Highlights from the May 2007 Journal of the American Dietetic Association

poor growth status" that is "particularly striking by adolescence," according to researchers at the Childrens Hospital of Philadelphia.

While sickle cell disease affects up to one in 400 African-American children, few studies have been conducted to measure the nutritional effects of the "growth deficits and delayed pubertal development often seen" in people with sickle cell disease, according to the researchers. For three years, the researchers studied eating patterns of 97 children with sickle cell disease ranging in age from 18 months to 18 years. Among their findings:

  • Consumption of vitamins E and D, folate, calcium and fiber was low for children of all ages, compared with recommended amounts.
  • Consumption of vitamin A, magnesium and phosphorus was "suboptimal" in children older than 9.
  • The largest nutrient drops between the youngest children and the oldest were in protein, vitamin C, riboflavin, vitamin B12 and magnesium.
  • Steep drops in riboflavin, zinc, calcium, magnesium and phosphorus consumption occurred among all children during the three years of the study.

"The dropoff in micronutrient adequacy during the school-age years identifies a critical time point for nutrition intervention," the researchers write. "It is important for clinical care providers to emphasize the importance of nutritious and consistent meals and snacks in maintaining adequate dietary intake."

Additional research articles in the May Journal of the American Dietetic Association include:

  • Validation of Three Food Frequency Questionnaires to Assess Dietary Calcium Intake in Adults
  • Development and Evaluation of a Short Instrument to Estimate Usual Dietary Intake of Percent Energy from Fat
  • Is the Medficts Rapid Dietary Fat Screener Valid for Pre-Menopausal African-American Women?
  • Comparison of Three Methods if Dietary Fat Consumption in African-Americans
  • An Alternative to D

Contact: Jennifer Starkey
American Dietetic Association

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