4 years. The results showed that patients increased the mean energy intake significantly to a level of more than 120% of the recommended daily allowance. The enhanced intake resulted in significant weight gain. Pulmonary function (forced expiratory flow_25%75%) deteriorated during the 2-year preintervention period but stabilized during the 4-year intervention period. Both male and female patients were able to maintain their established height and weight scores during adolescence. The recommendation for a high-energy diet with no restrictions placed on the fat intake and the control of the steatorrhea by administration of an optimal enzyme dosage is supported by our data. individualized nutritional counseling should be attempted before implementing invasive nutritional intervention programs.

(AJDC. 1989;143:458-464)

Author Affiliations
From the Jack and Lucy Clark Department of Pediatrics, Mount Sinai School of Medicine, New York, NY (Drs Luder, Kattan, Thornton, and Bonforte), and the Department of Pediatrics, University of New Mexico Albuquerque, NM (Dr Koehler).

Footnotes
Accepted for publication December 13, 1988.

Presented in part at the 26th Annual Meeting of the Cystic Fibrosis Club, Anaheim, Calif, May 16, 1985.

Reprint requests to Jack and Lucy Clark Department of Pediatrics, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029-6574 (Dr Luder).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Self-Management of Cystic Fibrosis: Short-Term Outcomes of the Cystic Fibrosis Family Education Program
Bartholomew et al.
Health Educ Behav 1997;24:652-666.
ABSTRACT  

Relation between insulin-like growth factor-I, body mass index, and clinical status in cystic fibrosis
Taylor et al.
Arch. Dis. Child. 1997;76:304-309.
ABSTRACT | FULL TEXT  

HIGH-ENERGY DIET BENEFITS CYSTIC FIBROSIS PATIENTS
JWatch General 1989;1989:2-2.
FULL TEXT