The effect of nutritional education program on micronutrient intake in children with chronic liver disease: A clinical trial
نویسندگان
1 MSc in Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran Department of Pediatrics, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2 Associate Professor of Pediatric Gastroenterology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Evidence Based Care Research Center, Instructor Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran, Department of Pediatrics, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
4 Metabolic Syndrome Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, International UNESCO Center for Health Related Basic Sciences and Human Nutrition, Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5 Graduate of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
doi
چکیده
BACKGROUND: Chronic liver disease (CLD) is one of the most common chronic diseases in theworld that threatens the health of children due to its many complications such as malnutrition andproblems related to growth and development. Paying attention to nutrition and lifestyle modificationin these children is of special importance. Therefore, the aim of this study was to determine the effectof nutritional education program on micronutrient intake in children with CLD.MATERIALS AND METHODS: The present study is a two‑group randomized clinical trial that wasperformed by available sampling and referred to Ghaem Children’s Hospital in Mashhad in 2016. Inthis study, 77 children with CLD who met the inclusion criteria (45 children in the intervention group and32 children in the control group) were studied. The intervention included six workshops and training onproper diet, post‑workshop phone calls, and regular face‑to‑face counseling sessions (first 4 weeksonce a week and second 4 weeks once every 2 weeks) on adherence to the above diet. Patientsin the control group received routine care. The collection tools in the study included demographicinformation questionnaires, body composition device, and diet plan form in the form of 24‑h recallforms. Data analysis was performed using descriptive statistical tests and Mann–Whitney andWilcoxon statistical tests using SPSS software version 16.RESULTS: Based on the results of the study, the mean age of the research units was 7.8 ± 3.6 years.The mean duration of CLD was 4.6 ± 1.8 years in the intervention group and 5.1 ± 1.9 years in thecontrol group. The mean crude intake of most minerals after the intervention was significantly higherthan before the intervention, except for the crude intake of retinol, thiamine, riboflavin, folate, VitaminC, iodine, and Vitamin B12. Furthermore, in relation to the modified intake of micronutrients, themean modified intake of most micronutrients after the intervention showed a significant increasecompared to before, except for retinol, Vitamin D, niacin, B12, and iodine.CONCLUSION: Considering the effect of providing a nutritional education program to improvemicronutrient intake in children with CLD and emphasizing the importance of adequate micronutrientintake in improving the health of children, special nutrition programs should be provided to thesechildren with special attention. In this regard, nurses can play an important role in improving thequality of nutrition of children by providing nutrition programs with appropriate follow‑up.
