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Cited by 175Viral gastroenteritis research and epidemiologyChild Nutrition and Water AccessGastrointestinal motility and disorders

Clinical studies in persistent diarrhea: Dietary management with green banana or pectin in Bangladeshi children

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Rabbani, Golam H., Teka, Telahun, Zaman, Badiuz, Majid, N., Khatun, Makhduma, Fuchs, George J.·2001·Gastroenterology
DOI 10.1053/gast.2001.27178
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Abstract

Background & aims Because of the beneficial intestinal effects of dietary fibers, we have evaluated the therapeutic effects of green banana or pectin in children with persistent diarrhea.Methods In a double-blind trial, 62 boys, age 5-12 months, were randomly given a rice-based diet containing either 250 g/L of cooked green banana (n = 22) or 4 g/kg pectin (n = 19) or the rice-diet alone (control, n = 21), providing 54 kcal/dL daily for 7 days. Stool weight and consistency, frequency of vomiting and purging, and duration of illness were measured.Results Most children (60%) had no pathogens isolated from stools, 17% had rotavirus, 5% Vibrio cholerae, 4% Salmonella group B, and 11% had enterotoxigenic Escherichia coli infections. By day 3 posttreatment, significantly (P < 0.001) more children recovered from diarrhea receiving pectin or banana than controls (59%, 55%, and 15%, respectively). By day 4, these proportions correspondingly increased to 82%, 78%, and 23%, respectively, the study diet groups being significantly (P < 0.001) different than controls. Green banana and pectin significantly (P < 0.05) reduced amounts of stool, oral rehydration solution, intravenous fluid, and numbers of vomiting, and diarrheal duration.Conclusions Green banana and pectin are useful in the dietary management of persistent diarrhea in hospitalized children and may also be useful to treat children at home.

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Unripe banana peel can be eaten to treat diarrhea and vomiting.

    “Unripe banana peel can be eaten to treat diarrhea [89] and vomiting [92].”

    From Potential Valorization of Banana Production Waste in Developing Countries: Bio-Engineering Aspects (2024) · cites this paper as [92]

    The Results report that a diet containing green banana improved persistent diarrhea in Bangladeshi children. But the Preparation of Study Diets section says the skin was removed and only the pulp was fed, so this paper does not support eating banana peel as the treatment. The separate vomiting claim is attributed to citation [92], not this paper. (LLM, conf=0.90)

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Cites

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1 of the 28 references couldn’t be matched to a known paper.

Research works printed but not linked: 9

  1. World Health Organization (WHO). Persistent diarrhea in children in developing countries. Memorandum of a WHO meeting. Bull World Health Organ 1988;66:709 -717.
  2. Bhan MK, Bhandari N, Sazawal S, Clemens J, Raj P, Levine MM, Kaper JB. Longitudinal study of diarrhoeal diseases among chil- dren in rural North India: perspective epidemiology of persistent diarrhoea. Bull World Health Organ 1989;67:281-288.
  3. Walker-Smith JA. Diagnosis and dietary and pharmacological management of chronic diarrhea. In: Lifschitz CH, Nichols BL (eds). Malnutrition in chronic diet-associated infantile diarrhea: diagnosis and management. San Diego, CA: Academic Press, 1990:281-290.
  4. Kelsay JL, Jacob, RA, Prather ES. Effects of fibers from fruits and vegetables on metabolic responses on human subjects. Am J Clin Nutr 1979;32:2307-2311.
  5. Tripathy BM, Misra NP. Double-blind, randomized study of indig- enous compound (banana powder) in the management of peptic ulcer. J Assoc Physicians India 1986;34:58 -60.
  6. Rabbani GH, Albert MJ, Rahman H, Chowdhury A. Short-chain fatty acids inhibit fluid and electrolyte loss induced by cholera toxin in vivo. Dig Dis Sci 1999;44:1547-1553.
  7. Sack DA. The use of oral rehydration therapy in acute diarrhea: a practical guide. Drugs 1991;41:566 -573.
  8. Frankel W, Zhang W, Singh A. Stimulation of autonomic nervous system mediates short-chain fatty acid induced jejunotrophism. Surg Forum 1992;43:24 -26.
  9. Alam NH, Meier R, Sarkar SA, Bardhan PK, Fuchs GJ, Schneider H, Mahalanabis D, Gyr K, International Center for Diarrhoeal Disease Research. Efficacy of a soluble fiber supplemented oral rehydration solution in the treatment of acute non-cholera diar- rhea in children. Gastroenterology 1997;112:A2.

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Authors
Rabbani, G. H., Teka, T., Zaman, B., Majid, N., Khatun, M., & Fuchs, G. J.
Affiliations
International Centre for Diarrhoeal Disease Research (BD)
ORCID
Venue
Gastroenterology
Publisher
Elsevier BV
Published
2001-09
Volume
121
Issue
3
Pages
554-560
ISSN
0016-5085 (ISSN-L)
DOI
10.1053/gast.2001.27178
OpenAlex
W2053707938
Cited by
175
References
28
Citations by year
2026: 2 · 2025: 2 · 2024: 8 · 2023: 7 · 2022: 7 · 2021: 11 · 2020: 10 · 2019: 13 · 2018: 7 · 2017: 8 · 2016: 9 · 2015: 9 · 2014: 3 · 2013: 9 · 2012: 5
FWCI
5.88
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
persistent diarrhea, green banana, pectin, dietary fiber, dietary management, infant diarrhea, rotavirus, enterotoxigenic Escherichia coli, Vibrio cholerae, Salmonella, hospitalized children, oral rehydration solution, vomiting
MeSH terms
Antidiarrheals, Bangladesh, Diarrhea, Infantile, Double-Blind Method, Feces, Fluid Therapy, Humans, Infant, Infusions, Intravenous, Male, Pectins, Oryza, Vomiting, Treatment Outcome, Disease-Free Survival, Zingiberales

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