{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T01:51:54Z","timestamp":1793497914245,"version":"4.5.0"},"reference-count":51,"publisher":"American Academy of Pediatrics (AAP)","issue":"Supplement_2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10,1]]},"abstract":"<jats:p>Advances in treatment and multidisciplinary management have resulted in improved survival of individuals with Duchenne muscular dystrophy (DMD). Updated DMD treatment recommendations as found in the 2018 DMD Care Considerations are aimed to assist multidisciplinary care teams in providing standardized care to their patients, including attention to nutritional and gastrointestinal health. Challenges remain for care teams in accurately estimating height and nutritional status for individuals with DMD. It can be difficult for patients to maintain a healthy weight. Risk factors for obesity include glucocorticoid therapy and loss of ambulation. In contrast, in the later stages of the disease, swallowing dysfunction can lead to poor nutrition and consideration for gastrostomy tube placement. Constipation is highly prevalent, underrecognized, and undertreated in DMD. With this article, we address the assessment and management of gastrointestinal and nutritional issues, as well as clinical controversies.<\/jats:p>","DOI":"10.1542\/peds.2018-0333g","type":"journal-article","created":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T08:26:19Z","timestamp":1538382379000},"page":"S53-S61","source":"Crossref","is-referenced-by-count":35,"title":["Nutritional and Gastrointestinal Management of the Patient With Duchenne Muscular Dystrophy"],"prefix":"10.1542","volume":"142","author":[{"given":"David","family":"Brumbaugh","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Watne","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Gottrand","sequence":"additional","affiliation":[{"name":"Jean de Flandre Hospital, Universit\u00e9 de Lille, Centre Hospitalier R\u00e9gional Universitaire de Lille, Lille, France;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Gulyas","sequence":"additional","affiliation":[{"name":"Western Maryland Hospital Center, Hagerstown, Maryland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Kaul","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Larson","sequence":"additional","affiliation":[{"name":"Jacqueline Larson and Associates, Newport Beach, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Tomezsko","sequence":"additional","affiliation":[{"name":"Medical Nutrition Consulting of Media LLC, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2018,10,1]]},"reference":[{"issue":"3","key":"2021120817533096300_B1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S1474-4422(18)30024-3","article-title":"Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management","volume":"17","author":"Birnkrant","year":"2018","journal-title":"Lancet Neurol"},{"key":"2021120817533096300_B2","volume-title":"2015-2020 Dietary Guidelines for Americans","author":"US Department of Health and Human Services","year":"2015","edition":"8th ed"},{"key":"2021120817533096300_B3","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.jpeds.2016.02.067","article-title":"Corticosteroid treatment and growth patterns in ambulatory males with Duchenne muscular dystrophy.","volume":"173","author":"Lamb","year":"2016","journal-title":"J Pediatr"},{"issue":"6","key":"2021120817533096300_B4","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.nmd.2014.03.002","article-title":"Influence of a two-year steroid treatment on body composition as measured by dual X-ray absorptiometry in boys with Duchenne muscular dystrophy.","volume":"24","author":"Vuillerot","year":"2014","journal-title":"Neuromuscul Disord"},{"issue":"1","key":"2021120817533096300_B5","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1177\/08830738030180011201","article-title":"Postoperative malnutrition in Duchenne muscular dystrophy.","volume":"18","author":"Iannaccone","year":"2003","journal-title":"J Child Neurol"},{"issue":"suppl 2","key":"2021120817533096300_B6","first-page":"e20180333D","article-title":"Rehabilitation management of the patient with Duchenne muscular dystrophy.","volume":"142","author":"Case","year":"2018","journal-title":"Pediatrics"},{"key":"2021120817533096300_B7","unstructured":"Centers for Disease Control and Prevention\n          . 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