Assessment of nutrition education among pediatric gastroenterologists: a survey of NASPGHAN members.

Abstract:

BACKGROUND AND AIM:Pediatric gastroenterology is the only pediatric subspecialty with nutrition as part of its official curriculum and objective; however, pediatric gastroenterology fellows believe that their baseline knowledge in nutrition is suboptimal. The purpose of the present study was to assess the perceived effectiveness of nutrition training among pediatric gastroenterologists, identify areas of need for additional education, and determine the perceived role of the gastroenterologist in obesity management. METHODS:A survey was sent to members and fellows of the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition to assess general nutrition education as well as obesity management and educational needs. RESULTS:A total of 272 responses were received, for an overall response rate of 15.2% (272/1784). Most responders reported having average or above-average knowledge base in all nutritional topics. There was strong interest in additional resources and a continuing medical education (CME) module on several nutrition topics including nutritional requirements in specific gastrointestinal (GI) disease, failure to thrive/growth failure, and parenteral nutrition support, with the format of CME dependent on the topic. There was also a strong interest in additional CME on the management of pediatric obesity (67%), as most responders believed that the management of obesity in children requires subspecialty care. The perceived role of the pediatric gastroenterologist was, however, one of support to treat the GI and hepatic comorbidities of obesity rather than serve as the main provider of comprehensive obesity care. CONCLUSIONS:Pediatric gastroenterologists identified gaps in their nutrition knowledge base that may be attributed to the present nutrition education training during fellowship. Multiple topics were identified for additional nutrition education, including obesity management. The nutrition management challenges of today necessitate improved baseline nutrition knowledge and this focus on nutrition should begin at the fellowship level.

authors

Lin HC,Kahana D,Vos MB,Black D,Port Z,Shulman R,Scheimann A,Mascarenhas MR

doi

10.1097/MPG.0b013e3182638ce8

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

137-44

issue

2

eissn

0277-2116

issn

1536-4801

journal_volume

56

pub_type

杂志文章
  • Pediatric-onset Chronic Nonspecific Multiple Ulcers of Small Intestine: A Nationwide Survey and Genetic Study in Japan.

    abstract::We performed a Japanese nationwide survey of pediatric-onset chronic nonspecific multiple ulcers of the small intestine between January 2000 and July 2013 in 176 institutions of pediatric surgery or pediatric gastroenterology and clarified the clinical features associated with genetic abnormalities in the Solute Carri...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000001321

    authors: Uchida K,Nakajima A,Ushijima K,Ida S,Seki Y,Kakuta F,Abukawa D,Tsukahara H,Maisawa SI,Inoue M,Araki T,Umeno J,Matsumoto T,Taguchi T

    更新日期:2017-04-01 00:00:00

  • Factors Determining Optimal Fatty Acid Absorption in Preterm Infants.

    abstract:OBJECTIVES:The aim of the present study was to quantify absorption coefficients of specific fatty acids in preterm infants as a function of diet, formula or breast milk (BM), and postnatal age; to identify the fatty acid structural characteristics that determine optimal fatty acid absorption. METHODS:Fatty acids from ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000000934

    authors: Martin CR,Cheesman A,Brown J,Makda M,Kutner AJ,DaSilva D,Zaman M,Freedman SD

    更新日期:2016-01-01 00:00:00

  • Satisfaction in open access versus traditional referral for upper endoscopy in children.

    abstract:OBJECTIVES:In traditional access endoscopy (TAE), patients are booked for endoscopy following a gastroenterology clinic assessment. In contrast, open access endoscopy (OAE) patients are seen for the first time on the day of the procedure, providing same day procedural consent. Controversy exists over the use of OAE in ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000000677

    authors: Isaac DM,Persad R,Huynh HQ,Shirton L,Turner JM

    更新日期:2015-05-01 00:00:00

  • Long-term outcome in patients with short bowel syndrome after longitudinal intestinal lengthening and tailoring.

    abstract:OBJECTIVES:Longitudinal intestinal lengthening and tailoring (LILT) is a well-established surgical treatment for short bowel syndrome. It has been shown to enhance peristalsis, decrease bacterial overgrowth, and extend mucosal contact time for nutrients. We present the results of a long-term follow-up of patients who u...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/mpg.0b013e31816232e3

    authors: Reinshagen K,Kabs C,Wirth H,Hable N,Brade J,Zahn K,Hagl C,Jester I,Waag KL

    更新日期:2008-11-01 00:00:00

  • Rickets in a very low birth weight infant.

    abstract::A report on a case of rickets in a very low birth weight infant (VLBWI) is presented. The infant had no high-risk factors for rickets and was fed a specialized preterm formula with vitamin D supplementation (200 IU daily) by 10 days of age. Feeds were advanced so that an enteral intake of 120 cal/kg/day was achieved b...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198910000-00023

    authors: Cooke RJ

    更新日期:1989-10-01 00:00:00

  • Pancreatic pseudocyst: successful treatment by percutaneous external catheter drainage.

    abstract::A pseudocyst of the pancreas in a 6-year-old girl persisted for 2 months despite bowel rest and nutritional support. Following percutaneous introduction of a catheter into the cyst under ultrasound guidance and external catheter drainage for 11 days, the pseudocyst resolved completely and permanently. Nonoperative per...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章,评审

    doi:

    authors: Korman SH,Lebensart P,Martin O,Katz S,Tamir I

    更新日期:1991-04-01 00:00:00

  • Gastric emptying in children: what is the best acquisition method?

    abstract:OBJECTIVES:The geometric mean is the recommended method for calculating gastric emptying in adults to correct for variable attenuation during the study. In children, it has been reported that a single posterior acquisition is sufficient. Our objective was to evaluate the relation between the values of gastric emptying ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0b013e31824ee2fa

    authors: Drubach LA,Kourmouzi V,Cao X,Zurakowski D,Fahey FH

    更新日期:2012-08-01 00:00:00

  • Breath hydrogen test in infants and children with blind loop syndrome.

    abstract::Breath hydrogen production after oral lactose loading was examined in infants and children with stagnant loop syndrome, blind loop syndrome, or both. All six infants under 3 years of age had bacteriological evidence of small intestinal colonization. The characteristics of the breath hydrogen test in this syndrome are:...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198406000-00010

    authors: Nose O,Kai H,Harada T,Ogawa M,Maki I,Tajiri H,Kanaya S,Kimura S,Shimizu K,Yabuuchi H

    更新日期:1984-06-01 00:00:00

  • Sub-10-minute High-quality Diagnostic Colonoscopy With Terminal Ileum Intubation in Children Is Feasible and Safe.

    abstract:OBJECTIVES:To critically appraise ileocolonoscopy (IC) practice in a large tertiary center, where IC is exclusively performed by experienced pediatric colonoscopists, particularly focusing on indications for the procedure; bowel preparation efficacy; IC completion rates and timings; diagnostic yield; and complications....

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000002326

    authors: Thomson M,Eltumi M,Singh C,Eyles M,Shah N,Vadamalayan B,Chong S,Thapar N,D'Ambrosio A,Isoldi S

    更新日期:2019-07-01 00:00:00

  • Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition.

    abstract::Enteral nutrition support (ENS) involves both the delivery of nutrients via feeding tubes and the provision of specialised oral nutritional supplements. ENS is indicated in a patient with at least a partially functioning digestive tract when oral intake is inadequate or intake of normal food is inappropriate to meet t...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章,实务指引

    doi:10.1097/MPG.0b013e3181d336d2

    authors: Braegger C,Decsi T,Dias JA,Hartman C,Kolacek S,Koletzko B,Koletzko S,Mihatsch W,Moreno L,Puntis J,Shamir R,Szajewska H,Turck D,van Goudoever J,ESPGHAN Committee on Nutrition:.

    更新日期:2010-07-01 00:00:00

  • Association of Maternal Secretor Status and Human Milk Oligosaccharides With Milk Microbiota: An Observational Pilot Study.

    abstract:BACKGROUND AND OBJECTIVES:Breast milk contains several bioactive factors including human milk oligosaccharides (HMOs) and microbes that shape the infant gut microbiota. HMO profile is determined by secretor status; however, their influence on milk microbiota is still uncovered. This study is aimed to determine the impa...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000002216

    authors: Cabrera-Rubio R,Kunz C,Rudloff S,García-Mantrana I,Crehuá-Gaudiza E,Martínez-Costa C,Collado MC

    更新日期:2019-02-01 00:00:00

  • Hyperornithinemia-hyperammonemia-homocitrullinuria syndrome (HHH) presenting with acute fulminant hepatic failure.

    abstract::We report on two Aboriginal patients with the hyperornithinemia-hyperammonemia-homocitrullinuria (HHH) syndrome. Both presented with acute hepatic failure with severe hypertransaminasemia and coagulopathy, prompting evaluation for emergent liver transplantation. The diagnosis of HHH syndrome was based on the presence ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0b013e318145a8e5

    authors: Mhanni AA,Chan A,Collison M,Seifert B,Lehotay DC,Sokoro A,Huynh HQ,Greenberg CR

    更新日期:2008-03-01 00:00:00

  • A comparison of oral diazepam versus midazolam, administered with intravenous meperidine, as premedication to sedation for pediatric endoscopy.

    abstract:OBJECTIVES:This study was performed to compare the effects of oral midazolam and oral diazepam, administered with intravenous (IV) meperidine, on pre-procedural, procedural, and post-procedural sedation and recovery in children undergoing diagnostic upper endoscopy. The costs of pre-procedure sedation were compared for...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005176-200207000-00012

    authors: Martinez JL,Sutters KA,Waite S,Davis J,Medina E,Montano N,Merzel D,Marquez C

    更新日期:2002-07-01 00:00:00

  • Magnetically Controlled Capsule Endoscopy in Children: A Single-center, Retrospective Cohort Study.

    abstract:OBJECTIVE:Capsule endoscopy (CE) is a noninvasive diagnostic tool for the digestive tract. We aim to investigate the feasibility and safety of newly developed magnetically controlled capsule endoscopy (MCE) in children. METHODS:A total of 129 children who underwent MCE in Shanghai Children's Hospital were retrospectiv...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000002292

    authors: Gu Z,Wang Y,Lin K,Wang X,Cheng W,Wang L,Zhang T,Liu H

    更新日期:2019-07-01 00:00:00

  • Neonatal transient eosinophilic colitis causes lower gastrointestinal bleeding in early infancy.

    abstract:BACKGROUND:Lower gastrointestinal bleeding (LGB), particularly in newborns, is of serious concern and requires urgent investigation and hospital care. Whereas allergic proctocolitis caused by food protein is a significant cause of LGB in infants with eosinophilia, there are several cases of diseases with symptoms simil...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/01.mpg.0000252194.06955.18

    authors: Ohtsuka Y,Shimizu T,Shoji H,Kudo T,Fujii T,Wada M,Sato H,Aoyagi Y,Haruna H,Nagata S,Yamashiro Y

    更新日期:2007-04-01 00:00:00

  • Fasting gastric fluid and fecal polyamine concentrations in premature infants.

    abstract:BACKGROUND:The role of milk polyamines in the development of the gastrointestinal tract of human infants is presently unknown. Polyamine concentrations are higher in human milk than in infant formulas. The aim of the present study was to gather data on luminal polyamines by measuring gastric fluid and fecal polyamine c...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199704000-00006

    authors: Forget PP,Degraeuwe PL,Smeets C,Deutz NE

    更新日期:1997-04-01 00:00:00

  • Prevalence of hepatitis E virus infection in Japanese children.

    abstract:BACKGROUND:Recently, sporadic cases of acute hepatitis and fulminant hepatitis caused by hepatitis E virus (HEV) have been reported in Japan. However, few reports have addressed the issue of HEV infection during childhood. METHODS:This study included 5 patients with fulminant hepatitis, 30 patients with acute hepatiti...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/01.mpg.0000188005.81999.32

    authors: Goto K,Ito K,Sugiura T,Ando T,Mizutani F,Miyake Y,Kawabe Y,Sugiyama K,Togari H

    更新日期:2006-01-01 00:00:00

  • Probiotics in preterm infants: a controversial issue.

    abstract::Current research is directed toward innovative dietary compositions that exert specific effects on health promotion and reducing the risk of diseases. For example, the demonstration that the gut microbiota is an important constituent in the intestine's mucosal barrier has led to new therapeutic strategies for infectio...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/01.mpg.0000302970.67997.db

    authors: Isolauri E

    更新日期:2007-12-01 00:00:00

  • Attrition in Long-Term Nutrition Research Studies: A Commentary by the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition Early Nutrition Research Working Group.

    abstract::Long-term follow-up of randomised trials and observational studies provide the best evidence presently available to assess long-term effects of nutrition, and such studies are an important component in determining optimal infant feeding practices. Attrition is, however, an almost inevitable occurrence with increasing ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 共识发展会议,杂志文章

    doi:10.1097/MPG.0000000000000992

    authors: Fewtrell MS,Domellöf M,Hojsak I,Hulst JM,Kennedy K,Koletzko B,Mihatsh W,Stijnen T

    更新日期:2016-01-01 00:00:00

  • Shwachman's syndrome: pathomorphosis and long-term outcome.

    abstract:BACKGROUND:Shwachman's syndrome is the second most common cause of inherited/congenital pancreatic insufficiency after cystic fibrosis. The main associated features are usually cyclic neutropenia, metaphyseal dysostosis, and growth retardation. Other organs or functions may be involved in this syndrome, showing a wide ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199909000-00006

    authors: Cipolli M,D'Orazio C,Delmarco A,Marchesini C,Miano A,Mastella G

    更新日期:1999-09-01 00:00:00

  • Vitamin A concentration in the liver decreases with age in patients with cystic fibrosis.

    abstract:BACKGROUND:Vitamin A deficiency is a common manifestation in cystic fibrosis (CF), but high levels of vitamin A in the liver have also been described. High levels of vitamin A in the liver are toxic, while normal levels might be protective against liver damage. In order to investigate whether liver damage in patients w...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199703000-00006

    authors: Lindblad A,Diczfalusy U,Hultcrantz R,Thorell A,Strandvik B

    更新日期:1997-03-01 00:00:00

  • Human milk protein does not limit growth of breast-fed infants.

    abstract:BACKGROUND:The efficiency with which breast- and formula-fed infants utilize dietary nutrients is likely to provide insight into their relative requirements for the growth process. METHODS:We measured longitudinal changes in growth, body composition, and dietary intakes in breast- and formula-fed infants and estimated...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199701000-00006

    authors: Motil KJ,Sheng HP,Montandon CM,Wong WW

    更新日期:1997-01-01 00:00:00

  • Cholesteryl ester storage disease: protean presentations of lysosomal acid lipase deficiency.

    abstract:OBJECTIVE:LIPA gene mutations result in deficiency of lysosomal acid lipase and present phenotypically as Wolman disease or cholesteryl ester storage disease (CESD) depending on the level of deficiency. Patients with CESD may often be misdiagnosed because symptoms may be nonspecific. Symptoms may present in infancy if ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章,评审

    doi:10.1097/MPG.0b013e31828b36ac

    authors: Zhang B,Porto AF

    更新日期:2013-06-01 00:00:00

  • Epithelial growth of the small intestine in human infants.

    abstract:BACKGROUND:Findings in studies in rodents have suggested that epithelial growth of the small intestine is dependent on activation of the immune system. The purpose of this study was to compare changes of postnatal epithelial growth with immunologic activity in humans. METHODS:Duodenal biopsies were obtained by endosco...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199805000-00004

    authors: Thompson FM,Catto-Smith AG,Moore D,Davidson G,Cummins AG

    更新日期:1998-05-01 00:00:00

  • Expression of class II MHC antigens in the intestinal epithelium of pediatric celiac disease.

    abstract::Class II MHC antigen expression in the intestinal epithelium of 28 small bowel biopsies from 23 celiac patients were studied by means of indirect immunofluorescence and immunoperoxidase using monoclonal antibodies. Patients were divided on the basis of diet into two subgroups: 15 subjects on a gluten-containing diet (...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198910000-00002

    authors: Bonamico M,Mazzilli MC,Morellini M,Vania A,Carpino F,Nicotra MR,Natali PG

    更新日期:1989-10-01 00:00:00

  • Retrospective Comparison of Fluticasone Propionate and Oral Viscous Budesonide in Children With Eosinophilic Esophagitis.

    abstract:BACKGROUND:Eosinophilic esophagitis (EoE) is treated with dietary modification and/or pharmacologic management with swallowed topical steroids. Swallowed fluticasone propionate (FP) and oral viscous budesonide (OVB) have proven to be effective in resolving symptoms and reversing histologic changes in children and adult...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/MPG.0000000000001626

    authors: Fable JM,Fernandez M,Goodine S,Lerer T,Sayej WN

    更新日期:2018-01-01 00:00:00

  • Giardiasis with protein-losing enteropathy.

    abstract::Generalized edema and ascites were the main presenting features of giardiasis in a 3-year-old boy. Hypoalbuminemia, jejunal villous atrophy, Giardia lamblia in the duodenal aspirate, and abnormal gastrointestinal protein loss were present before therapy with metronidazole. Eradication of parasites resulted in complete...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198502000-00011

    authors: Sutton DL,Kamath KR

    更新日期:1985-02-01 00:00:00

  • Regulation of intestinal ontogeny by intraluminal nutrients.

    abstract::Major events in gastrointestinal ontogeny occur in the infant rat in association with weaning, resulting in striking alterations in small intestinal structure and function. Although the dietary changes attendant to weaning are not essential for the initiation of these events, dietary nutrients have been shown to parti...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-199002000-00010

    authors: Castillo RO,Feng JJ,Stevenson DK,Kerner JA,Kwong LK

    更新日期:1990-02-01 00:00:00

  • Enteric protein loss measured by fecal alpha 1-antitrypsin clearance in the assessment of Crohn's disease activity: a study of children and adolescents.

    abstract::We compared conventional measures of disease activity with 24-h fecal alpha 1-antitrypsin clearance in 59 children and adolescents with Crohn's disease and 30 with ulcerative colitis. Among the Crohn's patients clearance was increased significantly in those with abnormal erythrocyte sedimentation rates (ESR) (greater ...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章

    doi:10.1097/00005176-198611000-00015

    authors: Griffiths AM,Drobnies A,Soldin SJ,Hamilton JR

    更新日期:1986-11-01 00:00:00

  • Faecal calprotectin in term and preterm neonates.

    abstract:OBJECTIVES:The aim of this review was to examine the characteristics of the faecal calprotectin assay in neonates and the evidence for its use as a noninvasive marker of intestinal illnesses during the neonatal period. METHODS:Bibliographic searches were performed in the MEDLINE electronic database up to February 2010...

    journal_title:Journal of pediatric gastroenterology and nutrition

    pub_type: 杂志文章,评审

    doi:10.1097/MPG.0b013e3181e2ad72

    authors: Kapel N,Campeotto F,Kalach N,Baldassare M,Butel MJ,Dupont C

    更新日期:2010-11-01 00:00:00