Ewijk, T. (Tessa) van (2012) Kinderen met recidiverende bovenste luchtweginfecties : Hebben ondersteunende voedingsadviezen een toegevoegde waarde bovenop de standaardbehandeling? thesis, Medicine.
Full text available on request.Abstract
Background: Recurrent upper airway infections in young children are a major concern of parents, general practitioners, ENT-surgeons and pediatricians. The current treatment is wait-and-see, tympanostomy tubes, adenotomy or tonsillectomy. Dietary nutrients are known important mediators of the immunological mechanism in children. Aim: The aim of this study is to investigate whether a dietary advice of full-fat butter, whole milk, green vegetables, and beef, for at least three months, offers an advantage to the current treatment of recurrent respiratory tract infections in children aged between1 and 6 years. Methods: 115 included children between the age of 1 and 6 years with recurrent upper airway infections are retrospectively subdivided in 4 groups: wait-and-see, dietary advice, surgical intervention and combination of surgical intervention and dietary advice. Average amount of days with symptoms of cold, fever, amount of antibiotics and general practitioner consultations are measured in a questionnaire at the moment of inclusion, and after a follow-up of 3 months after surgery or giving dietary advice. Results: Groups are retrospectively subdivided and differ for sexe, age and health history. Two of four groups are too small. The average reduction of days with cold-symptoms was 6,3 in the group with combined treatment, compared to the surgery-group (p=0,016). In the groups without surgery there was a reduction of 1,0 in treatment with antibiotics in the group with the dietary advice, compared to the group without intervention (p=0,039). In the groups that underwent surgery the reduction in treatment with antibiotics was 0,2 in the group with combined treatment, compared to 1,8 in the surgery-group (p=0,016). Conclusion: Due to methodological flaws, the research question cannot be answered. However, dietary interventions are a promising, simple and intervention with low costs and recurrent upper airway infections are a major concern. Therefore, it is important to investigate the effect of this dietary advice (full-butter, whole milk, green vegetables and beef) in a randomized trial with inclusion of more children.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Begeleider: and Gaag, Mw. Drs. E.J. van der and Facultair begeleider: and Smits, Drs. P.J.H. and ZGT Hengelo and Kindergeneeskunde |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:59 |
| Last Modified: | 25 Jun 2020 10:59 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1992 |
Actions (login required)
 |
View Item |