Macronutrient malabsorption in acute diarrhea: Prevalence and affecting factors

  • Lilis D. Hendrawati
  • Agus Firmansyah
  • Darlan Darwis
Keywords: Acute diarrhea, malabsorption syndrome, stool analysis

Abstract

Introduction Diarrhea remains a major problem for community
health in Indonesia. More than 25% of children with severe diar-
rhea suffer from malabsorption syndrome.
Objectives This study aimed to determine the age range of chil-
dren with acute diarrhea, the prevalence of macronutrient malab-
sorption, and the relationship between age and bacterial infec-
tion in macronutrient malabsorption.
Methods This was a cross-sectional study, subjects were chil-
dren aged 0-59 months with acute diarrhea whose stools were
obtained and examined in the laboratory of Gastrohepatology
Division, Department of Child Health, Cipto Mangunkusumo Hospi-
tal, Jakarta from January 2002 to December 2003.
Results Children with acute diarrhea were mostly in the age
range of 0-11 months (61%). The prevalence of lactose malab-
sorption was 11%, carbohydrate malabsorption was 19%, and
fat malabsorption was 51%. Moreover, the age group of 0-11
months had a 1.5 times greater possibility of lactose and fat
malabsorption compared to that of 12-59 months. The 12-59 months
age group had a greater possibility of suffering carbohydrate
maldigestion (70%). The group of children who did not suffer
from bacterial infection had a higher prevalence of lactose mal-
absorption (54%), carbohydrate maldigestion (65%), and fat
malabsorption (58%).
Conclusions Acute diarrhea occurred more frequently in the
age of 0-11 months. There was a significant correlation between
the age groups of 0-11 months and 12-59 months in experiencing
macronutrient malabsorption. Lactose malabsorption, carbohy-
drate maldigestion, and fat malabsorption were encountered more
frequently in the group that did not have bacterial infection

Author Biographies

Lilis D. Hendrawati
Department of Child Health, Medical School, University of
Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Agus Firmansyah
Department of Child Health, Medical School, University of
Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Darlan Darwis
Department of Child Health, Medical School, University of
Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

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Published
2016-10-13
How to Cite
1.
Hendrawati L, Firmansyah A, Darwis D. Macronutrient malabsorption in acute diarrhea: Prevalence and affecting factors. PI [Internet]. 13Oct.2016 [cited 14Jun.2024];45(5):207-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/841
Received 2016-10-10
Accepted 2016-10-10
Published 2016-10-13