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Your Child

Will 60% of U.S. Children be Obese by Age 35?

2:00

As many as six in ten U.S. children could be obese by the time they are 35 years old. That sobering news comes from a study conducted by "Childhood Obesity Intervention Cost-Effectiveness Study" (CHOICES).

The numbers are a result of data entered into a computer. The investigators first combined height and weight data from five studies involving about 41,500 children and adults. The computer then generated a representative sample of 1 million "virtual" children up to the age of 19, living in the year 2016. The model then predicted how obesity rates would unfold until all the virtual children turned 35.

The model indicated that being overweight or obese early in life bumped up the risk for being obese later in life. In addition, the more overweight or obese someone was as a child, the greater the person's chance of being obese by age 35.

According to the U.S. Centers for Disease Control and Prevention (CDC), roughly 20 percent of American children between the ages of 6 and 19 years of age are currently obese. That reflects a tripling of the number since the 1970s.

The study’s lead author, Zachary Ward, a doctoral candidate in health policy with the Harvard T.H. Chan School of Public Health's Center for Health Decision Science, in Boston, noted that the results were not unexpected.

"It should not be surprising that we are heading in this direction. We are already approaching this level of adult obesity for certain subgroups [and] areas of the country." Ward said.

Still, Ward expressed some surprise at how strongly being obese at a very young age predicted obesity decades down the road. 

"For example, we found that three out of four 2-year-olds with obesity will still have obesity at age 35," he said. "For 2-year-olds with severe obesity, that number is four out five."

Lona Sandon, an assistant professor of clinical nutrition at the University of Texas Southwestern Medical Center in Dallas, was also not surprised at the findings.

"Trends show obesity occurring earlier in adulthood, and [the] current level of childhood obesity suggests that the trend will continue," said Sandon, who was not involved with the analysis. 

Because "obesity is difficult to reverse at any age," she said, prevention is key. Parents should not rely solely on public school nutrition and activity programs to do the job.

Earlier studies have suggested that obesity in children may begin in the womb if the mother is obese when she becomes pregnant, and develops gestational diabetes. This combination can produce a large child at birth. Studies have shown that babies born with higher amounts of fat at birth tend to continue having more body fat in childhood and on into adulthood.

Experts recommend that overweight women that are considering becoming pregnant, first lose the extra weight and be tested for type2 diabetes. If they are found to have type2 diabetes before they're pregnant, they should be treated beforehand; this will help their pregnancy and prevent complications.

Sandon also notes that there are other things parents can do to help insure a healthier child. "Concerned parents can make efforts to prepare and provide healthier foods at home, plan regular scheduled mealtimes, limit screen time, encourage participation in sports, encourage participation in active leisure time activities instead of more sedentary activities and, most of all, set an example by being active, having a healthy relationship with their own food choices and having regular mealtimes as well."

The study by Ward and his colleagues appears in the November issue of the New England Journal of Medicine.

Story sources: Alan Mozes, https://www.webmd.com/children/news/20171129/60-percent-of-us-kids-could-be-obese-by-age-35#1

Lucilla Poston, Professor, https://www.news-medical.net/news/20170111/Childhood-obesity-starts-in-the-womb.aspx

 

 

Your Child

“Greener” Schoolyards Improve Children’s Health

2:00

I remember my schoolyard when I was a child. It was basically the school parking lot with a few spaces marked off for softball. Kids with knee and arm scrapes visited the nurse’s station almost daily. It was icy in the winter and too hot in the late spring and early fall to play on, so many students just stood around and talked during recess. My, how times have changed.

These days, some communities are fortunate enough to have what is often referred to as “green” schoolyards and kids are much better off for it, according to a new report.

"Green schoolyards can include outdoor classrooms, native gardens, storm water capture, traditional play equipment, vegetable gardens, trails, trees and more," Dr. Stephen Pont said in an American Academy of Pediatrics news release. 

He and his colleagues found that green schoolyards provide benefits in areas such as heart health, weight control, attention-deficit/hyperactivity disorder (ADHD) and stress relief.

"And outside of school time, these schoolyards can be open for the surrounding community to use, benefitting everyone," added Pont, medical director of the Texas Center for the Prevention and Treatment of Childhood Obesity. Now, that’s a great idea!

For the report, researchers from Pont’s team, collected data from prior studies related to the benefits of green schoolyards.

Other experts, such as Richard Louv, co-founder of the Minneapolis-based Children & Nature Network, believe that children need to be exposed to a more natural setting for play, exercise and a break during the school day.

"Too many children have no access to quality school grounds. In many neighborhoods, the standard play space is a barren asphalt playground or a concrete slab surrounded by chain link fence -- a completely unsuitable environment for children's play," said Louv.

Several U.S. cities have jumped on the green schoolyard band-wagon including, Austin, Texas; Grand Rapids, Mich.; San Francisco, Calif.; Providence, R.I.; and Madison, Wis.

Perhaps, other cities will take a harder look at the positive results from this report and request greener schoolyards so that more kids can enjoy and benefit from the rewards of exploring a more natural setting.

The study findings were presented recently at the American Academy of Pediatrics national meeting in Chicago. Research presented at meetings is usually considered preliminary until published in a peer-reviewed medical journal.

Story source: Robert Preidt, https://consumer.healthday.com/kids-health-information-23/misc-kid-s-health-news-435/green-schoolyards-may-bring-better-health-to-kids-726508.html

 

Your Child

High Cholesterol Putting Kids at Risk for Heart Attack

2:00

Abnormally high cholesterol levels are putting American children at higher risk for a heart attack or stroke later in life. One in five kids has high cholesterol according to a review of 2011-2014 federal health data compiled by researchers at the U.S. Centers for Disease Control and Prevention (CDC).

Overall, slightly more than 13 percent of kids had unhealthily low levels of HDL ("good") cholesterol -- the kind that actually might help clear out arteries. The CDC says just over 8 percent had too-high levels of other forms of cholesterol that are bad for arteries, and more than 7 percent had unhealthily high levels of "total" cholesterol.

Obesity was seen as a major contributing factor, the CDC said. For example, more than 43 percent of children who were obese had some form of abnormal cholesterol reading, compared to less than 14 percent of normal-weight children.

Not surprisingly, rates of abnormal cholesterol readings rose as kids aged. For example, while slightly more than 6 percent of children aged 6 to 8 had high levels of bad cholesterol, that number nearly doubled -- to 12 percent -- by the time kids were 16 to 19 years of age, the CDC said.

Knowing how obesity can impact the heart, cardiologists were not shocked by the findings.

"When one looks at the data it is clear that the obesity epidemic is responsible for a substantial portion of these abnormal cholesterol values," said Dr. Michael Pettei, who co-directs preventive cardiology at Cohen Children's Medical Center in New Hyde Park, N.Y. "Approximately one-third of U.S. children and adolescents are either overweight or obese.

"Clearly, the American Academy of Pediatrics' (AAP) recommendations to screen all children for cholesterol status, and to take measures to prevent and manage obesity, are more appropriate than ever," he said.

Dr. Kevin Marzo, chief of cardiology at Winthrop-University Hospital in Mineola, N.Y., agreed.

"Abnormal cholesterol is a key modifiable risk factor for developing cardiovascular disease, including heart attack and stroke, in adulthood," he said. "This study confirms that preventive strategies must start in childhood, including healthy eating habits, regular exercise, and maintaining ideal body weight."

The AAP recommends that all children begin having their cholesterol checked between the ages of 9 and 11.

An acceptable total cholesterol level for a child is below 170 with LDL below 110. A borderline reading in total cholesterol is 170-199 with LDL between 110-129.  And a high classification in total cholesterol is above 200 with LDL above 130.

There may be other reasons a child can have high cholesterol such as diabetes, liver disease, kidney disease or an underactive thyroid. If an initial test shows high cholesterol, your pediatrician will check your child’s blood again at least 2 weeks later to confirm the results. If it is still high, the doctor will also determine if your child has an underlying condition.

Some children can also have high cholesterol that is passed down through families.  It’s called familial hypercholesterolemia and is an inherited condition that causes high levels of LDL cholesterol levels beginning at birth, and heart attacks at an early age. Any child with a family history of high cholesterol should begin having his or her levels in infancy.

The findings were published Dec. 10 as a Data Brief from the CDC's National Center for Health Statistics.

Sources: E.J. Mundell, http://consumer.healthday.com/vitamins-and-nutrition-information-27/high-cholesterol-health-news-359/one-in-five-u-s-kids-over-age-5-have-unhealthy-cholesterol-cdc-706032.html

https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Cholesterol-Levels-in-Children-and-Adolescents.aspx

Your Child

Botox Injections for Young Migraine Sufferers?

1:45

Botox injections are typically thought of as beauty enhancers for adult men and women, but a small study in California, suggests that the injections may also help children find relief from migraines. 

The new findings are based on testing among just nine children, aged 8 to 17. Currently, Botox is only approved as an adult migraine treatment and research has shown that for some people, it’s been effective.

The new study may provide hope for a young migraine sufferer looking for an alternative treatment, since the one approved preventative medication, topiramate, is only available to adolescent patients.

"When children and teens have migraine pain, it can severely affect their lives and ability to function," said study author Dr. Shalini Shah, chief of the division of pain medicine at the University of California, Irvine, 

"They miss school, their grades suffer and they are left behind, often unable to reach their full potential," she added in an American Society of Anesthesiologists' news release. "Clearly, there is a need for an alternative treatment for those who haven't found relief.”

After the treatments with Botox, Shah noted, "we saw improvement in functional aspects in all of the children and teens. In fact, one patient was hospitalized monthly for her migraine pain prior to Botox treatment and was expected to be held back in school. After treatment, she only has one or two migraines a year, and is excelling in college."

Researchers said that before treatment, the participating patients experienced migraines between roughly eight and 30 times per month.

The kids and teens were given Botox shots to the front and back of the head and the neck every 12 weeks for five years. Once treated, the study volunteers had migraines between two and 10 times a month.

Researchers said the patients experienced less pain and the duration of the migraine attacks decreased. No severe side effects were reported and another study is already being launched.

Shah recently presented the findings at a meeting of the American Society of Anesthesiologists in Boston. Findings presented at meetings are typically viewed as preliminary if they haven't been published in a peer-reviewed journal.

Story source: Alan Mozes, https://consumer.healthday.com/kids-health-information-23/adolescents-and-teen-health-news-719/botox-may-offer-new-hope-for-young-migraine-sufferers-727788.html

Your Child

Could Health Warnings on Sodas Change Parents Buying Habits?

2:00

 In 1966, health warnings from the U.S. Surgeon General were added to cigarette packages to inform people of the dangers associated with smoking. Did it have an impact? Experts have mixed opinions.  Some say the warnings may have helped prevent some people from starting to smoke but long time smokers pretty much ignored them. Others say the warnings definitely have caused some smokers to stop while others say the warnings have not been effective at all.

What if there were health warning labels on sodas, would that make parents less likely to buy those beverages for their child? A new study says yes.

Lead researcher, Christina Roberto, and her colleagues wanted to know if health warnings- similar to cigarette warnings- would have an impact on purchasing. They conducted an online survey of nearly 2,400 parents who had at least one child aged 6 to 11 years.

 In a simulated online shopping experiment, parents were divided into six groups to "buy" drinks for their kids. One group saw no warning label on the beverages they would buy; another saw a label listing only calories. The other four groups saw various warning labels about the potential health effects of sugary beverage intake, including weight gain, obesity, type 2 diabetes and tooth decay.

 The health warning labels appeared to have the largest influence on the parents.

 Overall, only 40 percent of those who looked at the health warning labels chose a sugary drink. But, 60 percent of those who saw no label chose a sugary drink, as did  53 percent of those who saw the calorie-only label did.

 There were no significant buying differences between the groups seeing the calorie-only label and no label, the findings showed.

 "The warning labels seem to help in a way that the calorie labels do not," said Roberto, an assistant professor of medical ethics and health policy at the University of Pennsylvania Perelman School of Medicine.

 The study findings make sense, said Lona Sandon, a registered dietitian and assistant professor of clinical nutrition at the University of Texas Southwestern  Medical Center at Dallas. "Just as we see with public health efforts to decrease smoking with warning labels, warning labels about sugary drinks will be effective with some parents but not all," she said.

 "Based on the study," she added, "it appears some will take the information to heart, but about 40 percent still chose sugary beverages in the study. That is still a big number. Nonetheless, it adds another layer of educating and influencing parents to try to make healthier choices for their children."

Currently, there are no such labels on sodas, although California is considering a policy change in sodas sold in that state.

 "Not all research is supportive of the claims made on the warning label used in this study," Sandon said. "Obesity and diabetes occur as a result of a number of factors working together -- such as physical inactivity, high-fat high-calorie food choices, genetic predisposition, etcetera -- not sugary drinks alone."

 The American Beverage Association issued a statement responding to the study: "Consumers want factual information to help make informed choices that are right for them, and America's beverage companies already provide clear calorie labels on the front of our products. A warning label that suggests beverages are a unique driver of complex conditions such as diabetes and obesity is inaccurate and misleading. Even the researchers acknowledge that people could simply buy other foods with sugar that are unlabeled."

 So, if health warnings were added to sodas and other high-sugary drinks would it make a difference in parent’s buying habits? Opinions on that will probably be the same as for cigarette health warnings; mixed and passionate.

Source: Kathleen Doheny, http://consumer.healthday.com/diabetes-information-10/sugar-health-news-644/health-warning-labels-would-help-parents-avoid-sugary-drinks-706987.html

Your Child

How Much Pizza is Too Much?

2:00

Just about everyone loves pizza. These days, there are enough specialty toppings to satisfy even the pickiest of eaters. So, it’s understandable that people don’t like to hear or read anything negative about America’s favorite fast food.

 But… and where pizza is concerned, there is always a but… kids that consume too much pizza – notice I said too much not any- are not only more likely to pack on the extra pounds, but consume more fat and sodium than is recommended for healthy diets.

Researchers behind a new study from the Health Policy Center at the Institute of Health Research and Policy at the University of Illinois at Chicago (UIC), examined dietary recall data from children and adolescents aged 2-19 who took part in the National Health and Nutrition Examination Survey between 2003 and 2010.

During those years, children between the ages of 2 and 11 took in fewer calories from pizza by 25 percent. Among teenagers, who actually ate more pizza than the younger group, there was also a decline in intake calories from pizza.  Good news so far.

However, looking at the calorie intake from pizza during 2009 to 2010, pizza made up 22% of the total calorie intake among children and 26% of adolescents' calorie intake on the days when it was eaten.

The younger children took in an additional 84 calories, 3 g of saturated fat and 134 mg of sodium on days that they ate pizza, compared with pizza-free days.

For adolescents the count was substantially higher. Pizza days meant an extra 230 calories, 5 g of saturated fat and 484 mg of sodium - 24% and 21% of their recommended daily intake. Not so good news.

Pizza as a snack between meals had the biggest impact on the children’s diet. Children took in an extra 202 calories and teens an extra 365 calories in addition to their regular meals. Ouch.

It’s really no surprise that kids (and adults) rarely eat less of other foods during pizza snack days to compensate for the extra calories, fat and sodium – we just usually don’t.

Researchers also noted that calorie intake from school cafeterias was about the same on pizza days as it was on non-pizza days. They believe the reason for that is that most school cafeteria food is similarly high in calories. In 2015, that may be changing with new school food policies. Let’s hope so anyway.

Pizza in and of itself isn’t necessarily a bad food choice-depending on where it comes from. Homemade pizza can be lower in calories, fat and sodium. You get to decide what kind of crust is used and can substitute lower fat and sodium ingredients to build your own healthier meal. Plus, it taste good!

Because of its huge influence on the diet of American youths, the authors suggest that pizza should be specifically addressed as part of nutritional counseling.

"Curbing pizza consumption alone isn't enough to significantly reduce the adverse dietary effects of pizza. It's a very common and convenient food, so improving the nutritional content of pizza, in addition to reducing the amount of pizza eaten, could help lessen its negative nutritional impact." Said lead author Lisa Powell, who is professor of health policy and administration in the UIC School of Public Health.

Typical fast-food pizza is packed with sodium, fat and calories. This study simply points out that it’s easy to overload on it because it’s convenient and not very expensive. But, it can have a devastating affect on kid’s health when not eaten sensibly. The extra fat, salt and calories add up to more weight, higher cholesterol, higher blood pressure and diabetes. Not anything you really want for your kids or yourself.

The study was recently published in the journal Pediatrics.

Source: David McNamee, http://www.medicalnewstoday.com/articles/288252.php

Your Child

Back-To-School Immunizations

2:30

Is your child up-to-date on his or her immunizations for the new school year?

Each state has its own set of immunization requirements, but there are a few that are found in nearly all states. Make sure you know which are required for your child’s school.

The typical list includes:

DTaP (Diphtheria, Tetanus, Pertussis)

·      Most children have five dosages by the time they start school, including one after their fourth birthday

·      Remember that children also need a tetanus booster when they are around 11 to 12 years old

·      The Tdap vaccine (Boostrix or Adacel) is recommended for teens and adults to protect them from pertussis in 2006 and replaces the previous Td vaccine that only worked against tetanus and diphtheria

MMR (Measles, Mumps, Rubella)

·      Two doses of MMR are usually required by school entry. In the past, the second dose was given when a child was either 4 to 6 years old or 12 years old. Now, it is usually given earlier, but some older children may not have gotten two doses yet.

·      Having two doses of MMR is important in this age of measles outbreaks.

IVP (Polio)

·      Most children have four or five dosages by the time they start school, including one after their fourth birthday.

Varivax (Varicella, or the Chickenpox vaccine)

·      Your older child will need the chickenpox shot if he has not already had chickenpox in the past. Most toddlers young receive it when they are 12 to 18 months old. Although younger children used to be given just one dose, it is now required that kids get a chickenpox booster shot when they are 4 to 6 years old. Older kids should get their booster at their next well child visit or as soon as they can so that they don't get chickenpox.

Hepatitis B

·      A series of three shots that is now started in infancy. Older children are usually caught up by 12 years of age if they haven't received this vaccine yet.

Hepatitis A

·      A set of two shots for children over 12 months years of age. All infants and toddlers are now getting this shot as a part of the routine childhood immunization schedule, but there is currently no plan for routine catch-up immunization of all unimmunized 2- to 18-year-old children, unless they live in a high-risk area with an existing hepatitis A immunization program or if the kids are themselves high risk. Kids are high risk for example, if they travel to developing countries, abuse drugs, have clotting-factor disorders, or chronic liver disease, etc.

·      Hepatitis A vaccine is required to attend preschool in many parts of the United States.

Hib

·      While required for school entry, children do not usually receive this shot after they are five years of age, so children who have missed this shot don't usually need to get caught up before school starts if they are older than 5 years old.

Prevnar

·      A vaccine that can help to prevent infections by the pneumococcal bacteria, which is a common cause of blood infections, meningitis and ear infections in children.

·      Prevnar is typically given between the ages of two months and five years, and isn't approved for older kids, so your older child wouldn't need this shot if he didn't get it when he was younger. It is often required to attend preschool though.

·      A newer version of Prevnar, which can provide coverage against 13 strains of the pneumococcal bacteria, is approved and replaces the older version (Prevnar 7) in 2010, which means that many older children in preschool may need another dose of Prevnar 13, even if they finished the Prevnar 7 series.

·      Another version of this vaccine is available for certain older high-risk children though, including kids with immune system problems, although that wouldn't be required for school.

Meningococcal vaccine

·      Menactra and Menveo, the newest versions of the meningococcal vaccine, is now recommended for children who are 11 to 12 years old, with a booster dose when they are 15 to 18 years old.

The American Academy of Pediatrics (AAP) recommends that all school age children stay up-to-date on all their immunizations.

As well as the vaccines recommended above, AAP includes a few others in its 2016 list. They include:

Influenza

·      Administer influenza vaccine annually to all children beginning at age 6 months. For most healthy, non-pregnant persons aged 2 through 49 years, either LAIV or IIV may be used. However, LAIV should NOT be administered to some persons, including 1) persons who have experienced severe allergic reactions to LAIV, any of its components, or to a previous dose of any other influenza vaccine; 2) children 2 through 17 years receiving aspirin or aspirin-containing products; 3) persons who are allergic to eggs; 4) pregnant women; 5) immunosuppressed persons; 6) children 2 through 4 years of age with asthma or who had wheezing in the past 12 months; or 7) persons who have taken influenza antiviral medications in the previous 48 hours.

Human papillomavirus (HPV)

·      Administer a 3-dose series of HPV vaccine on a schedule of 0, 1-2, and 6 months to all adolescents aged 11 through 12 years. 9vHPV, 4vHPV or 2vHPV may be used for females, and only 9vHPV or 4vHPV may be used for males.

·      The vaccine series may be started at age 9 years,

·      Administer the second dose 1 to 2 months after the first dose (minimum interval of 4 weeks), administer the third dose 16 weeks after the second dose (minimum interval of 12 weeks) and 24 weeks after the first dose.

·      Administer HPV vaccine beginning at age 9 years to children and youth with any history of sexual abuse or assault who have not initiated or completed the 3-dose series.

Many states have added an “opt out” choice for parents on some vaccines but not all. For the health and safety of all children, the AAP recommends that parents follow each state’s immunizations requirements and not opt out unless there is a medical necessity.

Story sources: Vincent Iannelli, MD, https://www.verywell.com/school-immunization-requirements-2633240

http://redbook.solutions.aap.org/selfserve/ssPage.aspx?SelfServeContentId=Immunization_Schedules

 

 

Your Child

Could More Dietary Fiber Reduce Food Allergies?

2:00

In the never–ending search for an answer as to why more Americans – from children to adults- are experiencing food allergies, several new studies suggest that the culprit could be too little fiber in our diets.  

According to the non-profit organization, Food Allergy Research and Education (FARE), 15 million Americans have food allergies. That’s a 50 percent increase from 1997 to 2011. About 90 percent of people with food allergies are allergic to one of eight types of foods; peanuts, tree nuts, wheat, soy, eggs, milk, shellfish and fish. 

So, what is going on that so many people are suffering from food allergies, particularly children? That’s what researchers around the world are trying to find out.  Many studies are beginning to suggest that it’s not just one thing but a combination of factors.

A lack of dietary fiber in the diet may be one of those factors. The notion is based on the idea that bacteria in the gut have the enzymes needed to digest dietary fiber, and when these bacteria break down fiber, they produce substances that help to prevent an allergic response to foods, said Charles Mackay, an immunologist at Monash University in Melbourne, Australia.

So far, the research related to this idea has been done mainly in mice, and dietary factors are unlikely to be the sole explanation for why allergy rates have skyrocketed, researchers say. But if the results were to be replicated in human studies, they would suggest that promoting the growth of good gut bacteria could be one way to protect against, and possibly even reverse, certain allergies, researchers say.

The modern western diet, high in fat, sugar and refined carbs seems to produce a different kind of bacteria in the gut that may be liked to food allergies.  Fiber such as beans, whole grains, nuts, berries, vegetables and brown rice promote the growth of a class of bacteria called Clostridia, which break down fiber and are some of the biggest producers of byproducts called short-chain fatty acids.

In a 2011 study in the journal Nature, researchers found that these short-chain fatty acids normally prevent gut cells from becoming too permeable, and letting food particles, bacteria or other problematic compounds move into the blood.

An overabundance of antibiotic use may also be contributing to food allergies. Not only are people being over-prescribed, we may also be getting extra doses in some of our foods.

Antibiotics, which are widely used in agriculture and for treating ear infections in babies and toddlers, kill the bacteria in the gut. So the combination of antibiotics and low-fiber diets may be a "double whammy," that predisposes people to allergic responses, notes said Cathryn Nagler, a food allergy researcher at the University of Chicago.

The new findings also suggest a way to prevent, or possibly even reverse some allergies. For instance, allergy treatments could use probiotics that recolonize the gut with healthy forms of Clostridia, Nagler said.

In fact, in a small study published in January in the Journal of Allergy and Clinical Immunology, showed that children with peanut allergies who received probiotics were able to eat the nut without having an allergic reaction, and their tolerance to peanuts persisted even after the treatment.

Many factors may contribute to the rise in food allergies, said Dr. Robert Wood, director of pediatric allergy and immunology at the Johns Hopkins Children's Center in Baltimore. Epidemiological studies have found that having pets, going to day care, having a sibling, being born vaginally and even washing dishes by hand can affect the risk of allergies.

As more and more research is being conducted on food allergies, a bigger picture is starting to emerge about possible causes. Pediatricians and family physicians are keeping a close eye on the new findings to better help their patients. Some of those findings are changing the way physicians are treating food allergies.

For years, doctors told parents of children at a high risk of developing allergies to wait until the children were 3 years old before giving them peanuts or other allergy-inducing foods, Wood said.

"We really thought we knew what we were doing, and it turns out it was 100 percent wrong," Wood said.

If your child suffers from food allergies, you might want to talk to your pediatrician or family doctor about adding more dietary fiber or probiotics to your child’s diet. However, it’s not recommended that you “experiment” on your own because some children’s health problems can be made worse from probiotic use or too much fiber. Be sure and check with your doctor first.

Sources: Tia Ghose, http://www.livescience.com/50046-fiber-reduce-allergies.html

http://www.foodallergy.org/facts-and-stats

Your Child

Special Diet for Kids With Crohn Disease, Colitis

1:45

A special diet may help children with Chron disease and ulcerative colitis without the use of medications, according to a new study.

Chron disease is a chronic inflammatory bowel disease (IBD) that was once considered rare in children. It is now recognized as one of the most important chronic diseases that affect children and teens with approximately 20-30 percent of all patients with Chron presenting symptoms when they are younger than 20 years old.

The diet includes non-processed foods, such as fruits, vegetables, meats and nuts. Over 12 weeks, the diet appeared to ease all signs of these inflammatory bowel diseases in eight of the 10 affected children, researchers report.

"The study shows that without other intervention, other changes, we can improve individuals' clinical as well as laboratory markers," said study author Dr. David Suskind. He's a professor of pediatrics and director of clinical gastroenterology at Seattle Children's Hospital.

"I'm not surprised," Suskind added, "primarily because preliminary studies ... opened our eyes to the idea that diet had an impact."

Standard treatment for Chron disease and ulcerative colitis usually includes steroids and other immune-suppressing drugs. With severe symptoms, surgery is sometimes required to remove portions of the intestine.

Suskind and his team put the 10 patients, between the ages of 10 and 17, on a special diet. The diet is known as the specific carbohydrate diet. No other measures were used to treat the study participants' active Crohn's or ulcerative colitis.

The diet removes grains, most dairy products, and processed foods and sugars, except for honey. Those on the specific carbohydrate diet can eat nutrient-rich foods such as fruits, vegetables, meats and nuts.

Suskind noted that scientists aren’t sure why the diet seems to work, but there are several theories.

First, it's known that diet affects the gut microbiome -- the array of bacteria in the digestive tract contributing to digestion and underlying the immune system .

"One of the likely reasons why dietary therapy works is it shifts the microbiome from being pro-inflammatory to non-inflammatory," he said.

"Another potential [reason] is there are a lot of additives in the foods we eat that can have an effect on the lining of the intestines. This diet takes out things deleterious to the mucus lining in the intestinal tract," Suskind said.

Other IBD researchers are praising the small study.

Dr. James Lewis is chief scientist for the Crohn's and Colitis Foundation of America's IBD Plexus Program. He's helping lead national research in progress comparing the effectiveness of the specific carbohydrate diet to the so-called Mediterranean diet in inducing remission in patients with Crohn's disease. The Mediterranean diet stresses eating mostly plant-based foods.

Lewis praised Suskind's new study, noting that despite its small size, it adds to growing research suggesting a potential therapeutic benefit from the specific carbohydrate diet to inflammatory bowel patients.

"Even our most effective [standard] therapies leave a proportion of patients with persistently active disease or the inability to completely heal the intestine," Lewis said. "Because of that alone, we need other therapeutic approaches."

The study was published in the recent edition of the Journal of Clinical Gastroenterology.

Story sources: Maureen Salamon, http://www.webmd.com/ibd-crohns-disease/crohns-disease/news/20170109/special-diet-may-be-boon-for-kids-with-crohns-colitis#1

http://emedicine.medscape.com/article/928288-overview

 

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