FOODS FOR SPECIAL MEDICAL PURPOSES IN CORRECTION EFFECTIVENESS OF DIETARY NUTRITION OF CHILDREN WITH FUNCTIONAL BOWEL DISORDERS
DOI:
https://doi.org/10.11603/24116-4944.2021.2.12632Keywords:
dietary nutrition, constipation, flaxseed mealAbstract
The aim of the study – to learn the effectiveness of including flaxseed meal in the diet of children with functional constipation and irritable bowel syndrome.
Materials and Methods. We observed 50 school children aged 8–13. They were divided into two groups. Group 1 included 18 children with functional constipation and irritable bowel syndrome, who received comprehensive treatment according to the protocols of the Ministry of Health of Ukraine. Flax seed meal was added in group 2 (32 children) on the background of complex treatment according to the protocols of the Ministry of Health of Ukraine was added. In complex treatment it was used in a dose of 1 teaspoon per 50–100 ml of fluid 3 times a day. The duration of treatment ranged from 2 to 3 weeks, with repeated prescription after 1 month. The results were evaluated at 2 and 4 weeks.
Results and Discussion. After the analysis of complex treatment, the results in the group with the use of flaxseed meal marked the elimination of constipation, and the effect was achieved in the second week of treatment, and was maintained with the abolition of drugs. In the presence of pain, it decreased without the prescription of antispasmodics. In parallel, there was a reduction and elimination of other symptoms, such as loss of appetite, flatulence. Repeated use of flax meal as a stand-alone treatment supported the result. The control group also noted a positive trend against the background of basic therapy, but the tendency to improve the condition was gradual, with the retention of symptoms after discontinuation of medication.
Conclusions. The inclusion of flaxseed meal in the complex therapy of functional constipation and irritable bowel syndrome in children helps to normalize stool, reduces pain and dyspeptic syndromes and improves the quality of life of patients. Especially valuable is the prescription of flax meal to complete acute or achieve reliable and long-term remission of chronic pathological processes and secondary prevention.
References
Thapar, N., Benninga, M.A., Crowell, M.D., Di Lorenzo, C., Mack, I., Nurko, S., …, & Enck, P. (2020). Paediatric functional abdominal pain disorders. Nat. Rev. Dis. Primers., 6 (1), 89. DOI: 10.1038/s41572-020-00222-5.
Shutova, О., Belousova, O., Pavlenko, N., & Savitskaya, K. (2019). Funkcionalnyi abdominalnyi bil u ditei [Functional abdominal pain in children]. Zdorovia dytyny – Childs Health, 14, 10-15. DOI: 10.22141/2224-0551.14.0.2019.165513 [in Ukrainian].
Halpern, G.W., Kluever, A., & Irizarry Rovira, A.R. (2021). Postnatal hepatobiliary and gastrointestinal systems development and impact on ADME. Toxicol. Pathol, 49 (8), 1374-1376. DOI: 10.1177/01926233211043786.
Rasquin-Weber, A., Hyman, P.E., Cucchiara, S., Fleisher, D.R., Hyams, J.S., Milla, P.J., & Staiano, A. (1999). Childhood functional gastrointestinal disorders. Gut, 45 (Suppl. 2), II60-II68. DOI: 10.1136/gut.45.2008.ii60.
Krivusha, E., & Petrenko, L. (2018). Funktsionalni rozlady travnogo traktu v ditei: deiaki aspekty korektsii [Functional disorders of the digestive tract in children: some aspects of correction]. Zdorovia dytyny – Childs Health, 13 (8), 759-762. DOI: 10.22141/2224-0551.13.8.2018.154157 [in Russian].
Hussain, S.Z., Labrum, B., Mareya, S., Stripling, S., & Clifford, R. (2021). Safety of lubiprostone in pediatric patients with functional constipation: a nonrandomized, open-label trial. J. Pediatr. Gastroenterol. Nutr., 73 (5), 572-578. DOI: 10.1097/MPG.0000000000003280.
Bae, S.H. (2014). Diets for constipation. Pediatr. Gastroenterol. Hepatol. Nutr., 17 (4), 203-208. DOI: 10.5223/pghn.2014.17.4.203.
Okuda, M., Kunitsugu, I., Yoshitake, N., & Sasaki, S. (2019). The relationship between functional constipation and dietary habits in school-age japanese children. J. Nutr. Sci. Vitaminol., 65 (1), 38-44. DOI: https://doi.org/10.3177/jnsv.65.38.
Picot, J., Hartwell, D., Harris, P., Mendes, D., Clegg, A.J., & Takeda, A. (2012). The effectiveness of interventions to treat severe acute malnutrition in young children: a systematic review. Health Technol. Assess., 16 (19), 1-316. DOI: 10.3310/hta16190.
Krycky, І.O., Hoshchynskyi, P.V., Voroncova, T.O., & Dzhyvak, V.G. (2021). Dosvid zastosuvannia fitotsylindriv profilaktychnykh z lipofilnym kompleksom plodiv shypshyny ta ekstraktom romashky dlia likuvannia funktsionalnykh zakrepiv u ditei [Experiens of phytocilinders from rose wild boars and chamomile extract for treating constipation in children]. Aktualni pytannia transportnoi medycyny – Actual Probl. Transport Med., 3 (65), 69-75. DOI: 10.22141/2224-0551.14.0.2019.165513 [in Ukrainian].
de Wild, V., de Graaf, C., & Jager, G. (2017). Use of different vegetable products to increase preschool-aged children's preference for and intake of a target vegetable: a randomized controlled trial. J. Acad. Nutr. Diet., 117 (6), 859-866. DOI: 10.1016/j.jand.2016.11.006.
McOmber, M.A., & Shulman, R.J. (2008). Pediatric functional gastrointestinal disorders. Nutr. Clin. Pract., 23 (3), 268-274. DOI: 10.1177/0884533608318671.
Millstine, D. (2021). Overview of integrative, complementary, and alternative medicine. Msdmanuals. Retrieved from: https://www.msdmanuals.com/home/special-subjects/integrative-complementary-and-alternative-medicine/overview-of-integrative-complementary-and-alternative-medicine.
Veeraraghavan, G., Therrien, A., Degroote, M., McKeown, A., Mitchell, P.D., Silvester, J.A., …, & Weir, D.C. 2021. Non-responsive celiac disease in children on a gluten free diet. World J. Gastroenterol., 27 (13), 1311-1320. DOI: 10.3748/wjg.v27.i13.1311.
Belousov, Y.V., Prisich, I.I., & Fedorin, G.F. (1985). Fitoterapiya v detskoy gastroenterologii [Phytotherapy in pediatric gastroenterology]. Moscow: TSOLIUV [in Russian].
Funktsionalni zakhvoriuvannia shlunkovo-kyshkovoho traktu u ditei: kliniko patohenetychni aspekty poiednanoho perebihu [Functional diseases of the gastrointestinal tract in children: clinical and pathogenetic aspects of the combined course]. Retrieved from: https://www.vnmu.edu.ua/downloads/other/Ita%20.pdf [in Russian].
Pechkurov, D.V., Tyazheva, A.A., Allenova, Y.E., & Shakhmatova, E.A. (2014). Byopsykhosotsyalnaya model funktsyonalnikh rasstroistv zheludochno-kyshechnogo trakta: chto novogo v etyologyy, patogeneze, dyagnostyke i lechenii? [Biopsychosocial model of functional disorders of the gastrointestinal tract: what's new in the etiology, pathogenesis, diagnosis and treatment?]. Pytannia dytiachoi diietolohii – Issues of Children’s Nutrition, 12 (1), 61-65 [in Russian].
Kharchenko, N.V. (2019). Zdorove kharchuvannia ta diietoterapiia: medychnyi aspect [Healthy eating and diet therapy: medical aspect]. Zdorovia Ukrainy. Tematychnyi nomer "Gastroenterolohiia. Hepatolohiia. Koloproktolohiia" – Health of Ukraine. Thematic Issue "Gastroenterology. Hepatology. Coloproctology", 1 (51), 6-7 [in Ukrainian].
(2013). Ministerstvo okhorony zdorovia Ukrainy. Unifikovani klinichni protokoly medychnoi dopomohy ditiam iz zakhvoriuvanniamy orhaniv travlennia [Ministry of Health of Ukraine. Unified clinical protocols of medical care for children with diseases of the digestive system. Order of the Ministry of Health of Ukraine]. Sovremennaya pediatriya – Modern Pediatrics, 4, 20-31. Retrieved from: http://nbuv.gov.ua/UJRN/Sped_2013_4_7 [in Ukrainian].
Martinchik, A.N., Baturin, A.K., Zubtsov, V.V., & Molofeev, V.Y. (2012). Xarchova tsinnist ta funkcionalni vlastyvosti nasinnia lionu [Nutritional value and functional properties of flax seeds]. Voprosi pytanyya – Nutrition Issues, 81 (3), 4-10 [in Russian].
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Actual Problems of Pediatrics, Obstetrics and Gynecology
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
