The effects of hospitalization on the nutritional status of children

Rocha, Geila A.; Rocha, Edmundo J. M.; Martins, Ceci V.

doi:10.2223/jped.1440

Cited by 100 publications

(106 citation statements)

References 10 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Silveira et al (19) , when evaluating pediatric patients admitted to Hospital das Clínicas de Porto Alegre, in the state of Rio Grande do Sul, obtained a frequency of deficit for the indicator H/A similar to that described previously (21 versus 24.1%), however, they found a frequency twice as high for the BMI/A indicator (14.7 versus 6.9%). Similar results were also obtained in a study of children admitted to a hospital in Fortaleza, in the state of Ceará, where the prevalence of Z score of less than -2 standard deviations was 18.2, 18.7 and 6.9% for indicators H/A, W/A and W/H, respectively (20) . According to Joosten and Hulst (21) , studies with the indicator W/H or equivalent found a prevalence of acute malnutrition in the last 10 years in hospitalized children in Germany, France, the UK, and the U.S. between 6.1 and 14%, while in Turkey up to 32% of patients had malnutrition.…”

Section: Discussionsupporting

confidence: 84%

Estado nutricional de pacientes pediátricos ostomizados

Egito

Medeiros

Moraes

et al. 2013

Rev. paul. pediatr.

View full text Add to dashboard Cite

Objective: To assess the nutritional status of children submitted to ostomy for intestinal discharge.Methods: A descriptive case series was carried out including 30 children aged up to ten years old submitted to colostomy or ileostomy at the pediatric surgery unit of Institute of Medicine Professor Fernando Figueira, Recife, Pernambuco. Socioeconomic, clinical, anthropometric, and laboratorial (hemoglobin and hematocrit) data were collected using a structured questionnaire. Nutritional status was determined based on anthropometric indicators (height/age, weight/age, and body mass index/age), which were stratified by gender, with World Health Organization standards as reference. Arm circumference and triceps skinfold were measured for the evaluation of body composition. Chest and head perimeters were measured on children aged up to five years-old. The Student's t-test was applied to compare two independent groups, considering p<0.05 as significant.Results: All anthropometric indicators revealed nutritional deficit, especially in the height/age index, which revealed a frequency of 24.1% of short statue. Patients submitted to ileostomy presented lower mean Z score of anthropometric indicators, hemoglobin, hematocrit and ostomy time in comparison to those submitted to colostomy, with significant differences only for the Z score of body mass index/age (p=0.016), hemoglobin (p=0.025), and hematocrit (p=0.023). Conclusions:There is a substantial frequency of nutritional deficit in the analyzed sample, especially based on the height/ age index. Although ileostomized patients had less time of ostomy, they had higher nutritional deficit compared to the colostomized ones, likely due to greater risk of postoperative complications, with consequent nutritional impairment.Key-words: ostomy; nutritional status; child. RESUMO Objetivo:Avaliar o estado nutricional de crianças portadoras de ostomia de eliminação intestinal.Métodos: Realizou-se um estudo descritivo, tipo série de casos, com amostra composta por 30 crianças menores de dez anos, portadoras de colostomia ou ileostomia, admitidas na clínica cirúrgica pediátrica do Instituto de Medicina Integral Professor Fernando Figueira, no Recife, em Pernambuco. Foi utilizado um questionário estruturado para coletar dados socioeconômicos, clínicos, antropométricos e laboratoriais (hemoglobina e hematócrito). O diagnóstico nutricional foi realizado a partir dos indicadores antropométricos (altura/idade, peso/idade e índice de massa corpórea/idade), tomando-se como base o padrão de referência da Organização Mundial da Saúde. Também foram aferidas a circunferência do braço e a prega cutânea tricipital para avaliar a composição corporal, bem como os perímetros torácico e cefálico em crianças menores de cinco anos. Resultados: Encontrou-se comprometimento nutricional importante de acordo com os indicadores antropométri-cos estudados, destacando-se o déficit estatural (24,1%). Os pacientes ileostomizados apresentaram menores médias de escore Z dos indicadores antropométricos, hemo...

show abstract

Section: Discussionsupporting

confidence: 84%

Estado nutricional de pacientes pediátricos ostomizados

Egito

Medeiros

Moraes

et al. 2013

Rev. paul. pediatr.

View full text Add to dashboard Cite

show abstract

“…Öztürk et al determined nutritional deficiency in 31.8% of children presenting to hospital at any time (12). The incidence of malnutrition in international studies of children presenting to hospital is 20.4% in Brazil (452 surgical patients were enrolled), 18.7% in Australia (203 surgical patients enrolled), 27% in Colombia (174 surgical and non-surgical patients enrolled) and 4.5% in New Zealand (157 non-surgical patients enrolled) (13)(14)(15)(16)(17). Our study results are again compatible with the incidence of malnutrition in the existing literature.…”

Section: Discussionmentioning

confidence: 99%

Determination of the frequency of growth retardation in pediatric out patients with growth retardation complaints

Bucak¹,

Almış²,

Benli³

et al. 2017

J Turgut Ozal Med Cent

View full text Add to dashboard Cite

Aim: Having a healthy child is the most basic concern for parents, and their children being ill or showing signs of illness therefore causes them anxiety. Parents cannot generally be objective in assessing the growth of their own children. Children's growth must be evaluated solely with appropriate measurements and assessment criteria. The purpose of this study is to investigate the growth of patients with suspected retarded growth presenting to the children's health and diseases clinic. Material and Methods: One hundred patients presenting with retarded growth to the Adıyaman University Training and Research Hospital children's health and diseases clinic were included in this study. Patients were evaluated for retarded growth through measurement of weight, height and head circumference. Results: One hundred patients, 49 boys (49%) and 51 girls (51%) presenting with retarded growth were enrolled in the study. Patients' mean age was 47.62 ± 43.1 (3-192) months. The mean weight was 14.51 ± 7.9 (4.5-46.9) kg and mean height was 95.61 ± 23.14 (57-164) cm. Mean head circumference was 43.97 ± 2.6 (37-49) cm. In our observed population, the following measurements fell below the third percentile: Weight: 4 patients (4%); Weight and Height: 12 patients (12%); and Weight, Height and Head Circumference: 4 Patients (4%). Conclusion: An increasing number of concerned parents does not necessarily indicate any actual problem, or any abnormally high incidence of actual retarded growth and development than that might be expected from the literature. Well child visits must be performed and parents provided sufficient information on normal development.

show abstract

“…Despite all the scientific knowledge, the prevalence of malnutrition in the last 10 years has not decreased [14]. In countries like Brazil and Turkey, for instance, the prevalence of acute hospital malnutrition on admission reach alarming figures, ranging from 33.8% to 52.4% [15][16][17]. Most of the studies use Body Mass Index (BMI) or weight for height greater than two Standard Deviations (SD) to define acute malnutrition and height for age greater than less DP to determine chronic malnutrition [2].…”

Section: Introductionmentioning

confidence: 99%

Hospital Malnutrition in Pediatric Patients: A Review

Mac¹

2017

Ann Nutr Disord Ther

View full text Add to dashboard Cite

Malnutrition is common in pediatric inpatients, and nutritional status often deteriorates in the hospital. Although the prevalence of hospital malnutrition is high, this condition is ignored and consequently, not treated. The first step to fight malnutrition knows how to identify patients at greater risk of this condition. One way to identify them is by using risk screening tools, which should be used in all inpatients. Six screening tools have been created for pediatric patients, but none of these tools stood out. Nevertheless, the STRONGKids has been the most studied tool in many countries because of its ease and speed of use. In Brazil only STRONGKids has been translated and adapted, but just one study assessed its accuracy in our population, obtaining modest results. Hence, STRONGKids should be considered a preliminary tool, and its correlation with clinical data requires investigation.

show abstract

The effects of hospitalization on the nutritional status of children

Abstract: The prevalence of malnutrition at the time of admission was elevated and remained unchanged by discharge. Prolonged hospitalization and pneumonia were linked with weight loss in hospital.

Cited by 100 publications

References 10 publications

Estado nutricional de pacientes pediátricos ostomizados

Estado nutricional de pacientes pediátricos ostomizados

Determination of the frequency of growth retardation in pediatric out patients with growth retardation complaints

Hospital Malnutrition in Pediatric Patients: A Review

Contact Info

Product

Resources

About