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Dietary fibre and the occurrence of gut symptoms in cystic fibrosis

Dietary fibre and the occurrence of gut symptoms in cystic fibrosis
Dietary fibre and the occurrence of gut symptoms in cystic fibrosis

Objective - To evaluate the effect of currently recommended energy rich cystic fibrosis diets on fibre intake and to investigate the relationship between fibre intake and the occurrence of gut symptoms. Method - Prospective completion of non-weighed five day food diaries by 28 children with cystic fibrosis and comparison of mean daily fibre intake with age matched controls who did not have cystic fibrosis. Prospective completion of similar diaries to a total of 68 children with cystic fibrosis and comparison of fibre and Lipase intake with the occurrence of gut symptoms. Results - Mean daily fibre intake in children with cystic fibrosis was 7.00 g compared with 14.65 g in controls (p<0.001). Mean daily fibre intake in eight patients troubled with moderate or severe abdominal pain was 0.144 g/kg. This was significantly lower (p<0.01) than mean values for 22 patients with occasional but mild symptoms (0.249 g/kg) and 38 with no gut symptoms (0.312 g/kg). There was a trend towards higher pancreatic enzyme doses (lipase/kg/day) in children with abdominal pain. Conclusions - Currently recommended cystic fibrosis diets have a low fibre content. A low residue diet might be an important factor in the pathogenesis of gastrointestinal symptoms.

Constipation, Cystic fibrosis, Fibre
0003-9888
35-37
Gavin, J.
63d2d8a2-6e29-4e56-9f57-8ab30a5fce97
Ellis, J.
eda47541-910c-4003-b789-450ba6e743c5
Dewar, A.L.
6bef1ed7-197b-435f-a713-a0af80c6714a
Rolles, C.J.
27b3a631-53e2-4890-82da-9ef43af323c9
Connett, G.J.
55d5676c-90d8-46bf-a508-62eded276516
Gavin, J.
63d2d8a2-6e29-4e56-9f57-8ab30a5fce97
Ellis, J.
eda47541-910c-4003-b789-450ba6e743c5
Dewar, A.L.
6bef1ed7-197b-435f-a713-a0af80c6714a
Rolles, C.J.
27b3a631-53e2-4890-82da-9ef43af323c9
Connett, G.J.
55d5676c-90d8-46bf-a508-62eded276516

Gavin, J., Ellis, J., Dewar, A.L., Rolles, C.J. and Connett, G.J. (1997) Dietary fibre and the occurrence of gut symptoms in cystic fibrosis. Archives of Disease in Childhood, 76 (1), 35-37. (doi:10.1136/adc.76.1.35).

Record type: Article

Abstract

Objective - To evaluate the effect of currently recommended energy rich cystic fibrosis diets on fibre intake and to investigate the relationship between fibre intake and the occurrence of gut symptoms. Method - Prospective completion of non-weighed five day food diaries by 28 children with cystic fibrosis and comparison of mean daily fibre intake with age matched controls who did not have cystic fibrosis. Prospective completion of similar diaries to a total of 68 children with cystic fibrosis and comparison of fibre and Lipase intake with the occurrence of gut symptoms. Results - Mean daily fibre intake in children with cystic fibrosis was 7.00 g compared with 14.65 g in controls (p<0.001). Mean daily fibre intake in eight patients troubled with moderate or severe abdominal pain was 0.144 g/kg. This was significantly lower (p<0.01) than mean values for 22 patients with occasional but mild symptoms (0.249 g/kg) and 38 with no gut symptoms (0.312 g/kg). There was a trend towards higher pancreatic enzyme doses (lipase/kg/day) in children with abdominal pain. Conclusions - Currently recommended cystic fibrosis diets have a low fibre content. A low residue diet might be an important factor in the pathogenesis of gastrointestinal symptoms.

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More information

Published date: January 1997
Keywords: Constipation, Cystic fibrosis, Fibre

Identifiers

Local EPrints ID: 420693
URI: https://eprints.soton.ac.uk/id/eprint/420693
ISSN: 0003-9888
PURE UUID: db4e2c1c-7f27-4039-9878-42120262383f
ORCID for G.J. Connett: ORCID iD orcid.org/0000-0003-1310-3239

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Date deposited: 11 May 2018 16:30
Last modified: 14 Mar 2019 01:22

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Contributors

Author: J. Gavin
Author: J. Ellis
Author: A.L. Dewar
Author: C.J. Rolles
Author: G.J. Connett ORCID iD

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