Abstract:
OBJECTIVE:An evaluation of the opportunity to introduce fiber in the diet of weaning infants. METHODS:A descriptive review of the literature to assess the role of fiber in the following dietary interventions: (1) definition of the nutrient amounts that meet the weaning infant's physiologic needs; (2) modulation of digestive and absorption processes; and (3) improving the nutritional balance between the 6th and the 12th months of life and setting habitual dietary patterns for subsequent years. FINDINGS:Whole cereals, nonstarchy vegetables, fruits, and legumes lower the caloric and proteic density of meals, modulate nutrient and antigen absorption, and provide bulk material. They supply proteins of low biological value, minimal amounts of lipids (mostly essential polyunsaturated), complex carbohydrates, and soluble fiber, which are fermented into short-chain fatty acids by the colonic flora, and insoluble fiber that modulates intestinal function. Minerals, trace elements, and vitamins add to the value of fiber-containing foods in the diet. Recent nutritional surveys indicate that the diets of 12-month-old infants tend to include too much animal proteins and to be too protein-dense, which could be corrected with an increase of fiber-containing foods. CONCLUSIONS:Fiber-containing foods share unique characteristics with nutritional and metabolic implications for the weaning infant. Whole cereals, green vegetables, and legumes should be routinely introduced during the weaning process to achieve a better nutritional balance and to accustom children to diets with fiber content. The daily intake of fiber should be gradually increased to 5 g/d during the second semester of life.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Agostoni C,Riva E,Giovannini Msubject
Has Abstractpub_date
1995-11-01 00:00:00pages
1002-5issue
5 Pt 2eissn
0031-4005issn
1098-4275journal_volume
96pub_type
杂志文章,评审相关文献
PEDIATRICS文献大全abstract:BACKGROUND:Hepatitis C virus (HCV) prevalence doubled among pregnant women from 2009 to 2014, reaching 3.4 per 1000 births nationwide. Infants exposed to HCV may acquire HCV by vertical transmission. National guidelines recommend that infants exposed to HCV be tested; however, it is unclear if these recommendations are...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-2482
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:The current recommendation for choosing an appropriate size cuff for measuring blood pressure (BP) is a bladder width to equal 40% of the upper arm circumference (UAC). However, most physicians use the older two-thirds or three-fourths upper arm length (UAL) recommendations to choose a cuff. The aim of this s...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.110.5.920
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Bacteremia is now an uncommon presentation to the children's emergency department (ED) but is associated with significant morbidity and mortality. Its evolving etiology may affect the ability of clinicians to initiate timely, appropriate antimicrobial therapy. METHODS:A retrospective time series analysis of...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-2061
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Effective treatment of childhood obesity remains elusive. Integration of clinical and community systems may achieve effective and sustainable treatment. However, the feasibility and effectiveness of this integrated model are unknown. METHODS:We conducted a randomized clinical trial among chil...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2017-1444
更新日期:2018-01-01 00:00:00
abstract::The conventional loading dose of phenobarbital for newborn infants with hypoxic-ischemic seizures, 20 mg/kg, often fails to control convulsive activity. To determine the safety of a higher loading dose and to establish the pharmacokinetic parameters of a higher loading dose, ten severely asphyxiated term newborns were...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract::Cardio-facio-cutaneous syndrome (CFC) is one of the RASopathies that bears many clinical features in common with the other syndromes in this group, most notably Noonan syndrome and Costello syndrome. CFC is genetically heterogeneous and caused by gene mutations in the Ras/mitogen-activated protein kinase pathway. The ...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2013-3189
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:Our objective was to assess the relationship between di(2-ethylhexyl)phthalate (DEHP) exposure during pregnancy and gestational age at delivery among 311 African American or Dominican women from New York City. METHODS:Forty-eight-hour personal air and/or spot urine samples were collected during the third tri...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-0325
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Two 26-week US clinical trials of identical design were conducted to evaluate the efficacy and safety of pimecrolimus (Elidel, SDZ ASM 981) cream 1% in pediatric atopic dermatitis (AD). A secondary aim of both trials, and the focus of this article, was to evaluate the quality-of-life (QoL) impact of pimecroli...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1542/peds.110.6.1133
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:A metabolic profile consistent with impaired cobalamin status is prevalent in breastfed infants. We investigated whether this profile reflects immature organ systems or impaired cobalamin status. METHODS:In a single-center, randomized, placebo-controlled trial, we studied 107 six-week-old infants. The infant...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2007-2716
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:To assess the prevalence of pacifier use and whether this habit adversely affects the health of 6-month-old infants. DESIGN:Data collected via self-completion questionnaires from mothers forming part of the prospective, population-based Avon Longitudinal Study of Pregnancy and Childhood. METHODS:The mothers...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.103.3.e34
更新日期:1999-03-01 00:00:00
abstract::The movement of young adults with special health care needs from pediatric-oriented care to adult-oriented care has been a growing concern in the health care literature over the past 20 years. This article reviews the development and evaluation of health care transition policy over that period of time. These health ca...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVES:To determine the frequency of physician-documented sexual histories in female adolescents who presented to an emergency department (ED) with symptoms suggestive of a sexually transmitted infection (STI). Our secondary objectives were to determine if physician-documented sexual history is associated with incr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-1775
更新日期:2011-07-01 00:00:00
abstract::Services for children with special needs in England and Wales are described briefly, with attention to the services provided by the National Health Service, local authorities, the social security system, and voluntary organizations. For illustrative purposes, particular reference is made to children with hearing impai...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract::Thirty-three children with acute rheumatic fever were studied using echocardiography to characterize heart involvement in this disease. Among 26 subjects with a first episode of acute rheumatic fever, 18 had a clinical diagnosis of carditis and six had heart failure. Heart failure usually resulted from valvular incomp...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Children with medical complexity (CMC) comprise only 6% of the pediatric population, account for ∼40% of pediatric health care spending, and provide an important opportunity for cost saving. Savings in this group can have an important impact on pediatric health care costs. The objective of thi...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2019-2401
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:To examine individual changes in energy expenditure and physical activity during prepubertal growth in boys and girls. METHODS:Total energy expenditure (TEE), resting energy expenditure, physical activity-related energy expenditure, reported physical activity, and fat and fat-free mass were measured three ti...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.101.5.887
更新日期:1998-05-01 00:00:00
abstract::Immersion in water has been suggested as a beneficial alternative for labor, delivery, or both and over the past decades has gained popularity in many parts of the world. Immersion in water during the first stage of labor may be associated with decreased pain or use of anesthesia and decreased duration of labor. Howev...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-3794
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:We evaluated the accuracy of parental recall of children's immunization histories as compared with provider records and examined how errors in parental recall correlate with sociodemographic characteristics. DESIGN:The validation study was part of a population-based household survey designed to assess immuni...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.5.e3
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:To determine the population impact of pneumococcal conjugate vaccine (PCV) on pneumococcal-related diseases, including pneumonia and otitis media. METHODS:Using administrative data from Tennessee Medicaid and 3 commercial insurance plans in upstate New York, we measured annual rates of medical visits for pne...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2003-0592-F
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:Clinic-based treatments of childhood obesity are effective but typically have limited reach and are costly. In this study, we evaluated the effects of a scalable weight management program for children and teenagers. METHODS:Participants were 155 children and their parent/guardian. Children had a mean ± SD ag...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:10.1542/peds.2012-0344
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Acute sinusitis is frequently diagnosed in young children, yet little is known regarding pediatrician practices surrounding its diagnosis and management. OBJECTIVES:The purpose of this work was to describe how pediatricians diagnose and manage nonsevere acute sinusitis in otherwise healthy children < or =6 ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2479
更新日期:2009-02-01 00:00:00
abstract::Childhood adversity is associated with physiologic dysregulation across multiple biological systems; however, relatively little is known about whether these changes are reversible with intervention. The objective of this review was to examine evidence for the effectiveness of interventions to promote healthy cortisol ...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2013-1632
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:Adenosine infusion causes selective pulmonary vasodilation in fetal and neonatal lambs with pulmonary hypertension. We investigated the effects of a continuous infusion of adenosine on oxygenation in term infants with persistent pulmonary hypertension of newborn (PPHN). DESIGN:A randomized, placebo-controll...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:To determine self-reported adherence to national asthma guidelines for children by primary care physicians in managed care; and, to analyze sources of variation in these practices by physician specialty and managed care practice type. DESIGN:A survey of 671 primary care physicians (pediatricians and family p...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract::The purpose of this study was to determine the prevalence of persistent blood pressure elevations in an eighth-grade population composed of three ethnic groups, and to determine the feasibility of using school health facilities for hypertension screening. Blood pressure was recorded in 10,641 subjects (90% of the tota...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00
abstract::A growing body of scientific literature demonstrates that children who grow up with 1 or 2 gay and/or lesbian parents fare as well in emotional, cognitive, social, and sexual functioning as do children whose parents are heterosexual. Children's optimal development seems to be influenced more by the nature of the relat...
journal_title:Pediatrics
pub_type:
doi:10.1542/peds.109.2.341
更新日期:2002-02-01 00:00:00
abstract::Primary angiitis of the central nervous system (PACNS) is an idiopathic vasculitis confined to the central nervous system. In children with PACNS, small-vessel (SV) involvement is characterized clinically by progressive neurologic symptoms, multifocal lesions on brain imaging, occasional pseudo-tumor presentation, and...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-2729
更新日期:2011-04-01 00:00:00
abstract::The clinical response of atypical mycobacterial cervical adenitis to standard antituberculous therapy has been disappointing. Surgical procedures in the anterior cervical triangle are difficult and often complete excision is impossible. In each of four children with atypical mycobacterial cervical adenitis in this stu...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:To improve the frequency of electronic prescribing (e-prescribing) of discharge prescriptions at a children's hospital via a bundle of quality improvement interventions. METHODS:Surveys and focus groups were conducted with patient families and pediatric residents to identify barriers and propose solutions to...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-0760
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To quantify pediatric injuries and deaths that result from toppled television sets. DESIGN:Retrospective analysis of incident files compiled by the US Consumer Product Safety Commission (CPSC) data systems and The Children's Hospital of Alabama (TCHA) inpatient medical records. SETTING:United States, Januar...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.102.3.e32
更新日期:1998-09-01 00:00:00