Avaliação antropométrica, fatores de risco para desnutrição e medidas de apoio nutricional em crianças internadas em hospitais de ensino no Brasil

Abstract

Objective: To evaluate risk factors for malnutrition, nutritional status and nutritional support provided in hospitalized children.Methods: This longitudinal study prospectively followed, for 3 consecutive months, all children under 5 years of age (n = 907) hospitalized in general pediatric medical wards of 10 Brazilian university-based hospitals. For data collection, a standard questionnaire was used and nutritional condition was evaluated at hospital admission and discharge: weight-for-height, weight-for-age and height-for-age z score.Results: Only 56.7% of the children had their nutritional classification documented in the medical record. At hospital admission, 16.3 and 30.0% of the children had moderate/severe malnutrition and low stature, respectively. Risk of malnutrition was associated with low birth weight and younger age. A high percentage of nutritional deficiencies was observed in the children analyzed, although child's nutritional condition and the adoption of appropriate nutritional therapy were not documented in the medical records of the malnourished children. Conclusion:These data underscore the importance of developing qualified hospital medical wards regarding diagnosis and therapeutic approach to malnutrition, based on the conduct guidelines already available in Brazil.

Prevalence and Risk Factors of Child Malnutrition in Community Based Nutrition Program Implementing and Nonimplementing Districts from South East Amhara, Ethiopia

“…The occurrence of diarrhea could be due to the use of unsafe source of water supply and low coverage of pit latrine. This study result was in agreement with the study reported from Brazil in 2009 and Nepal [19] [22].…”

“…Cross-sectional studies conducted in different parts of the world [14]- [17] have shown that boys are at higher risk of stunting than girls. Some study conducted in India and Brazil describe that the great vulnerability of boys over girls at this age is a yet not well understood phenomenon [18] [19]. Despite, this may leads to an argument that sex preference may be practiced by mothers in community based nutrition implementing district than non-CBNP district.…”

Avaliação do estado nutricional de crianças e adolescentes na admissão em uma unidade de terapia intensiva pediátrica

“…Crianças que são admitidas em hospital, principalmente em unidades de terapia intensiva, apresentam um risco elevado para desenvolver desnutrição, principalmente crianças com doença de base e condições clínicas graves 15 .…”

Capacidade antioxidante da dieta e sua associação com indicadores nutricionais em crianças e adolescentes hospitalizados

“…A desnutrição aguda é comum em ambiente hospitalar, por ser reflexo direto da perda de peso. Já a desnutrição crônica, afeta a estatura por comprometer o crescimento desejável, provavelmente por alguma deficiência nutricional prolongada [37,38] .…”

“…Sim 72 (33,2) 73 (33,6) 72 (33,2) 0,949* Não 27 (38,6) 20 (28,6) 23 (32,9) De modo geral, a anemia na infância pode comprometer o desenvolvimento físico, cognitivo e o sistema imune. Nesse caso, a depressão imunológica causada por essa doença pode afetar também o estado nutricional e aumentar as chances de hospitalização.…”