As yet, there is no effective remedy for young children (aged 1-4) with recurrent respiratory tract infections. The children cough, have a fever or blocked nose, or catch colds more often than average. This often goes on for years. The children just have to muddle through, until their upper respiratory tract infections finally abate. Ellen van der Gaag, a paediatrician at the Twente Hospital Group (ZGT) and a University of Twente PhD candidate, has studied this group of children. She is now calling for the introduction of dietary guidelines. Dr Van der Gaag says that “My aim is to strengthen these children’s immune systems in a natural way, to help them develop greater resistance to infection. The dietary guidelines include green vegetables, whole milk, butter, and beef. Children who consume these products have been shown to suffer significantly fewer respiratory complaints.”
Ellen van der Gaag investigated the effect of a dietary advice on colds, coughs, fever, antibiotic use, thyroid function, and fatigue in children aged 1 to 4. The dietary guidelines include green vegetables, whole milk, butter, and beef (in quantities that comply with Netherlands Nutrition Centre guidelines). These unprocessed food products are the normal constituents of traditional Dutch meals. Dr Van der Gaag explains that “It has been shown that children who follow this dietary advice experience fewer fevers and use antibiotics less often. Nor do they cough and sniff as much as they used to. They also visit their GP less often and are less tired. This dietary advice has no adverse effects – the children experience no excessive weight gain nor are there any untoward changes to their cholesterol profile. The dietary guidelines seem to be a simple and safe way of reducing common health problems in children.”
A previous study by Ellen van der Gaag (2012) showed that 16% of children who repeatedly suffer upper respiratory infections eat few vegetables and almost no beef at all. In addition, it revealed that young, growing bodies also need pure unprocessed products and fats, such as those found in butter and whole milk, for example. During her PhD research, Dr Van der Gaag studied young children (aged 1-4) who were usually ill for about fourteen and a half days a month (i.e. almost half of the year). Only 5% of these sick children had known medical disorders, the remaining 95% were otherwise perfectly healthy. The dietary guidelines were tested in a six-month randomised controlled trial, involving 120 children. The results showed that children with no known medical disorders were only ill for 4.8 days a month during the last 3 months of the study period. A significant improvement.
Ellen van der Gaag also investigated the effects of the four above-mentioned products in older children. Her research showed that the dietary guidelines produced encouraging results in this group as well.
For instance, when children with fatigue followed the dietary guidelines, their energy levels increased. After following the dietary advice for a period of time, children with a slightly unstable thyroid gland were less tired than before and also enjoyed better sleep. Dr Van der Gaag adds “I have not conducted any clinical research in adults. Our review article revealed that foods such as kiwi fruit, elderberry syrup, fish oil, prebiotics, probiotics, and garlic can all help to reduce respiratory infections in children as well as in adults.”
Ellen van der Gaag was born in Hengelo, in the province of Overijssel. She studied Medicine at Leiden University. It was there that she had her first experience of research work, after which she was involved in a study at Boston University, in the USA. She completed her paediatric training at the University Medical Center Groningen (UMCG). Since 2005, she has worked as a paediatrician at the ZGT’s sites in Hengelo and Almelo. For several years now, she has also been on the staff of the University of Twente.
Dr van der Gaag has worked as a paediatrician in the Twente Hospital Group for the past 14 years. She was going to defend her PhD thesis – entitled “Health promoting effects of nutrition in children” – at the University of Twente, Techmed Centre (Faculty of Behavioural, Management and Social Sciences/Department of Research Methodology, Measurement and Data Analysis) on 18 March. Because of the Corona virus, the defending is postponed to another date. Her thesis supervisor is Prof. J.A.M. van der Palen.