A randomized controlled trial on the effect of dietary guidance on the treatment of Henoch-Schonlein purpura in children

The amino acid-based formulae were extensively added to diet of children for the treatment of Henoch-Schonlein purpura (HSP), and the nutrition and growth situation of children were evaluated after giving new dietary intervention. Patients were randomly divided into restricted diet group (n=30) and dietary guidance group (n=30). Besides, 30 cases with bronchiolitis who had normal diet were selected as the control group. The dietary questionnaire was designed to record the types and intakes of various foods taken by children every day, and the intake levels of nutrients were analyzed. Physical examination, biochemical analysis of blood and urine routine were carried out to evaluate the effect of dietary guidance on their growth and development. The results showed that restricted diet group had lower levels of nutrient intake and the actual/recommended percentage. However, overall nutrient intake level of the dietary guidance group was higher, basically equal to the recommended intake level. Besides, the actual intake and actual/recommended percentage of nutrients of dietary guidance group were significantly higher than those of restricted diet group (p<0.05). Dietary guidance can improve nutrients and protein intake of children with HSP, and reduce the relapse of rash and incidence of complications.

[1]  M. Yılmaz,et al.  Clinical manifestations and outcomes of 420 children with Henoch Schönlein Purpura from a single referral center from Turkey: A three-year experience , 2019, Modern rheumatology.

[2]  Xiaozhong Li,et al.  Association between anti-α-1,4-D-polygalacturonic acid antibodies and Henoch-Schönlein purpura in children , 2019, The Journal of international medical research.

[3]  Bo Hu,et al.  Henoch-Schönlein purpura with acute pancreatitis: analysis of 13 cases , 2018, BMC Pediatrics.

[4]  Huimin Jiang,et al.  [Effect of extensively hydrolyzed formula on growth and development of infants with very/extremely low birth weight]. , 2017, Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics.

[5]  S. Bouma Diagnosing Pediatric Malnutrition: Paradigm Shifts of Etiology-Related Definitions and Appraisal of the Indicators. , 2017, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition.

[6]  P. Trnka Henoch–Schönlein purpura in children , 2013, Journal of paediatrics and child health.

[7]  Wenjing Tang,et al.  [Investigation of nutritional status of pupils and dietary survey in primary schools in poor counties of Guangxi and Yunnan]. , 2013, Wei sheng yan jiu = Journal of hygiene research.

[8]  [Multicenter investigation of diagnosis and treatment of Henoch-Schonlein purpura nephritis in childhood]. , 2013, Zhonghua er ke za zhi = Chinese journal of pediatrics.

[9]  Y. Tabel,et al.  Clinical features of children with Henoch-Schonlein purpura: risk factors associated with renal involvement. , 2012, Iranian journal of kidney diseases.

[10]  P. Shi,et al.  Correlation between food intolerance and Henoch-Sch(o)nlein purpura in children , 2011 .

[11]  C. Caffarelli,et al.  Cow's milk protein allergy in children: a practical guide , 2010, Italian journal of pediatrics.

[12]  M. Hosoya,et al.  The incidence and severity of Henoch-Schönlein purpura nephritis over a 22-year period in Fukushima Prefecture, Japan , 2010, International Urology and Nephrology.

[13]  C. Ji,et al.  [Height and weight standardized growth charts for Chinese children and adolescents aged 0 to 18 years]. , 2009, Zhonghua er ke za zhi = Chinese journal of pediatrics.

[14]  L. Florescu,et al.  Zinc--essential micronutrient for child health and nutrition. , 2009, Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi.

[15]  A. Burks,et al.  Effects of Early Nutritional Interventions on the Development of Atopic Disease in Infants and Children: The Role of Maternal Dietary Restriction, Breastfeeding, Timing of Introduction of Complementary Foods, and Hydrolyzed Formulas , 2008, Pediatrics.

[16]  B. Morgenstern,et al.  Long-term Outcome in Children After Henoch-Schönlein Purpura Nephritis , 2007, Clinical pediatrics.

[17]  G. Ramnath,et al.  Henoch–Schönlein purpura in children: an epidemiological study among Dutch paediatricians on incidence and diagnostic criteria , 2007, Annals of the rheumatic diseases.

[18]  D. Prais,et al.  Recurrent Henoch-Schönlein Purpura in Children , 2007, Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases.

[19]  Y. Wang EVALUATION OF THE FOOD ALLERGEN TEST IN ETIOLOGICAL ANALYSIS AND TREATMENT GUIDANCE OF HENOCH-SCHONLEIN PURPURA IN CHILDREN , 2007 .

[20]  S. Mrusek,et al.  Henoch-Schönlein purpura , 2004, The Lancet.

[21]  T. Southwood,et al.  Incidence of Henoch-Schonlein purpura, Kawasaki disease, and rare vasculitides in children of different ethnic origins , 2002, The Lancet.

[22]  M. Welch Challenges in evaluating controller asthma therapy in children. , 2000, The Journal of allergy and clinical immunology.