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Oral protein energy supplements for children with cystic fibrosis: CALICO multicentre randomised controlled trial.


ABSTRACT:

Objective

To determine whether oral protein energy supplements, used long term in children with cystic fibrosis who are moderately malnourished, improve nutritional and other outcomes.

Design

Multicentre randomised controlled trial.

Setting

Seven specialist paediatric cystic fibrosis centres and their associated shared care clinics and seven smaller paediatric cystic fibrosis clinics.

Participants

102 children with cystic fibrosis, aged between 2 and 15 years, who were moderately malnourished.

Interventions

Oral protein energy supplements in addition to usual dietary advice compared with dietary advice alone, for 12 months.

Main outcome measure

Change in body mass index centile over one year.

Results

Use of supplements was not associated with a change in body mass index centile (mean difference 2.99 centile points, 95% confidence interval -2.70 to 8.68) or other nutritional and spirometric outcomes in this group of children.

Conclusions

Long term use of oral protein energy supplements did not result in an improvement in nutritional status or other clinical outcomes in children with cystic fibrosis who were moderately malnourished. Oral protein energy supplements should not be regarded as an essential part of the management of this group of children.

Trial registration

ISRCTN: 95744468.

SUBMITTER: Poustie VJ 

PROVIDER: S-EPMC1403226 | biostudies-literature | 2006 Mar

REPOSITORIES: biostudies-literature

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Publications

Oral protein energy supplements for children with cystic fibrosis: CALICO multicentre randomised controlled trial.

Poustie Vanessa J VJ   Russell Jayne E JE   Watling Ruth M RM   Ashby Deborah D   Smyth Rosalind L RL  

BMJ (Clinical research ed.) 20060208 7542


<h4>Objective</h4>To determine whether oral protein energy supplements, used long term in children with cystic fibrosis who are moderately malnourished, improve nutritional and other outcomes.<h4>Design</h4>Multicentre randomised controlled trial.<h4>Setting</h4>Seven specialist paediatric cystic fibrosis centres and their associated shared care clinics and seven smaller paediatric cystic fibrosis clinics.<h4>Participants</h4>102 children with cystic fibrosis, aged between 2 and 15 years, who we  ...[more]

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