BRAT diet: Difference between revisions
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|caption= The BRAT diet: [[banana]], [[rice]], [[apple sauce]], and [[Toast (food)|toast]] |
|caption= The BRAT diet: [[banana]], [[rice]], [[apple sauce]], and [[Toast (food)|toast]] |
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The '''BRAT diet |
The '''BRAT diet'' is a for brats like little children [[Dieting|diet]] that was once recommended for people, particularly children, with [[gastrointestinal]] distress like [[vomiting]], [[diarrhea]], or [[gastroenteritis]]. Evidence, however, does not support a benefit.<ref name=Mac2005/> It is no longer generally recommended as it is unnecessarily restrictive.<ref name=Mac2005>{{cite journal|last1=Mackell|first1=S|title=Traveler's diarrhea in the pediatric population: etiology and impact.|journal=Clinical Infectious Diseases|date=1 December 2005|volume=41 Suppl 8|pages=S547-52|pmid=16267717|doi=10.1086/432950|doi-access=free}}</ref><ref name=CDC2003>{{cite journal |vauthors=King CK, Glass R, Bresee JS, Duggan C |title=Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy |journal=MMWR Recomm Rep |volume=52 |issue=RR-16 |pages=1–16 | date=November 2003 |pmid=14627948 |url=https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5216a1.htm}}</ref> The diet was first discussed in 1926.<ref name="Mac2005" /> |
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An [[acronym]], BRAT stands for [[banana]]s, [[rice]], [[apple sauce]], and [[Toast (food)|toast]]<!--a citation is needed for this: "(or [[tea]])"-->, the four food components of the diet.<ref name=Mac2005/> Additionally, it is recommended that all people, regardless of age, drink plenty of fluids to prevent dehydration, along with [[oral rehydration solutions]] to replace the depleted [[electrolyte]]s and avoid [[salt imbalance]].<ref>{{cite journal|last1=Duggan|first1=C|last2=Santosham|first2=M|last3=Glass|first3=RI|title=The management of acute diarrhea in children: oral rehydration, maintenance, and nutritional therapy. Centers for Disease Control and Prevention.|journal=MMWR. Recommendations and Reports |date=16 October 1992|volume=41|issue=RR-16|pages=1–20|pmid=1435668}}</ref> Severe, untreated salt imbalance can result in "extreme weakness, confusion, coma, or death."<ref name="UIMC">{{cite web|url=http://uimc.discoveryhospital.com/main.php?id=3149 |title=salt imbalance |access-date=8 April 2007 |author=Eileen McLaughlin, RN |date=July 24, 2000 |url-status=dead |archive-url=https://web.archive.org/web/20070702122114/http://uimc.discoveryhospital.com/main.php?id=3149 |archive-date=2 July 2007 }}</ref> |
An [[acronym]], BRAT stands for [[banana]]s, [[rice]], [[apple sauce]], and [[Toast (food)|toast]]<!--a citation is needed for this: "(or [[tea]])"-->, the four food components of the diet.<ref name=Mac2005/> Additionally, it is recommended that all people, regardless of age, drink plenty of fluids to prevent dehydration, along with [[oral rehydration solutions]] to replace the depleted [[electrolyte]]s and avoid [[salt imbalance]].<ref>{{cite journal|last1=Duggan|first1=C|last2=Santosham|first2=M|last3=Glass|first3=RI|title=The management of acute diarrhea in children: oral rehydration, maintenance, and nutritional therapy. Centers for Disease Control and Prevention.|journal=MMWR. Recommendations and Reports |date=16 October 1992|volume=41|issue=RR-16|pages=1–20|pmid=1435668}}</ref> Severe, untreated salt imbalance can result in "extreme weakness, confusion, coma, or death."<ref name="UIMC">{{cite web|url=http://uimc.discoveryhospital.com/main.php?id=3149 |title=salt imbalance |access-date=8 April 2007 |author=Eileen McLaughlin, RN |date=July 24, 2000 |url-status=dead |archive-url=https://web.archive.org/web/20070702122114/http://uimc.discoveryhospital.com/main.php?id=3149 |archive-date=2 July 2007 }}</ref> |
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Revision as of 03:21, 19 May 2022
The 'BRAT diet is a for brats like little children diet that was once recommended for people, particularly children, with gastrointestinal distress like vomiting, diarrhea, or gastroenteritis. Evidence, however, does not support a benefit.[1] It is no longer generally recommended as it is unnecessarily restrictive.[1][2] The diet was first discussed in 1926.[1]
An acronym, BRAT stands for bananas, rice, apple sauce, and toast, the four food components of the diet.[1] Additionally, it is recommended that all people, regardless of age, drink plenty of fluids to prevent dehydration, along with oral rehydration solutions to replace the depleted electrolytes and avoid salt imbalance.[3] Severe, untreated salt imbalance can result in "extreme weakness, confusion, coma, or death."[4]
Nutritional analysis
The BRAT diet is no longer generally recommended.[2] The American Academy of Pediatrics states that most children should continue a normal, age appropriate diet. The foods from the BRAT diet may be added, but should not replace normal, tolerated foods. Sugary drinks and carbonated beverages should be avoided.[5] The BRAT diet is no longer routinely recommended to those who have had stem cell transplants and have diarrhea due to graft-versus-host disease, as long-term use can lead to nutritional deficiencies.
Adding rice, bananas, or pectin to the diet while suffering from diarrhea may be beneficial, but physicians Debora Duro and Christopher Duggan point out that the diet is not nutritionally complete and may be deficient in energy, fat, protein, fiber, vitamin A, vitamin B12, and calcium. Duro and Duggan also say that food restriction does not alleviate diarrhea and actually causes individuals to have diarrhea for longer periods, according to randomized clinical trials.[6]
Medical attention is required when on the BRAT diet if any blood or mucus is present in the diarrhea, if the diarrhea is severe, or if it lasts longer than 3 days.[7]
Alternatives
Additionally, other medical professionals advise first aid treatment for gastroenteritis by briefly limiting the diet to bland, easy-to-digest foods (similar to the BRAT diet) and plenty of liquids (including oral rehydration therapy, e.g. oral pediatric electrolyte solutions sold at retail).[8]
See also
- Compare a bland diet
References
- ^ a b c d Mackell, S (1 December 2005). "Traveler's diarrhea in the pediatric population: etiology and impact". Clinical Infectious Diseases. 41 Suppl 8: S547-52. doi:10.1086/432950. PMID 16267717.
- ^ a b King CK, Glass R, Bresee JS, Duggan C (November 2003). "Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy". MMWR Recomm Rep. 52 (RR-16): 1–16. PMID 14627948.
- ^ Duggan, C; Santosham, M; Glass, RI (16 October 1992). "The management of acute diarrhea in children: oral rehydration, maintenance, and nutritional therapy. Centers for Disease Control and Prevention". MMWR. Recommendations and Reports. 41 (RR-16): 1–20. PMID 1435668.
- ^ Eileen McLaughlin, RN (July 24, 2000). "salt imbalance". Archived from the original on 2 July 2007. Retrieved 8 April 2007.
- ^ Kyle, Terri (2008). Essentials of pediatric nursing. p. 685. ISBN 978-0-7817-5115-5.
- ^ Duro, Debora; Duggan, Christopher (June 2007). "The BRAT Diet for Acute Diarrhea in Children: Should It Be Used?" (PDF). Practical Gastroenterology. Retrieved 2009-10-25.
- ^ University Of Michigan Mott Children's Hospital. "BRAT diet: What is the BRAT diet?". Archived from the original on 20 February 2007. Retrieved 8 April 2007.
- ^ Mayo Clinic Staff. "Gastroenteritis: First aid - Mayoclinic.com". Retrieved 6 March 2011.