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Clinical Trial
. 2008 Jan 14;14(2):248-54.
doi: 10.3748/wjg.14.248.

Prevalence and dietetic management of mild gastrointestinal disorders in milk-fed infants

Affiliations
Clinical Trial

Prevalence and dietetic management of mild gastrointestinal disorders in milk-fed infants

D Infante Pina et al. World J Gastroenterol. .

Abstract

Aim: To assess the prevalence of mild gastrointestinal disorders in milk-fed infants in paediatric practice, and to evaluate the effectiveness and satisfaction with dietetic treatment.

Methods: A cross-sectional epidemiological study was first carried out. A total of 285 paediatricians included 3487 children seen during a period of one week. In a second phase an observational, prospective and multicentre study was conducted and 2069 milk-fed infants with mild gastrointestinal disorders (colic, constipation, regurgitation and diarrhoea) were included. There was a baseline visit (start of treatment) and a final visit four weeks later. The effectiveness of the various Novalac formulas, as well as the satisfaction of the parents/tutors and paediatricians with the dietetic treatment were assessed at the final visit.

Results: The prevalence of mild gastrointestinal disorders was 27.8% of all paediatrician consultations (9.2%, 7.8%, 6.1% and 4.6% in relation to colic, constipation, regurgitation and diarrhoea, respectively). The several Novalac adapted milk formulas resolved 88.4% of the mild gastrointestinal disorders. Depending on the type of disorder, differences in response rate were observed. The highest effectiveness was recorded with respect to diarrhoea (92.6%), followed by constipation (91.6%), colic (87.6%) and regurgitation (81%). Overall, 91% of the paediatricians and 88.8% of the parents/tutors were satisfied or very satisfied with the Novalac adapted milk formulas.

Conclusion: Mild gastrointestinal disorders show a high prevalence in paediatric practice. The Novalac adapted milk formulas have been shown to be effective in treating mild gastrointestinal disorders in milk-fed infants in the context of routine clinical practice.

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Figures

Figure 1
Figure 1
Percentage presentation of mild gastrointestinal disorders (MGDs) according to infant age and mean age at presentation.
Figure 2
Figure 2
Prevalence of mild gastrointestinal disorders (MGDs) in paediatric practice.
Figure 3
Figure 3
Percentage resolution of disorders with the Novalac formulas.
Figure 4
Figure 4
Mean days to resolution of mild gastrointestinal disorders (MGDs).

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