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  Vol. 143 No. 4, April 1989 TABLE OF CONTENTS
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Efficacy of a Nonrestricted Fat Diet in Patients With Cystic Fibrosis

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 flow25%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).



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