'YourTube' the role of different diets in gastrostomy-fed children: Baseline findings from a prospective cohort study

TY - JOUR

T1 - 'YourTube' the role of different diets in gastrostomy-fed children

T2 - Baseline findings from a prospective cohort study

AU - Fraser, Lorna K

AU - Bedendo, Andre

AU - O'neill, Mark

AU - Taylor, Johanna

AU - Hackett, Julia

AU - Horridge, Karen

AU - Cade, Janet

AU - Richardson, Gerry

AU - Phung, Han

AU - Mccarter, Alison

AU - Hewitt, Catherine

N1 - © 2023 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.

PY - 2024/5/7

Y1 - 2024/5/7

N2 - AIM: To assess the risks, benefits, and resource implications of home-blended food for children with gastrostomy tubes compared with a formula diet.METHOD: This prospective cohort study of children (aged 0-18 years) collected baseline data on gastrointestinal symptoms, nutritional intake, anthropometric outcomes, parent and child quality of life, and resource use. A propensity score-weighted generalized linear mixed model was used to compare children receiving a home-blended versus formula diet.RESULTS: Baseline data were obtained for 180 children (2019-2021; 107 males, 73 females; mean age 9 years 7 months [SD  4 years 5 months]). Children receiving a home-blended diet (n  = 104) had similar diagnoses and age but more lived in areas of lower deprivation and parental education was higher compared to the parents of children receiving a formula diet (n  = 76). Children receiving home-blended diets had significantly better gastrointestinal scores than those receiving formula diets (B  = 13.8, p  < 0.001). The number of gut infections and tube blockages were similar between the two groups but with fewer stoma site infections in the group receiving home-blended food. Children receiving a home-blended diet had more fibre in their diet compared to children receiving a formula diet.INTERPRETATION: Home-blended diets should be seen as a safe option for children who are gastrostomy-fed unless clinically contraindicated. Equality of access to home-blended diets for children with gastrostomy should be assessed by local clinical teams.

AB - AIM: To assess the risks, benefits, and resource implications of home-blended food for children with gastrostomy tubes compared with a formula diet.METHOD: This prospective cohort study of children (aged 0-18 years) collected baseline data on gastrointestinal symptoms, nutritional intake, anthropometric outcomes, parent and child quality of life, and resource use. A propensity score-weighted generalized linear mixed model was used to compare children receiving a home-blended versus formula diet.RESULTS: Baseline data were obtained for 180 children (2019-2021; 107 males, 73 females; mean age 9 years 7 months [SD  4 years 5 months]). Children receiving a home-blended diet (n  = 104) had similar diagnoses and age but more lived in areas of lower deprivation and parental education was higher compared to the parents of children receiving a formula diet (n  = 76). Children receiving home-blended diets had significantly better gastrointestinal scores than those receiving formula diets (B  = 13.8, p  < 0.001). The number of gut infections and tube blockages were similar between the two groups but with fewer stoma site infections in the group receiving home-blended food. Children receiving a home-blended diet had more fibre in their diet compared to children receiving a formula diet.INTERPRETATION: Home-blended diets should be seen as a safe option for children who are gastrostomy-fed unless clinically contraindicated. Equality of access to home-blended diets for children with gastrostomy should be assessed by local clinical teams.

UR - http://www.scopus.com/inward/record.url?scp=85176570512&partnerID=8YFLogxK

U2 - 10.1111/dmcn.15799

DO - 10.1111/dmcn.15799

M3 - Article

C2 - 37946550

SN - 0012-1622

VL - 66

SP - 755

EP - 764

JO - Developmental medicine and child neurology

JF - Developmental medicine and child neurology

IS - 6

ER -