Promoting Adherence to Medical Treatment in Chronic Childhood Illness: Concepts, Methods, and Interventions

By Dennis Drotar | Go to book overview

CHAPTER EIGHTEEN
Adherence to Diet in Chronic Conditions: The Example of Cystic Fibrosis

Lori J. Stark

Children's Hospital Medical Center, Cincinnati, OH

Nutritional recommendations are part of the management of many chronic illnesses of childhood, such that children are instructed to eat more foods, avoid foods, eat at prescribed times, and/or eat different foods. For example, children with Type 1 diabetes are instructed to avoid foods high in sugar and to eat at regular times corresponding to insulin injections. Children with phenylketonuria (PKU) are instructed to avoid foods containing phenylalanine. Children with cystic fibrosis (CF) are instructed to consume increased energy of 120% to 150% of the recommended daily allowance (RDA) for healthy children. Children with juvenile rheumatoid arthritis (JRA) need a high-protein diet. There is also research indicating that a special ketogenic diet may be an important treatment for children with intractable seizure disorders ( Kinsman, Vining, Quaskey, Mellits, & Freeman, 1992).

In addition to the modification of diet for the treatment of chronic conditions, childhood is also seen as the optimal time to intervene on diet to prevent chronic health conditions in adulthood. For example, the American Heart Association advocates a diet low in concentrated fat and high in fiber at all ages to prevent the risk of heart disease in adulthood. Research has found that some precursors to heart disease--such as elevated blood cholesterol, high blood pressure, and obesity--are evident in childhood (Center for Disease Control, 1994; Gortmaker, Dietz, Sobol, & Wehler, 1987), and children with these risk factors are likely to carry them into adulthood ( Ernst & Obarzanek, 1994). More recently, investigators have

-409-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Promoting Adherence to Medical Treatment in Chronic Childhood Illness: Concepts, Methods, and Interventions
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
/ 526

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.