scholarly journals Implementation of a nutrition screening tool to improve nutritional status of children with cancer in Singapore’s largest paediatric hospital

2021 ◽  
Vol 10 (1) ◽  
pp. e000944
Author(s):  
Wee Meng Han ◽  
Jasly YS Koo ◽  
Yan Yin Lim ◽  
Prasad Iyer ◽  
Chengsi Ong ◽  
...  
Keyword(s):  
Early Intervention ◽  
Nutritional Status ◽  
Screening Tool ◽  
Reliability And Validity ◽  
Nutritional Intervention ◽  
Children With Cancer ◽  
Nutrition Screening ◽  
Paediatric Hospital ◽  
Nutritional Monitoring ◽  
Nutritional Status Of Children

Poor nutritional status in children with cancer can impact treatment outcomes and mortality. Nutrition screening is a simple yet effective approach to identify malnutrition risk for early intervention. We aim to improve the identification of children with cancer at high risk of malnutrition, so that nutritional intervention and rehabilitation can commence early for these children. Our multidisciplinary team conducted a root cause analysis and concluded that the generic screening tool did not differentiate malnutrition risk for different cancer types, stage and intensity of treatment. Hence, a screening tool that considered the identified factors was tested for reliability and validity first. Subsequently, we used the Plan, Do, Study, Act model with two improvement cycles to put in place a systematic process to facilitate the implementation. The interventions included (1) instituting the tool in the electronic medical records and (2) direct referral to dietitian based on screening score.We compared pre- and post-implementation cohorts and demonstrated better identification of nutritionally at-risk patients (36.4%–85.7%, p<0.001) with the new tool as well as improved timeliness of nutritional intervention (3 days to 1 day from admission, p=0.010). A lower malnutrition rate (17.4%–6.5%, p<0.001) in the postimplementation cohort was also demonstrated. Nutritional intervention within 48 hours of admission led to an overall positive weight change at 3 months (+2.68%, IQR: −1.14 to 9.09 vs −0.43%, −6.60 to 2.29; p=0.036) in the malnourished patients from both cohorts. Further studies will be conducted to evaluate the scale of the effectiveness of early intervention and close nutritional monitoring, in improving the nutritional status of children with cancer. The collaborative partnership among the doctors, nurses and dietitians has helped to streamline and simplify nutrition screening, making it an efficient and sustainable system in our hospital.

scholarly journals Pediatric Subjective Global Nutritional Assessment of Children with Cancer in Brazil: Preliminary Results of the Brazilian Survey on Oncological Nutrition in Pediatrics (P12-022-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Wanelia Afonso ◽  
Wilza Peres ◽  
Nivaldo Pinho ◽  
Renata Martucci ◽  
Juliana Braga ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Hospital Admission ◽  
Nutritional Assessment ◽  
Good Alternative ◽  
Cross Sectional Study ◽  
Children With Cancer ◽  
Cross Sectional ◽  
Nutritional Evaluation ◽  
The North ◽  
Nutritional Status Of Children

Abstract Objectives To describe the nutritional status of children with cancer during hospital admission in the five different regions of Brazil by Pediatric subjective global nutritional assessment (PSGNA). Methods A multicenter, cross-sectional study part of the Brazilian Survey on Oncological Nutrition in Pediatrics (IBNOPe). Patients of both sexes, aged between 2 and 18 years, diagnosed of cancer under treatment in institutions of all regions of Brazil, from March to December of 2018, were eligible. Data were collected from the medical records, using a form prepared exclusively for this research. For subjective nutritional evaluation, the PSGNA questionnaire, adapted by Saraiva et al (2017) for children with cancer, was applied within 48 hours of hospital admission. The classification was made in well nourished, moderately malnourished and severely malnourished. Participating Institutions received training prior to the implementation of the research. Descriptive statistics were performed for statistical analysis. Results A total of 579 patients were evaluated, 3.3% (n = 19) from the north, 33.0% (n = 191), 20.9% (n = 121) 30) west-west and 37.6% (n = 218) southeast. According to PSGNA data at admission 66.3% were well nourished, 33.7% were malnourished (27.2%) or severely malnourished (6.5%). Considering the region, the southeast presented a higher percentage of severely malnourished children (8.5%), according to the PSGNA. According to anthropometric data, about 23.5% of children presented inadequate anthropometric nutritional status (Zscore < −1) at admission. Conclusions PSGNA revealed a high percentage of children with poor nutritional conditions at the time of admission, which may contribute to unfavorable clinical outcomes. The PSGNA seems to be a good alternative for the nutritional evaluation of children with cancer. Funding Sources No funding source.

scholarly journals The nutritional status of children with cystic fibrosis

2006 ◽  
Vol 95 (2) ◽  
pp. 321-324 ◽  
Author(s):  
Alexia J. Murphy ◽  
Helen M. Buntain ◽  
Claire E. Wainwright ◽  
Peter S. W. Davies
Keyword(s):  
Cystic Fibrosis ◽  
Nutritional Status ◽  
Cell Mass ◽  
Paediatric Population ◽  
Nutritional Intervention ◽  
Current Treatment ◽  
Z Score ◽  
Cross Sectional ◽  
Treatment Support ◽  
Nutritional Status Of Children

The importance of nutritional intervention for children with cystic fibrosis (CF) is well recognised. It would be expected that the increase in knowledge over the past decade would be reflected in improvements in nutritional status for the CF paediatric population. The aim of the present paper was to evaluate the nutritional status of children with CF, cross-sectionally and longitudinally. Body cell mass adjusted for gender and size (BCM/Htp) was measured in sixty-four children with CF to represent nutritional status and expressed as a Z-score. The cross-sectional results showed a mean BCM/Htp Z-score of 0·54 (sd 1·21), with males having a slightly higher Z-score than females but with a larger variation. At the initial measurement, only one female and one male were considered sub-optimally nourished. The longitudinal analysis after 2 years showed that the mean population had a significantly decreased BCM/Htp Z-score; however, when each gender was analysed separately, this decrease was significant only in the males. At the final measurement, only two females and three males were considered sub-optimally nourished. It is evident from our results that children with CF are well nourished, with only a small percentage considered malnourished. It appears that nutritional status decreases with age, with this decline being more evident in males. These results signify that although children with CF are better nourished with current treatment support, intervention needs to continue throughout a CF patient's life to counteract the changes that occur with age.

scholarly journals Nutritional status of children and adolescents: case-study in Southeastern, Brazil / Estado nutricional de crianças e adolescentes: estudo de caso no sudeste brasileiro

2018 ◽  
Vol 8 (3) ◽  
pp. 8-13
Author(s):  
Carla Gonçalo Domiciano ◽  
Felipe Santana Machado ◽  
Mariani Gouveia de Castro ◽  
Michel Cardoso de Angelis-Pereira
Keyword(s):  
Nutritional Status ◽  
Children And Adolescents ◽  
Nutritional Assessment ◽  
Nutritional Intervention ◽  
Overweight And Obesity ◽  
Diagnostic Methods ◽  
Southeastern Brazil ◽  
Chi Square ◽  
Nutritional Status Of Children

Introduction: The nutritional status in cases of overweight and obesity in children and adolescents is considered a global health reference for future trends and for enabling strategic planning. The main reason for this is the increase in the consumption of low-nutrient and high-calorie food. Aims: The present study aimed at verifying the nutritional status of children and adolescents, as well as demonstrating nutritional trends. Methods: Some schools in the city of São Gonçalo do Sapucaí, southeastern Brazil, were visited. The student’s weight, height and age were assessed in a total of 646 students, from which 198 were preschoolers, 369 schoolchildren and 79 adolescents. Results: Nutritional assessment uses diagnostic methods to assess factors of nutritional disorders. Tested by a chi-square, the evaluation shows that overweight, which is considered one of the most alarming public health problems in Brazil, is the current problem. Conclusion: It was concluded that there was a low rate of child malnutrition and an actual overweight rate. The relation among health, sports and leisure and education departments is very relevant to create nutritional intervention programs which are associated with the practice of physical activity linked to nutritional education aiming at reducing overweight rates and childhood obesity.Keywords: Overweight; Obesity; Anthropometry; Nutritional transitionRESUMOIntrodução: O estado nutricional em casos de sobrepeso e obesidade em crianças e adolescentes é considerado uma referência global de saúde para tendências futuras e para possibilitar o planejamento estratégico. A principal razão para isso é o aumento no consumo de alimentos com baixo teor de nutrientes e alto teor calórico. Objetivos: O presente estudo teve como objetivo verificar o estado nutricional de crianças e adolescentes, bem como demonstrar tendências nutricionais. Métodos: Algumas escolas foram visitadas na cidade de São Gonçalo do Sapucaí, Sudeste, Brasil. O peso, altura e idade foram avaliados em um total de 646 alunos, sendo 198 pré-escolares, 369 escolares e 79 adolescentes. Resultados: A avaliação nutricional usa métodos diagnósticos para avaliar fatores de distúrbios nutricionais. Testada pelo teste qui-quadrado, a avaliação mostra que o excesso de peso, considerado um dos problemas de saúde pública mais alarmantes no Brasil, é o problema atual. Conclusão: Concluiu-se que havia uma baixa taxa de desnutrição infantil e uma taxa real de excesso de peso. A relação entre os departamentos de saúde, esporte e lazer e educação é muito relevante para criar programas de intervenção nutricional que estão associados à prática de atividade física vinculada à educação nutricional visando reduzir as taxas de sobrepeso e a obesidade infantil.Palavras-Chave: Sobrepeso; Obesidade; Antropometria; Transição nutricional

scholarly journals Effects of naso-gastric tube feeding on the nutritional status of children with cancer

1998 ◽  
Vol 52 (7) ◽  
pp. 494-500 ◽  
Author(s):  
E den Broeder ◽  
RJJ Lippens ◽  
MA van’t Hof ◽  
JJM Tolboom ◽  
WA van Staveren ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Gastric Tube ◽  
Tube Feeding ◽  
Children With Cancer ◽  
Nutritional Status Of Children

Validation of a nutrition screening tool: testing the reliability and validity

2001 ◽  
Vol 14 (4) ◽  
pp. 269-275 ◽  
Author(s):  
S. T. Burden ◽  
S. Bodey ◽  
Y. J. Bradburn ◽  
S. Murdoch ◽  
A. L. Thompson ◽  
...  
Keyword(s):  
Screening Tool ◽  
Reliability And Validity ◽  
Nutrition Screening ◽  
Nutrition Screening Tool ◽  
Tool Testing
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