Nutritional Assessment of Down Syndrome Children and Nutritional Awareness of their Caregivers in Delta Region, Egypt
Keywords:down syndrome, nutritional assessment, DRI, nutritional awareness
Background: Down’s syndrome (DS) is the most common genetic condition in the world today and growth retardation is commonly seen in children with DS. Early identification of a growth problem is important because timely interventions may positively affect the child’s general health and functional abilities as well as supporting growth. Children with DS have nutritional problems with unknown
implications besides increased potential for obesity. The aim of study was to delineate eating and lifestyle habits of DS and assess dietary problems and challenges they face and to recommend appropriate monitoring strives to reduce the risk of inadequate nutrition, educate caregivers, and produce early detection and referral for conditions manifested by growth disorders. Methods: A cross sectional study was conducted including (106) child with DS including (64) males and (42) females attending the Intellectual Education Schools and follow up at outpatient clinic of Genetics department, Tanta Faculty of Medicine, Tanta University. An interview questionnaire was used including sociodemographic characteristics, dietary habits, and anthropometric measurements. Results: About (17.0%) of studies children were stunted, (13.2%) obese and (2.8%) were under weight. A significant positive correlation was found between the socioeconomic status of participants and awareness score of caregivers (r= 0.428, p= 0.000). Regarding energy intake and dietary macronutrients, energy intake exceeded the Estimated Energy proteins, fats, and carbohydrates Requirement corresponding to age, sex, body Excessive intake of vitamins B1, B2, and B6 was observed in all subjects, and that of vitamins B3 (niacin), B12, A, and C in the vast majority of subjects, while deficiency of vitamin D was observed in all individuals and folic acid in (22.2%) of individuals. Excessive intake of minerals, such as sodium, phosphorus, and was noted among most of the respondents, while calcium and magnesium were about half when compared to RDI% found to be insufficient. Conclusion: Our study can be valuable in the future interventions for the health care professionals, parents and caregivers of children and adolescents with DS in emphasizing the need for regular monitoring of their physical status and feeding behaviors.
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