The Long Term Efficacy of Gastrostomy Feeding in Children with Cystic Fibrosis on Anthropometric Markers of Nutritonal Status and Pulmonary Function



Helen Truby1 , *, Patricia Cowlishaw2, Catherine O Neil3, Claire Wainwright4
1 Nutrition and Dietetics, Southern Clinical School of Medicine, Monash University, Victoria, 3168, Australia
2 Queensland University of Technology, Queensland, 4059, Australia
3 Department of Nutrition and Dietetics, Royal Children’s Hospital, Queensland, 4029, Australia
4 Department of Respiratory Medicine, Royal Children’s Hospital, Queensland, 4029, Australia


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© Truby et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Nutrition and Dietetics, Southern Clinical School of Medicine, Monash University, Victoria, 3168, Australia; Tel: +61 3 9594 5511; Fax: +61 3 9594 6509; E-mail: helen.truby@med.monash.edu.au


Abstract

The clinical outcomes from 14 children (7 male) with cystic fibrosis (CF) who had a gastrostomy tube inserted between January 1999 and August 2005 are presented. The mean age of gastrostomy insertion was 6.63 years. All patients had pancreatic insufficiency with mildly compromised lung function (mean FEV1 71%). Data was collected for 1 year prior and 2 years post commencement of gastrostomy feeding. Subjects experienced a significant decline in both weight and height for the 12 months prior to enteral feeding. There was a significant improvement in some anthropometric parameters but not respiratory function in the first 12 months of feeding which then plateau during the second year. These results also highlight the benefit of using height and weight Z scores rather than the measuring of the BMI as an indicator of nutritional change in children with CF.

Keywords:: Gastrostomy, children, enteral feeding..