饮用酸奶对体重增加有积极作用,但对住院儿童急性胃肠炎结局无相同作用。由于所获数据有限,且入组试验的方法学局限性,应谨慎对待该证据。饮用酸奶在门诊条件下的影响尚不清楚。
ClinNutr.Oct;34(5):-24.
Yogurtfortreatingacutegastroenteritisinchildren:Systematicreviewandmeta-analysis.
Patro-GotabB,ShamirR,SzajewskaH3.
TheMedicalUniversityofWarsaw,DepartmentofPaediatrics,Warsaw,Poland.
InstituteofGastroenterology,NutritionandLiverDiseases,SchneiderChildrensMedicalCenterofIsrael,SacklerFacultyofMedicine,Tel-AvivUniversity,Petach-Tikva,Israel.
BACKGROUND:InMay,theupdatedguidelinesforthemanagementofacutegastroenteritis(AGE)werepublished.TheuseofyogurtinthenutritionalmanagementofAGEwasnotaddressed,althoughitisfrequentlyusedinmanycountriesforthispurpose.WeaimedtosystematicallyevaluatetheefficacyofyogurtconsumptionforthemanagementofAGEinchildren.
DESIGN:Inthissystematicreview,anumberofdatabases,includingMEDLINE,EMBASE,andtheCochraneLibrary,withnolanguagerestrictions,weresearcheduptoJulyforrandomizedcontrolledtrials(RCTs)evaluatingtheeffectofyogurtconsumptioninchildrenwithAGE.TheriskofbiaswasassessedusingtheCochraneriskofbiastool.
RESULTS:FourRCTs(n=)thatweregenerallylowinmethodologicalquality,allperformedinhospitalsetting,wereincluded.Comparedwithplacebo/nointervention,yogurtconsumptionhadnosignificanteffectonstoolvolume.Thedataontheeffectofyogurtconsumptiononthedurationofdiarrheaandstoolfrequencywerenotconsistent.Thechanceoftreatmentsuccess(orfailure)wassimilarinbothgroups.Comparedwithplacebo,thedurationofhospitalizationwasshorterinchildrenwhoreceivedyogurt,butthedifferencewasofaborderlinesignificance.Totalweightgainincreasedforthosetreatedwithyogurt.
CONCLUSIONS:Theconsumptionofyogurthadapositiveeffectonweightgain,butnoconsistenteffectonAGEout北京中科白癜风医院湖南白癜风医院
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