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The Clinical Nutrition Service (CNS) at Children's Hospital Boston provides comprehensive nutrition consultation services for patients of all ages in both the inpatient and ambulatory (outpatient) settings. Using innovative diagnostic and evaluation techniques, our staff develops appropriate nutrition plans for infants, children and adolescents who suffer from a variety of disorders.
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The CNS treats healthy, growing children as well as those being seen at Children's for acute or chronic illnesses or conditions. Our program is for anyone who has concerns and questions about their child's diet, feedings, foods, their child's growth, special diets and healthy eating.
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Our program offers a multidisciplinary team approach, with staff experienced in a variety of highly specialized diagnostic and treatment areas:
Diagnostic Services
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- Comprehensive nutrition screening and assessment of nutritional needs.
- Detailed anthropometric measurements (body fat measurements through skinfold measures, lean body mass through arm muscle area).
- Detailed diet record analysis (72 hour prospective diet record using a computer analysis program).
- State of the art body composition analysis through bioelectrical impedance analysis (BIA).
- Measurement of resting energy expenditure (similar to basal metabolic rate) by indirect calorimetry.
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Consultation/Treatment Services
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- Planning, development and implementation of healthy eating guidelines and modified diet plans.
- Recommendations for infant formula or enteral feeding products.
- Recommendations pertaining to tube feedings.
- Management of patients receiving parenteral nutrition while hospitalized or as part of the Home Parenteral Nutrition Program.
- Nutrition education and diet instructions.
- Follow-up care for long-term nutritional needs.
- Consultation to patients, their care providers, and the health care team.
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Our staff works with a number of other clinical programs throughout the hospital to provide them with nutrition services. With many medical conditions, nutrition is often part of the therapy prescribed. Our specialty areas include:
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- Cardiac Disease
- Celiac Disease
- Crohn's Disease
- Cystic Fibrosis
- Diabetes
- Eating Disorders
- Food Allergies
- Metabolic Disorders
- Obesity
- Oncology
- Renal Disease
- Short Bowel Syndrome
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Lactose intolerance in children Children's Hospital Boston specialists Richard Grand, MD, Christopher Duggan, MD, MPH, and Catherine Gordon, MD discuss lactose intolerance and the American Academy of Pediatrics' new recommendations.
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