1.An Electronic Questionnaire Survey Evaluating the Perceived Prevalence and Practices of Lactose Intolerance in 1 to 5 Year Old Children in South East Asia.
Michelle Li Nien TAN ; Leilani MUHARDI ; Seksit OSATAKUL ; Badriul HEGAR ; Yvan VANDENPLAS ; Thomas LUDWIG ; Jacques BINDELS ; Eline M VAN DER BEEK ; Seng Hock QUAK
Pediatric Gastroenterology, Hepatology & Nutrition 2018;21(3):170-175
PURPOSE: Lactose intolerance (LI) is perceived to be frequent in Asia and has been reported to have considerable impact on dietary intake, nutritional status and the quality of life. We aimed to gather information from healthcare professionals on the perceived incidence, diagnosis and management of LI in 1 to 5 year old children in Southeast Asia. METHODS: An anonymous electronic survey was sent randomly among healthcare professionals registered in the database of the pediatric societies in Thailand, Indonesia, and Singapore between June and October 2016. RESULTS: In total, 259 health care professionals responded of which 45.5% (n=118) were from Thailand, 37.4% (n=97) from Indonesia and 16.9% (n=44) from Singapore. Of the participants who responded (n=248), primary LI prevalence among children 1 to 3 years of age was estimated to be less than 5% by 56.8%. However, about 18.9% (n=47) answered they did not know/unsure. Regarding secondary LI, 61.6% of respondents (n=153) estimated the prevalence to be less than 15%. But again, 10.8% (n=27) answered they did not know or unsure. Rotavirus gastroenteritis was ranked as the top cause for secondary LI. There was considerable heterogeneity in the diagnostic methods used. The majority of respondents (75%) recommended lactose-free milk to manage primary and secondary LI. CONCLUSION: More education/training of pediatricians on this topic and further epidemiological studies using a more systematic approach are required.
Anonyms and Pseudonyms
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Asia
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Asia, Southeastern
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Child*
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Delivery of Health Care
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Diagnosis
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Epidemiologic Studies
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Far East*
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Gastroenteritis
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Health Personnel
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Humans
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Incidence
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Indonesia
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Lactose Intolerance*
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Lactose*
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Milk
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Nutritional Status
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Population Characteristics
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Prevalence*
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Quality of Life
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Rotavirus
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Singapore
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Surveys and Questionnaires
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Thailand
2.Recommendations to promote breast milk feeding and enhance nutritional care for preterm infants in the Asia-Pacific region: highlights from a roundtable discussion of key opinion leaders
Fook-Choe Cheah ; Tian-Lee Tan ; Ursula Herulah ; Charisma Dilantika ; Leilani Muhardi ; Girish Deshpande ; Rinawati Rohsiswatmo ; Satish Saluja ; Ruurd Van Elburg
Malaysian Journal of Nutrition 2021;27(No.2):201-207
Introduction: Preterm infants are vulnerable to nutritional deficiencies, thus
optimal nutrition is crucial in promoting growth among these infants. However,
socio-cultural complexities and limited resources in the Asia-Pacific demands
a judicious approach in implementing nutritional care that is pragmatic to align
with current evidence-based recommendations. Methods: A roundtable meeting
was held in Jakarta in 2017 for key opinion leaders in neonatology from the Asia-
Pacific to discuss issues when delivering nutritional care in this region and the
unique circumstances encountered. Results: Priority areas discussed include: (i)
breast milk feeding, (ii) donor milk bank/sharing, (iii) human milk fortification, and
(iv) nutrient-enriched breast milk substitutes. Socio-cultural practices impeding
breastfeeding, insufficient maternity leave, the religious issue of milk kinship, and
limited availability of specialty nutritional care products were among the most
challenging factors. Conclusion: The group proposed recommendations to enhance
breastfeeding uptake, accessibility to a complete portfolio of specialty nutritional
care products, and encouraging more active collaborations to engage policy makers
in addressing these contemporary issues.