AIM To assess the risks, benefits, and resource implications of home-blended food for children with gastrostomy tubes compared with a formula diet. METHOD This prospective cohort study of children (aged 0-18 years) collected baseline data on gastrointestinal symptoms, nutritional intake, anthropometric outcomes, parent and child quality of life, and resource use. A propensity score-weighted generalized linear mixed model was used to compare children receiving a home-blended versus formula diet. RESULTS Baseline data were obtained for 180 children (2019-2021; 107 males, 73 females; mean age 9 years 7 months [SD  4 years 5 months]). Children receiving a home-blended diet (n  = 104) had similar diagnoses and age but more lived in areas of lower deprivation and parental education was higher compared to the parents of children receiving a formula diet (n  = 76). Children receiving home-blended diets had significantly better gastrointestinal scores than those receiving formula diets (B  = 13.8, p  < 0.001). The number of gut infections and tube blockages were similar between the two groups but with fewer stoma site infections in the group receiving home-blended food. Children receiving a home-blended diet had more fibre in their diet compared to children receiving a formula diet. INTERPRETATION Home-blended diets should be seen as a safe option for children who are gastrostomy-fed unless clinically contraindicated. Equality of access to home-blended diets for children with gastrostomy should be assessed by local clinical teams.

中文翻译：

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“YourTube”不同饮食对胃造口喂养儿童的作用：前瞻性队列研究的基线结果。

目的 评估与配方饮食相比，家庭混合食品对胃造口管儿童的风险、益处和资源影响。方法 这项针对儿童（0-18 岁）的前瞻性队列研究收集了胃肠道症状、营养摄入、人体测量结果、父母和儿童的生活质量以及资源使用的基线数据。使用倾向得分加权广义线性混合模型来比较接受家庭混合饮食和配方饮食的儿童。结果 获得了 180 名儿童的基线数据（2019-2021 年；107 名男性，73 名女性；平均年龄 9 岁 7 个月 [SD 4 岁 5 个月]）。与接受配方饮食的儿童的父母 (n = 76) 相比，接受家庭混合饮食的儿童 (n = 104) 具有相似的诊断和年龄，但更多的人生活在贫困程度较低的地区，而且父母的教育程度较高。接受家庭混合饮食的儿童的胃肠道评分明显优于接受配方饮食的儿童（B = 13.8，p < 0.001）。两组之间的肠道感染和管道堵塞的数量相似，但接受家庭混合食物的组中造口部位感染较少。与接受配方饮食的儿童相比，接受家庭混合饮食的儿童饮食中纤维含量更高。解释 家庭混合饮食应被视为对于胃造口喂养儿童的安全选择，除非有临床禁忌。胃造口儿童获得家庭混合饮食的平等性应由当地临床团队进行评估。