LOW FAT MILK V/S LOW LACTOSE MILK FOR PATIENTS WITH DIFFERENT NUTRITIONAL STATUS WHO SUFFERED FROM ACUTE DIARRHEA
ABSTRACT: Malnourished has a
great impact in decreasing the production and maturation of enterocytes,
intestinal enzymes and nutrient transport. It also decreases villous length and
the amount of microvilies, which causes intolerance and malabsorption.
Objective. To compare low fat milk v/s low lactose milk in the recovery of
acute diarrhea children with different nutritional status. Methods. Prospective, randomized sampling,
group I: low fat milk was compared to group II: low lactose milk and length of
diarrhea recovery was evaluated. Result. During January – February 2002: 40 patients
with acute diarrhea, age between 4 months old – 7 years old, 62.5% of the
patients with good nutritional status, 22.5% under nourished and 15% with
severe under nourished. 50% of the patients were given low fat milk and the other
50% were given low lactose milk. Length of recovery: severe under nourished in
group I: mean 3 days, SD + 1.41 was compared to group II: mean 2.5 days, SD +
0.71 (p: 0.830); under nourished in group I: mean 2.4 days, SD + 0.55 compared
to group II: mean 2.5 days, SD + 0.58 (p: 0.777); good nourished in group I:
mean 3.18 days, SD + 0.98 compared to group II: mean 2.79 days, SD + 1.12 (p:
0.201). Conclusion. There were no significant differences in length of recovery
in diarrhea patients given low fat milk compared to those receiving low lactose
milk with different nutritional status.
Author: Siti Nurul Hidayati,
Roedi Irawan, Boerhan Hidayat
Journal Code: jpkedokterangg050035
