Malnutrition in Hospitalized Pediatric Patients

Hendricks, Kristy; Duggan, Christopher; Gallagher, Linda; Carlin, Alexandra C.; Richardson, Denise; Collier, Sharon; Simpson, William G.; Lo, Clifford

doi:10.1001/archpedi.1995.02170230072010

Cited by 150 publications

(99 citation statements)

References 13 publications

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“…Malnutrition rates of 31.8 to 56.6% in hospitalised pediatric patients have been previously reported in our country; these rates were much higher than the prevalence of AM reported in hospitalised children in Germany, France, UK, and the USA, with results varying from 6% to 14% (10,(15)(16)(17) Accordingly, the prevalence of malnutrition in pediatric surgical patients on admission in the present study seems to be in agreement with data from developed countries, but poorer than rates reported in the Turkish general pediatric population and apparently lower than rates reported in pediatric hospitalised patients in Turkey (10,(14)(15)(16)(17).…”

Section: Discussionmentioning

confidence: 47%

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

et al. 2015

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Nutritional status in children has been considered an indicator of health and well-being at the individual and population levels (1). Both the malnutrition prevalence and the risk for development of malnutrition have been consistently reported as high in hospitalised children (2, 3). However, this problem remains largely unrecognised by healthcare workers. Due to the likelihood of the prevention of nutrition-associated complications, such as the slowing of growth and increased susceptibility to various infections, as well as prolonged hospitalisation, early detection of the risk for malnutrition among hospitalised children has been considered essential (3, 4).The importance of identifying those children at increased nutritional risk has led to the development of a number of nutritional risk screening (NRS) tools. However, there is a paucity of data on their application in clinical practice and the degree of inter-tool agreement and a consensus regarding which screening tool to use has not yet been reached (3,5). The most recent instrument, STRONGkids, has been developed accordBackground: High prevalence of malnutrition along with the risk for the development of malnutrition in hospitalised children has been reported. However, this problem remains largely unrecognised by healthcare workers. Aims: To determine the prevalence of malnutrition and effectiveness of STRONGkids nutritional risk screening (NRS) tool in the identification of malnutrition risk among pediatric surgical patients. Study Design: Cross-sectional study. Methods: A total of 494 pediatric surgical patients (median age 59 months, 75.8% males) were included in this prospective study conducted over 3 months. SD-scores <-2 for Body Mass Index (BMI) for age or weight-for-height (WFH) and height-for-age (HFA) were considered to indicate acute and chronic malnutrition, respectively. The STRONGkids NRS tool was used to determine risk for malnutrition. Results: Malnutrition was detected in 13.4% in this group of pediatric surgical patients. Acute malnutrition was identified in 10.1% of patients and more commonly in patients aged ≤60 months than aged >60 months (13.4 vs. 6.6%, p=0.012). Chronic malnutrition was identified in 23 (4.6%) of patients with no significant difference between age groups. There were 7 (1.4%) children with coexistent acute and chronic malnutrition. The STRONGkids tool revealed that 35.7% of patients were either in the moderate or high risk group for malnutrition. Malnutrition, as revealed by anthropometric measurements, was more likely in the presence of gastrointestinal (26.9%, p=0.004) and inguinoscrotal/penile surgery (4.0%, p=0.031), co-morbidities affecting nutritional status (p<0.001) and inpatient admissions (p=0.014). Among patients categorized as low risk for malnutrition, there were more outpatients than inpatients (89.3 vs. 10.7%, p<0.001) and more elective surgery cases than emergency surgery cases (93.4 vs. 6.6%, p<0.001). Conclusion: Providing data on the prevalence of malnutrition and risk of malnutrition in a prospect...

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Section: Discussionmentioning

confidence: 47%

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

et al. 2015

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“…Child malnutrition was associated with 54% of deaths in children in developing countries in 2001 (WHO, 2013a; Muller et al, 2005). Protein-energy malnutrition (PEM), first described in the 1920s, is observed most frequently in developing countries but has been described with increasing frequency in hospitalized and chronically ill children in the United States (Hendricks et al, 1995). In addition to PEM, children may be affected by micronutrient deficiencies, which also has a detrimental effect on growth and development.…”

Section: Introductionmentioning

confidence: 99%

Nutritional evaluation of Five Species of Grain Amaranth – An Underutilized Crop

Akin-Idowu¹,

Odunola²,

Gbadegesin³

et al. 2017

ijSciences

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Variation in the proximate and mineral compositions of twenty nine accessions of grain amaranth (Amaranthus), belonging to five species: Amaranthus caudatus, A. cruentus, A. hybrid, A. hypochondriacus and A. hybridus were evaluated. Results showed that significant (p < 0.05) differences were observed in the proximate and mineral compositions among all the species evaluated. Amaranthus caudatus had the highest levels of crude fibre (4.04 g/100g), sodium (8.95 mg/kg), phosphorus (5765.64 mg/kg), magnesium (2219.15 mg/kg) and aluminum (111.09 mg/kg) contents. Amaranthus cruentus had the highest levels of crude fat (8.68 g/100g), zinc (59.49 mg/kg), copper (6.62 mg/kg), manganese (136.44 mg/kg) and calcium (1642.45 mg/kg). Amaranthus hybridus had the highest levels of protein (17.89 g/100g) and starch (38.01 g/100g). Phosphorus was the most abundant mineral present, followed by potassium and magnesium; while selenium was the least abundant mineral element present. The grain amaranth species have higher protein, crude fibre, starch and essential minerals than commonly consumed cereals and hold promise as a healthy alternative to these cereals and their products.

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“…Pasien mengalami MRS menurut Walker 7 dan Hendricks, 8 jika terjadi penurunan berat badan lebih dari 2 persen dalam seminggu atau lebih dari 5 persen dalam sebulan atau lebih dari 7,5 persen dalam 3 bulan atau lebih dari 10 persen dalam 6 bulan. Tujuan dari penelitian ini adalah menentukan prevalensi MRS pada pasien yang dirawat di bangsal anak Rumah Sakit Dr Wahidin Sudirohusodo Makassar.…”

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Malnutrisi Rumah Sakit Pada Bangsal Anak Rumah Sakit Dr. Wahidin Sudirohusodo Makassar Aidah Juliaty

Juliaty

2016

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Latar belakang. Malnutrisi rumah sakit (MRS) ditandai dengan penurunan berat badan saat dirawat di rumah sakit. Kejadian MRS erat kaitannnya dengan dukungan nutrisi selama perawatan. Tujuan. Menentukan prevalensi MRS pada pasien yang dirawat di bangsal anak Rumah Sakit Dr. Wahidin Sudirohusodo, Makassar.Metode.Penelitian observasional kohort retrospektif yang berlangsung dari Januari sampai Desember 2011 di Rumah Sakit Dr Wahidin Sudirohusodo, Makassar. Jumlah sampel 1268 menggunakan indikator berat badan menurut tinggi badan (BB/TB) menurut CDC 2000. Hasil. Prevalensi MRS perempuan 0,12%, dan laki-laki 0,11%. Tertinggi 0,16% pada kelompok umur 25-36 bulan, dan terendah 0,03% pada kelompok umur 49-60 bulan. Pada kelompok subyek tersebut, 0,15% dengan diagnosis multipel, 0,05% dengan diagnosis tunggal, 0,27% status gizi buruk, 0,12% gizi kurang, dan 0,8% gizi baik. Dari subdivisi infeksi diperoleh kejadian MRS 0,17%, dan non infeksi 0,07%(OR 1,1), serta lama rawat >7 hari 0,25%, dan 2-7 hari 0,07%.Kesimpulan.Anak yang dirawat lebih dari satu minggu dengan penyakit kronis dan diagnosis multipel mempunyai risiko MRS lebih besar dibandingkan anak yang dirawat kurang dari seminggu. Penyakit infeksi mempunyai faktor risiko lebih besar mengalami MRS daripada penyakit non infeksi.

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Malnutrition in Hospitalized Pediatric Patients

Cited by 150 publications

References 13 publications

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

Nutritional evaluation of Five Species of Grain Amaranth – An Underutilized Crop

Malnutrisi Rumah Sakit Pada Bangsal Anak Rumah Sakit Dr. Wahidin Sudirohusodo Makassar Aidah Juliaty

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