ascorbic-acid and Feeding-and-Eating-Disorders

Numerous cases of scurvy secondary to diet limitations have been reported in the literature with most being boys with special needs. To date, the focus of the literature describing vitamin C deficiency has been the medical sequelae of the deficiency. There has been little attention given underlying diet limitations causing the vitamin C deficiency.. A five-year-old female with typical development initially presented with rash, then later for pain in both lower extremities. After evaluation revealed vitamin C deficiency, she was admitted into an intensive day treatment feeding program. A feeding assessment found she had life-long problems with eating and had a diet that never exceeded ten foods. Across the course of treatment, she learned to eat 29 new foods. At six-month follow-up her body mass index had increased from the 1st to the 61st percentile. At one-year follow-up her body mass index was at the 85th percentile. All sequalae of her deficiency resolved.. This case is unusual as most reported studies describe males with special needs. The severity of her eating issues suggest providers may consider referral to allied health professionals to address diet limitations for both children identified with nutrient deficiencies as well as children whose selective eating places them at risk for nutritional deficiencies or problems with growth. The child we described was anemic, like 42% of children described in the case literature on scurvy and like 32% of the children in this literature, our patient was underweight. In the literature, comorbid nutrient deficiencies were reported in 22% of the scurvy case studies. We suggest vitamin C supplementation is a necessary component for addressing vitamin C deficiency, but insufficient for addressing the diet limitations causing the nutrient deficiency.

Topics: Ascorbic Acid; Autism Spectrum Disorder; Body Mass Index; Child; Child, Preschool; Feeding and Eating Disorders; Feeding Behavior; Female; Humans; Male; Scurvy; Vitamins

Dental erosion is increasingly recognized as a common condition in paediatric dentistry with complications of tooth sensitivity, altered aesthetics and loss of occlusal vertical dimension. The prevalence of erosion in children has been reported to range from 10% to over 80%. The primary dentition is thought to be more susceptible to erosion compared to the permanent dentition due to the thinner and less mineralized enamel. The aim of this paper was to critically review dental erosion in children with regards to its prevalence, aetiology, diagnosis and prevention. The associations between erosion and other common conditions in children such as caries and enamel hypoplasia are also discussed.

Topics: Ascorbic Acid; Australia; Beverages; Caseins; Child; Child, Preschool; Dental Caries; Dental Enamel Hypoplasia; Dental Pellicle; Drug-Related Side Effects and Adverse Reactions; Feeding and Eating Disorders; Fluorides, Topical; Gastroesophageal Reflux; Germany; Humans; Prevalence; Risk Factors; Tooth Erosion; Tooth, Deciduous; United Kingdom; Vomiting

Recent studies have demonstrated suppressed growth of height and weight in children receiving stimulant drugs for hyperactivity. For approximately twelve months, growth data and food records were collected on two subjects receiving different types and dosages of stimulant drugs. The two cases demonstrated that dextroamphetamine levels of 10 mg. or more and methylphenidate levels of 30 mg. or more decreased caloric intake significantly. This decrease may be limiting for long-term growth. Both subjects had a variety of feeding problems due to poor appetite. Careful nutritional evaluation and planning are important to insure optimal energy and nutrient intake in these children receiving stimulant drugs.

Topics: Ascorbic Acid; Calcium, Dietary; Child; Clinical Trials as Topic; Dextroamphetamine; Diet; Dietary Proteins; Dose-Response Relationship, Drug; Energy Intake; Feeding and Eating Disorders; Growth; Humans; Hyperkinesis; Iron; Male; Methylphenidate; Vitamin A

Topics: Adult; Aged; Aminobutyrates; Ascorbic Acid; Attention; Calcium; Depression; Emotions; Fatigue; Feeding and Eating Disorders; Female; Glutathione; Humans; Inositol; Magnesium; Male; Memory Disorders; Middle Aged; Sleep Wake Disorders; Statistics as Topic

A 10-year-old boy developed a perifollicular rash during interim maintenance of T-Cell acute lymphoblastic leukaemia. Differential diagnoses included drug reaction and inflammatory process. Before diagnosis, the patient had a limited diet--low in vegetables and fruits--due to selective eating, with later anorexia and taste aversions due to chemotherapy treatment. Despite nutritional counselling and starting a multivitamin, the patient incurred severe weight loss (18.5% of his usual body weight). Serum levels of ascorbic acid were non-detectable, at <5 μmol/L, indicative of vitamin C deficiency. The patient began vitamin C supplementation containing 125 mg ascorbic acid three times a day for 7 days, then 125 mg once daily for 3 months to normalise serum vitamin C. After ascorbic acid treatment was completed, the patient started a complete multivitamin and made efforts to eat fruits and vegetables rich in vitamin C. His serum ascorbic acid concentrations normalised to 52 μmol/L 3 months after receiving supplementation.

Topics: Ascorbic Acid; Ascorbic Acid Deficiency; Child; Dietary Supplements; Directive Counseling; Energy Intake; Feeding and Eating Disorders; Fruit; Humans; Male; Patient Compliance; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma; Treatment Outcome; Vegetables; Vitamins; Weight Loss

Topics: Ascorbic Acid; Body Weight; Child; Child, Preschool; Feeding and Eating Disorders; Female; Fish Oils; Humans; Infant; Male; Thiamine

Topics: Adult; Aged; Anorexia Nervosa; Ascorbic Acid; Asthenia; Dyspepsia; Feeding and Eating Disorders; Female; Humans; Male; Middle Aged; Phosphatidylcholines

Topics: Ascorbic Acid; Bendroflumethiazide; Diuretics; Edema, Cardiac; Electrolytes; Feeding and Eating Disorders; Geriatrics; Heart Failure; Humans; Hypertension; Nausea; Potassium; Toxicology; Vitamin B Complex; Vomiting

Topics: Adenine Nucleotides; Ascorbic Acid; Asthenia; Feeding and Eating Disorders; Geriatrics; Humans; Influenza, Human; Liver Extracts; Metabolism

Topics: Ascorbic Acid; Carbamoyl-Phosphate Synthase I Deficiency Disease; Deficiency Diseases; Disease; Drinking Behavior; Extremities; Feeding and Eating Disorders; Humans; Thiamine