Dietary Practices Of Older Children With Sickle Cell Disease At The Sickle Cell Center, Benin City, Nigeria
Abstract:
Nutrient needs are higher during adolescence and those
with sickle cell disease require a diet that provides plenty of calories,
protein, vitamins and minerals. It is therefore pertinent to study the dietary
practices of older children who are mainly adolescents with sickle cell
disease. This study took place at the sickle cell center Benin City, Edo state
using a cluster of clients who are adolescents within the study period of 4
weeks. Clients who participated in this study were both out-patient and in-patients.
A total of 60 clients were interviewed using an interviewer/self
administered questionnaire with 51.7% females and 66.6% were 15 years or less. Although
83.3% of the adolescents reportedly take adequate diet, only 35% include fresh
vegetables, 41% include fresh fruits, 15% include wheat and 17% include beans
in their daily diet. Majority (68.3%) reportedly take ‘special diet’ only when
in crisis. This study has shown that adolescents under study do not adequately
eat diet that are beneficial to their health and good sources of macro and
micronutrients evidenced by the poor irregular intake of fruits, vegetables,
beans and wheat products though they claimed to be taking adequate diet. Consequently,
emphasis need to be placed on intake of adequate nutritious diet regularly and
not just the intake of ‘special diet’ when they are in crisis.
References:
[1.] Aina R. O. and Onasoga O. A. (2013) Perception of Pain among
adolescents with sickle cell disease in Benin city, Edo state, Nigeria. Pelagia
Library: European Journal of Experimental Biology 2013, 3(1): 401-405
[2.] Ashara Calisse-Atchley Cashaw, 2013. Feasibility of a Nutrition
Training Program on Improving Self-Efficacy and life skill Development for
adolescents with Sickle Cell disease – Unpublished dissertation for Doctor of
Psychology, Philadelphia College of Osteopathic Medicine, Depatment of
Psychology.
[3.] de
Franceschi L, Bachir D, Galacteros F, et al. Oral magnesium supplements reduce
erythrocyte dehydration in patients with sickle cell disease. J Clin Invest.
1997;100:1847-1852.
[4.] de Franceschi L, Bachir D, Galacteros F, et al. Oral magnesium
pidolate: effects of long-term administration in patients with sickle cell
disease. Br J Haematol. 2000;108(2):284–9.
[5.] Glew
RH, Casados J K, Huang Y S, et al. The fatty acid composition of the serum
phospholipids of children with sickle cell disease in Nigeria. Prostaglandins
Leukot Essent Fatty Acids. 2002;67:217-222.
[6.] Jaja
SI, Ikotun AR, Gbenebitse S, et al. Blood pressure, hematologic and erythrocyte
fragility changes in children suffering from sickle cell anemia following
ascorbic acid supplementation. J Trop Pediatr. 2002;48:366-370.
[7.] Malinauskas B.M., Gropper S.S., Kawchak D.A., et al., 2000 Impact
of acute illness on nutritional status of infants and young children with
sickle cell disease. Journal of American Diet Association 2000:100:330-334
[8.] Marwah S. S, Blann A.D. Rea C., et al. Reduced Vitamin E
antioxidant capacity in sickle cell disease is related to transfusion status
but not to sickle crisis. American Journal of Heamatology, 2002:69:144-146
[9.] Muskiet
FA, Muskiet FD, Meiborg G, et al. Supplementation of patients with homozygous
sickle cell disease with zinc, alpha-tocopherol, vitamin C, soybean oil, and
fish oil. Am J Clin Nutr. 1991;54:736-744.
[10.] Nutrition MD Healthcare
Providers. 2015. Sickle Cell Disease: Nutritional Considerations. http://www.nutritionmd.org/consumenrs/heamatology/sickle_cel_nutriton.html
Accessed 24/09/2015
[11.] Ohnishi ST, Ohnishi T, Ogunmola GB. Sickle cell anemia: a
potential nutritional approach for a molecular disease. Nutrition.
2000;16:330-338.
[12.] Organic Information services Pvt ltd., 2015 Nutritional Value of
Wheat and barley. https://www.organicfacts.net/nutrition-facts/nutritional-value-of-wheat-and-barley.html
Accessed 16th October, 2015.
[13.] Tomer A, Kasey S, Connor WE, et al. Reduction of pain episodes
and prothrombotic activity in sickle cell disease by dietary n-3 fatty acids. Thromb
Haemost. 2001;85(6):966–74