Rehabilitation of P.E.M. children.
OBJECTIVE
The High Density Diet (HDD) tested in this study is a diet prepared with indigenous food items and is therefore inexpensive.


METHODS
Malnourished patients were inducted in three groups. Group A was given only high density diet (HDD) for 7 days and then given routine diet plus HDD for the next 7 days. Group B was given routine diet plus HDD for 14 days. Group C was given only routine diet for 14 days and was the control group.


RESULTS
The results were best when HDD was used as a supplement to routine diet (group B). The average weight gain in gm/kg/day for this group was 6, while that for the control group was 2.1. Group A had a weight gain of 4.8 gm/kg/day. Similarly the average caloric intake for the controls was very low throughout the 2-week period, while group B had the best intake, which rose steadily from day one and reached 1200 calories on day 14. Children in group A had a maximum intake of 800 calories in the first week and in the second week this rose up to 1200, equaling that of group B. No case of vomiting, abdominal pain and cramps were reported.


CONCLUSIONS
The High Density Diet is hence, low in cost, easy to prepare at home by mothers and effective in bringing about rapid weight gain in malnourished children.
Bharmal
F Y
FY
Department of Pediatrics, Civil Hospital, Karachi, Pakistan. bharmal@cyber.net.pk
Akram
D S
DS
D002675:Child, Preschool; D004032:Diet; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D007223:Infant; D008297:Male; D018529:Nutritional Support / Q000379:methods*; D011336:Probability; D011502:Protein-Energy Malnutrition / Q000175:diagnosis / Q000534:rehabilitation*; D012016:Reference Values; D012720:Severity of Illness Index; D016896:Treatment Outcome; D015430:Weight Gain