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- W4381192570 abstract "<h3>Objectives</h3> To assess the risks, benefits and resource implications for using home-blended food for children with gastrostomy tubes compared with currently recommended formula feeds. <h3>Methods</h3> This prospective cohort study recruited children and families via healthcare settings and collected data at baseline, 12 and 18 months on gastrointestinal symptoms (primary outcome), quality of life, nutritional and anthropometric outcomes and parental quality of life and resource use from parents, children and clinicians. Propensity scores from deprivation status were used using logistic regression, for use in the main regression analysis <h3>Results</h3> 180 families completed baseline data collection (104 home-blended, 76 formula fed). Children receiving home -blended diet were similar in terms of age and underlying medical conditions but tended to live in areas of lower levels of deprivation and parents had higher educational levels compared to children fed formula diets. After propensity score matching and in multivariable regression modelling, children with home-blended diets had significantly better gastrointestinal scores than those who were formula fed (B13.9, p<0.001). The Quality of life and sleep of child and parents was similar across the groups. The blended diet group had more fibre in their diet but lower vitamin D when compared to the formula fed group. They also had lower gut and stoma site infections. <h3>Conclusions</h3> Children who were fed home-blended diets had lower burden of gastrointestinal symptoms and similar nutritional intake apart from higher fibre and lower vitamin D when compared to those fed a formula diet. There was no evidence of increased risk of infection in the home-blended group" @default.
- W4381192570 created "2023-06-20" @default.
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- W4381192570 date "2023-06-19" @default.
- W4381192570 modified "2023-09-27" @default.
- W4381192570 title "140 ‘YourTube’ the role of different diets in children who are gastrostomy fed" @default.
- W4381192570 doi "https://doi.org/10.1136/archdischild-2023-rcpch.49" @default.
- W4381192570 hasPublicationYear "2023" @default.
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