Diet habits and nutritional value of children 6 to 9 years old with peptic ulcer at the National Children's Hospital

Chu Thi Phuong Mai, Nguyen Thi Mai, Tran Thi Hai Anh, Le Thi Kim Mai, Bui Thi Khanh Ngoc, Nguyen Thi Hang Nga

Main Article Content

Abstract

Assessing children's dietary intake with peptic ulcer disease (PUD) is essential for identifying nutritional risk factors and developing appropriate dietary interventions to support effective treatment. This prospective cross-sectional study was conducted on 75 children aged 6 to 9 years old diagnosed with PUD at the National Children's Hospital from January 2023 to December 2023, to evaluate the frequency of consumption of food types and the nutritional value of their diet. Among the 75 children included in the study, the majority (76%) was males. 24-hour dietary analysis revealed that fiber intake only met 13.7 – 20.75% of the recommended daily intake according to age and gender . The diet was deficient in several essential micronutrients, including calcium, vitamin A, and vitamin D. Regarding food consumption patterns, about 70% of children consumed vegetables daily. In contrast, fruit and fruit juices were consumed less frequently, mostly weekly or monthly. 52% of children consumed fresh milk daily, whereas the proportion of children who did not consume milk ranged from 10.7% to 90.7%, depending on the type of milk.

Article Details

References

1. Guariso G, Gasparetto M. Update on Peptic Ulcers in the Pediatric Age. Ulcers. 2012;2012. doi:10.1155/2012/896509
2. Vomero ND, Colpo E. Nutritional care in peptic ulcer. Arq Bras Cir Dig ABCD Braz Arch Dig Surg. 2014;27(4):298-302. doi:10.1590/S0102-67202014000400017
3. Bộ Y tế, Viện Dinh dưỡng. Nhu cầu khuyến nghị cho người Việt Nam Năm 2016. Nhà xuất bản Y học; 2016.
4. Nguyễn Hữu Hiếu, Nguyễn Thị Việt Hà. Đặc điểm lâm sàng, cận lâm sàng và tình trạng kháng kháng sinh của trẻ em bị loét dạ dày tá tràng có nhiễm Helicobacter pylori. Tạp chí Nghiên cứu Y học. 2021;143(7):134-141. doi:10.52852/tcncyh.v143i7.248
5. Rydning A, Berstad A. Dietary Fiber and Peptic Ulcer. Scand J Gastroenterol. 1986;21(1):1-5. doi:10.3109/00365528609034612
6. Ryan-Harshman M, Aldoori W. How diet and lifestyle affect duodenal ulcers. Review of the evidence. Can Fam Physician Med Fam Can. 2004;50:727-732.
7. Aditi A, Graham DY. Vitamin C, Gastritis, and Gastric Disease: a historical review and update. Dig Dis Sci. 2012;57(10):10.1007/s10620-012-2203-2207. doi:10.1007/s10620-012-2203-7
8. Aldoori WH, Giovannucci EL, Stampfer MJ, et al. Prospective study of diet and the risk of duodenal ulcer in men. Am J Epidemiol. 1997;145(1):42-50. doi:10.1093/oxfordjournals.aje.a009030
9. Nabavi-Rad A, Azizi M, Jamshidizadeh S, et al. The Effects of Vitamins and Micronutrients on Helicobacter pylori Pathogenicity, Survival, and Eradication: A Crosstalk between Micronutrients and Immune System. J Immunol Res. 2022;2022:4713684. doi:10.1155/2022/4713684
10. Franceschi F, Annalisa T, Teresa DR, et al. Role of Helicobacter pylori infection on nutrition and metabolism. World J Gastroenterol. 2014;20(36):12809-12817. doi:10.3748/wjg.v20.i36.12809
11. Demerdash DME, Ibrahim H, Hassan DM, et al. Helicobacter pylori associated to unexplained or refractory iron deficiency anemia: an Egyptian single-center experience. Hematol Transfus Cell Ther. 2018;40(3):219-225. doi:10.1016/j.htct.2018.02.001
12. Gao T, Zhao M, Zhang C, et al. Association of Helicobacter pylori Infection with Vitamin D Deficiency in Infants and Toddlers. Am J Trop Med Hyg. 2020;102(3):541-546. doi:10.4269/ajtmh.19-0523
13. Sempértegui F, Díaz M, Mejía R, et al. Low concentrations of zinc in gastric mucosa are associated with increased severity of Helicobacter pylori-induced inflammation. Helicobacter. 2007;12(1):43-48. doi:10.1111/j.1523-5378.2007.00476.