Effects of Hospital Stay on Nutritional Anthropometric Data in Turkish Children

Öztürk, Yeşim; Büyükgebiz, Benal; Arslan, Nur; Ellıdokuz, Hülya

doi:10.1093/tropej/49.3.189

Cited by 54 publications

(34 citation statements)

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“…Our study indicates that the fact that families present due to retarded growth does not necessarily mean that we will encounter higher retarded growth levels than might be expected from the literature. 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).…”

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

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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.

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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

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“…A past study conducted with hospitalised pediatric patients emphasised that undernutrition on admission in children remains unrecognised by our healthcare workers, malnourished children are still not recognised sufficiently by pediatricians and that specific nutritional support is not used systematically (28). Especially, pediatric patients with mild malnutrition on admission were considered to be at the highest risk of adverse effect of hospitalisation and thus, this population of patients was recommended to be given special attention (28).…”

Section: Discussionmentioning

confidence: 99%

“…Especially, pediatric patients with mild malnutrition on admission were considered to be at the highest risk of adverse effect of hospitalisation and thus, this population of patients was recommended to be given special attention (28). Therefore, future efforts in pediatric nutrition should include identifying those patients who require nutritional support, ensuring the provision of appropriate nutritional management and educating hospital staff about the identification and management of malnutrition (16).…”

Section: Discussionmentioning

confidence: 99%

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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“…An Italian study found that minors with malnutrition on admission had lost more BMI on discharge than those with better nutritional status on admission [18]. On the other hand, a Turkish study found that hospital stay had a negative impact on the nutritional status of children with mild malnutrition on admission but not of children with moderate malnutrition on admission [17]. Normal weight and mildly malnourished patients do not draw the attention of the health care team to a possible need of nutritional support, while patients with moderate malnutrition receive special care.…”

Section: Hospital Malnutrition: Associated Factorsmentioning

confidence: 99%

“…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

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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.

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Effects of Hospital Stay on Nutritional Anthropometric Data in Turkish Children

Cited by 54 publications

References 0 publications

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

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

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

Hospital Malnutrition in Pediatric Patients: A Review

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