The prevalence of undernutrition upon hospitalization in children in a developing country: A single hospital study from Malaysia

Lee, Way Seah; Ahmad, Zulfadly

doi:10.1016/j.pedneo.2016.08.010

Cited by 11 publications

(9 citation statements)

References 15 publications

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“…These findings were similar to those of a recent study entitled "The prevalence of under-nutrition upon hospitalization in children in a developing country: A single hospital study from Malaysia" except in gender, as more than half (58%) were found to be males. [18] Furthermore, our findings were consistent with those of a recent study about "Assessing the Prevalence and Treatment of Malnutrition in Hospitalized Children in Mofid Children's Hospital During 2015-2016", [19] which demonstrated that the mean height was 114.7 ± 21.9 cm with the range of 69-175 cm and the mean BMI score at time of admission was 16.4± 4.4 kg/m 2 . From the researcher's point of view these similarities could be attributed to similarity of the participants' age group (2-18 years), so they had look like anthropometric measurements.…”

Section: Discussionsupporting

confidence: 91%

Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients

El-Sayed¹

2019

AJNR

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Background: However, the hospital malnutrition's prevalence is high; this condition is ignored and, as a result, is not treated. The first step in fighting malnutrition is to know how to identify patients at higher risk of suffering from this condition by using risk screening tools. The aim of the present study was to design child-friendly food guide based on nutritional risk assessment of pediatric inpatients. Method: In this exploratory cross-sectional study, one hundred children in medical departments affiliated to Mansoura University Children Hospital, Egypt was assessed as regarding their admission and discharge weight and height of the body, the body mass index/kg/m 2 , and biochemical analysis of hemoglobin and serum albumin. A Screening Tool for Assessing Malnutrition in Pediatrics (STAMP) has been applied in order to also assess pediatric inpatients' overall risk of malnutrition. Furthermore, the perspective of hospitalized children/their mothers about the hospital introduced food habits and meals pattern were surveyed. Results: Slightly less than half of the studied children were males and the large percent of the hospitalized children's mothers were highly educated. According to STAMP score, all studied children were considered to be at risk for malnutrition with the underlying diseases were related to neurological or general medical disorders among the largest. The study findings also revealed that the majority of participants tried to escape the delivered hospital meals and reported their needs for a dietary guide contains healthy food varieties to overcome the risk of undernutrition related to children's hospitalization. Conclusion: every effort must be made to identify children at risk of developing under-nutrition upon admission in order to provide necessary nutritional support for them.

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Section: Discussionsupporting

confidence: 91%

Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients

El-Sayed¹

2019

AJNR

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“…Children were excluded from the study if they (1) had undergone surgery in the past 30 days; (2) were admitted to intensive care units and emergency departments; or (3) had a physical disability (eg, cerebral palsy), congenital anomalies (eg, neural tube defect or limb deficiencies), or generalized anasarca. To meet the sample size calculation at power of 95% and a significance level of 0.05, a total of 204 children were required to be recruited after accounting for a 10% nonrespondent rate and the 14% prevalence of malnutrition among local hospitalized children 13 …”

Section: Methodsmentioning

confidence: 99%

Validation of AND/ASPEN pediatric malnutrition diagnosis in children admitted to medical wards in two tertiary hospitals in Malaysia

2023

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Background: Identification and management of malnutrition among pediatric hospitalized patients is critical for improved clinical outcomes and recovery. This study investigated the use of the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition (AND/ASPEN) pediatric malnutrition diagnosis in comparison with the Subjective Global Nutritional Assessment (SGNA) tool and single anthropometric indicators (weight, height, body mass index, and mid-upper arm circumference) among hospitalized children. Methods: A cross-sectional study was conducted among 260 children admitted to general medical wards. SGNA and anthropometric measurements were used as references. Kappa agreement, diagnostic values, and area under the curve (AUC) were analyzed to evaluate the diagnostic ability of the AND/ ASPEN malnutrition diagnosis tool. Logistic binary regression was performed to determine the predictive ability of each malnutrition diagnosis tool on the length of hospital stay. Results: The AND/ASPEN diagnosis tool detected the highest malnutrition rate (41%) among the hospitalized children in comparison with the reference methods. This tool demonstrated fair specificity of 74% and sensitivity of 70% compared with the SGNA. It obtained a weak agreement in determining the presence of malnutrition by kappa (0.06-0.42) and receiver operating characteristic curve analysis (AUC = 0.54-0.72). The use of the AND/ASPEN tool obtained an odds ratio of 0.84 (95% CI, 0.44-1.61; P = 0.59) in predicting the length of hospital stay. Conclusions:The AND/ASPEN malnutrition tool is an acceptable nutrition assessment tool for hospitalized children in general medical wards.

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“…Hulst J et al, (2004) concluded in their study in Netherlands that among critically ill patients it was found that the prevalence of malnutrition among children admitted to intensive care units (ICU) was 24% [21]. In developing countries, one study in Malaysia reported that the prevalence of acute and chronic under-nutrition among hospitalized children were 11% and 14% respectively [22]. In Pakistan the prevalence of stunting among children attending out-patient clinics was 21% [23].…”

Section: The Socio-economic Characteristics and Malnutritionmentioning

confidence: 99%

Malnutrition among hospitalized children 12–59 months of age in Abyan and Lahj Governorates / Yemen

Al-Waleedi

Bin-Ghouth

2022

BMC Nutr

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Background The analysis of acute malnutrition in 2018 for the Integrated Phase Classification of Food Security in Yemen shows that high malnutrition rates are present in Abyan governorate (23%) and Lahj governorate (21%). This analysis was community based addressed all children and mostly due to problems related to food intake. The role of diseases was not yet addressed in Yemen. The aim of this study is to assess acute and chronic malnutrition among hospitalized children at 12–59 months of age in Lahj and Abyan governorates in Yemen. Methodology A cross-sectional, multi-center study is designed. The assessment of the nutritional status was measured by standardized anthropometry of 951 sick children at 12–59 months of age. Results The prevalence of Global acute malnutrition (GAM) among the sick children seeking care in health facilities in Lahj and Abyan is 21%. More specifically; the prevalence of moderate acute malnutrition (MAM) is 15.1% while the prevalence of severe acute malnutrition (SAM) is 6.2%. The prevalence of acute malnutrition (wasting) among the studied sick children in lahj is 23.4% while in Abyan is 19.3%. The prevalence of MAM in Lahj is 17.7% and the prevalence of SAM is 5.7%. The prevalence of acute malnutrition (wasting) in Abyan is 12.6% while the prevalence of SAM in Abyan is 6.7%. The prevalence of acute malnutrition among male children (25.2%) is significantly higher than among female children (17.5%). The prevalence of the chronic malnutrition (Stunting) in the studied sick children is 41.3%; the prevalence of stunting in Lahj is 41% while in Abyan is 41.7%. Conclusions High acute and chronic malnutrition rates were identified among sick children seeking care in health facilities in lahj and Abyan, and higher than the SPHERE indicators of malnutrition. Boys are more exposed than girls to acute and chronic malnutrition.

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The prevalence of undernutrition upon hospitalization in children in a developing country: A single hospital study from Malaysia

Cited by 11 publications

References 15 publications

Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients

Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients

Validation of AND/ASPEN pediatric malnutrition diagnosis in children admitted to medical wards in two tertiary hospitals in Malaysia

Malnutrition among hospitalized children 12–59 months of age in Abyan and Lahj Governorates / Yemen

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