Assessment of some micronutrients serum levels in children with severe acute malnutrition with and without cerebral palsy- A follow up case control study

Bebars, Gihan Mohamed; Afifi, Mohamed; Mahrous, Doaa; Okaily, Nagwa I.; Mounir, Samir M; Mohammed, Eman

doi:10.1016/j.yclnex.2018.10.008

Cited by 8 publications

(2 citation statements)

References 32 publications

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“…Copper 58,59,70 All ages: 0.7-1. We recommend the use of estimating equations using both skinfold measurements and other variables, such as age and sex, developed by Oeffinger et al 31 These have shown good agreement with DXA, the functional gold standard.…”

Section: Laboratory Testing and Findingsmentioning

confidence: 99%

The Impact of Malnutrition on Hospitalized Children With Cerebral Palsy

Foster

Lane

Massey

et al. 2020

Hospital Pediatrics

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Children with cerebral palsy (CP) and other medical complexity comprise an outsized proportion of health care use. In this review, we describe the current science of assessment of nutritional status for children with CP, outline a systematic approach to assessing their nutritional status, delineate ramifications of malnutrition on hospitalization-associated outcomes, and identify knowledge gaps and means of addressing those gaps using quality improvement and clinical research tools. Methods to accurately assess body composition and adiposity in this population by using skinfolds, age, sex, and activity level are available but are not widely used. There are limitations in our current method of estimating energy needs in children with CP, who are at higher risk of both obesity and micronutrient deficiencies. There is some evidence of an association between malnutrition, defined as either underweight or obesity, and hospitalization-associated outcomes in children generally, although we lack specific data for CP. The gaps in our current understanding of optimal nutritional status and between current science and practice need to be addressed to improve health outcomes for this vulnerable patient population.

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Section: Laboratory Testing and Findingsmentioning

confidence: 99%

The Impact of Malnutrition on Hospitalized Children With Cerebral Palsy

Foster

Lane

Massey

et al. 2020

Hospital Pediatrics

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“…Evidence has shown that managing SAM according to the WHO guidelines is effective (Bebars et al, 2019 ; Das et al, 2020 ; Desyibelew et al, 2020 ). Although the WHO guidelines are available and have been reported to be effective, some countries/hospitals in Sub‐Saharan Africa are fully, or in part, not complying with the guidelines (Mambulu‐Chikankheni et al, 2017 ; Warfa et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Micronutrient supplementation practices in relation to the World Health Organisation 2013 guidelines on management of severe acute malnutrition

Nanga,

Carboo,

Chatenga

et al. 2024

Maternal & Child Nutrition

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In 2013, the World Health Organisation (WHO) updated the recommendations for micronutrient deficiency correction in hospitalised under‐5 children with complicated severe acute malnutrition (SAM). This study aimed to describe the micronutrient deficiency correction practices in relation to WHO 2013 recommendations. Data from medical records of under‐5 children admitted for SAM management at two hospitals in South Africa and three tertiary hospitals in Ghana were extracted. Micronutrient correction practices were compared to the WHO 2013 recommendations by considering the dosage, timing of micronutrient supplementation (vitamin A, iron and folic acid) and therapeutic feeds administered. In total, 723 medical records were included. Nearly half (48.3%) of the children received at least one of the studied micronutrients as a supplement. Vitamin A was supplemented in 27.4% of the children, while iron and folic acid were supplemented in 9.5% and 34.9%, respectively. Among the children who received vitamin A, 60.1% received the first dose on Day 1 of admission. Also, 46.4% of the iron‐supplemented children received iron within the first week of admission. Vitamin A, iron and folic acid were administered within the dose range of 100,000–180,000 IU, 3.1–7.7 mg per kg per day, and 3–5 mg per day, respectively. Additionally, 71.7% of the children reportedly received therapeutic feeds that met WHO recommendations. The micronutrient deficiency correction practices regarding dose and timing differed from the 2013 WHO guidelines. Qualitative studies investigating the reasons for the disparities are recommended.

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