scholarly journals Estudio piloto: riesgo nutricional al ingreso de la internación pediátrica

2019 ◽  
Vol 76 (4) ◽  
pp. 233-237
Author(s):  
Gerardo Weisstaub ◽  
Laura Arce ◽  
Victoria Brennan ◽  
Gabriela Aello ◽  
Soledad Arnulphi ◽  
...  
Keyword(s):  
Strong Kids

Introducción: La desnutrición al ingreso de la internación pediátrica es un factor de riesgo de mala evolución y está asociado a mayor morbimortalidad. El principal objetivo fue conocer la frecuencia de desnutrición y riesgo nutricional al inicio de la hospitalización en una muestra de pacientes pediátricos. Población y métodos: Diseño descriptivo, transversal. Se incluyeron pacientes de 1 mes a 14 años internados entre marzo y julio de 2016, en el Hospital Dr. Humberto Notti. Se aplicó un tamizaje nutricional (Strong Kids) valorando riesgo nutricional dentro de las 48hs. de ingreso hospitalario y se obtuvo diagnóstico nutricional con los datos antropométricos correspondientes. Para el análisis estadístico se utilizó Test de Fisher y t de Student. Resultados: Ingresaron 134 pacientes, edad 4 (1 a 9) años (mediana e IQR) y la duración de la internación fue de 4 (3 a 7) días. Al momento del ingreso el 17% presentaba desnutrición aguda y el 60% un riesgo nutricional moderado. Los pacientes con alto riesgo nutricional al ingreso tuvieron más frecuentemente dolor, cambio de peso, menor ingesta, diarrea y signos de desnutrición que los que tuvieron un riesgo nutricional moderado (Fisher < 0,0001). Conclusión: La desnutrición al ingreso de la hospitalización afecta a casi la quinta parte de los pacientes y más de la mitad presenta riesgo nutricional moderado lo que justifica la realización sistemática de la evaluación del riesgo nutricional

Implementing Strong Kids School-Wide to Reduce Internalizing Behaviors and Increase Prosocial Behaviors

2014 ◽  
Vol 37 (4) ◽  
pp. 659-680 ◽  
Author(s):  
Thomas J. Kramer ◽  
Paul Caldarella ◽  
K. Richard Young ◽  
Lane Fischer ◽  
Jared S. Warren
Keyword(s):  
Internalizing Behaviors ◽  
Prosocial Behaviors ◽  
Strong Kids

scholarly journals Individual Genetic Variations Related to Satiety and Appetite Control Increase Risk of Obesity in Preschool-Age Children in the STRONG Kids Program

2013 ◽  
Vol 75 (2-4) ◽  
pp. 152-159 ◽  
Author(s):  
Yingying Wang ◽  
Anthony Wang ◽  
Sharon M. Donovan ◽  
Margarita Teran-Garcia ◽  
Keyword(s):  
Genetic Variations ◽  
Preschool Age ◽  
Appetite Control ◽  
Strong Kids ◽  
Preschool Age Children ◽  
Increase Risk

AVALIAÇÃO DO RISCO NUTRICIONAL DE CRIANÇAS HOSPITALIZADAS EM UM HOSPITAL PARTICULAR DE CASCAVEL, PR

2019 ◽  
pp. 46
Author(s):  
Rafaela Beatriz Menegusso ◽  
Marianela Díaz Urrutia ◽  
Vanessa Giraldi
Keyword(s):  
Strong Kids

Introdução: Desnutrição é uma doença nutricional, prevalente em países em desenvolvimento, que acarreta prejuízos ao crescimento e desenvolvimento, além de ter relação direta com taxa de mortalidade infantil. Tem origem multifatorial, associada à limitação de nutrientes ou a má utilização destes pelo organismo. Durante hospitalização é de extrema importância avaliar esse risco nutricional, através de triagem. A partir desta é possível realizar adequação do tratamento e intervenção nutricional precoce, possibilitando melhor evolução do paciente, diminuição do risco de morbimortalidade, permanência e custos de internação hospitalar, além de aumentar a rotatividade de leitos. Objetivo: O trabalho teve como objetivo avaliar o estado nutricional de crianças de um hospital particular na cidade de Cascavel, Pr. Métodos: Foi utilizada a ferramenta de triagem nutricional Strong Kids, que avalia o estado nutricional através da presença de doença de alto risco ou cirurgia de grande porte, perda de massa muscular ou adiposa (por meio de avaliação clinica subjetiva), características da ingestão alimentar e possíveis perdas (vômitos e diarreia) e perda de peso ou ausência de ganho em crianças menores de 1 ano. Cada item citado tem uma pontuação que no final da avaliação gera um score, de 0 a 5, identificando o risco nutricional. A ferramenta foi aplicada a indivíduos entre 1 mês e 18 anos, totalizando uma amostra de 116 pessoas. Resultados: Como resultados foram obtidos os seguintes dados: score 0 (baixo risco): 18,1%; score 1 (médio risco): 59,41%; score 2 (médio risco): 8,62%; score 3 (médio risco): 6,9%; score 4 (alto risco): 5,17%; score 5 (alto risco): 1,72%. Conclusão: Os resultados com score 0, considerado de baixo risco e sem necessidade de intervenção nutricional, ocupa apenas uma pequena parte da amostra total. Dessa forma, todo o restante da amostra necessita de maior atenção nutricional e possível intervenção.     Palavras-chave: avaliação nutricional, triagem, desnutrição.

scholarly journals Validity of Nutritional Screening Tools for Hospitalized Children

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Nathania Wonoputri ◽  
Julistio T. B. Djais ◽  
Ina Rosalina
Keyword(s):  
Screening Tool ◽  
Assessment Tool ◽  
Screening Tools ◽  
Severe Malnutrition ◽  
Diagnostic Study ◽  
Hospitalized Children ◽  
Nutritional Screening ◽  
Strong Kids ◽  
Sensitivity Specificity ◽  
Simple Screening

Background. Malnutrition in hospitalized children can be prevented if children with risk of malnutrition are identified. Every hospital is recommended to have a standard nutritional screening tool. Numerous simple screening tools have been developed, namely Paediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), and Screening Tool for Risk on Nutritional Status and Growth (STRONG-kids). None has been accepted as a universal tool. Our study aims to determine the best screening tools compared to Subjective Global Nutrition Assessment (SGNA), an assessment tool which is more complex as our gold standard.Methods. This diagnostic study involved 116 patients aged 1–15 years. Three screening tools and SGNA were examined to each subject. Statistical analysis was used to determine sensitivity, specificity, and likelihood ratio (LR) by results from screening tools divided into low and moderate-high risk of malnutrition compared to results from SGNA divided into no and moderate-severe malnutrition.Results. PYMS showed superior agreement to SGNA resulting in sensitivity 95.32%, specificity 76.92%, positive LR 4.13, and negative LR 0.061. STAMP resulted in sensitivity, specificity, positive LR, and negative LR, respectively, as 100%, 11.54%, 1.13, and 0 and STRONG-kids resulted in 100%, 7.7%, 1.083, and 0.Conclusion. PYMS was the most reliable screening tool.

scholarly journals Strong teeth make strong kids

BDJ ◽  
2018 ◽  
Vol 224 (11) ◽  
pp. 909-909
Keyword(s):  
Strong Kids

scholarly journals Genetic and Epigenetic Contributions to Child Heath Outcomes in the STRONG Kids 2 Cohort Study

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 941-941
Author(s):  
Fatma Kadayifci ◽  
Sharon M Donovan ◽  
Margarita Teran-Garcia ◽  
Yuan-Xiang Pan
Keyword(s):  
Cohort Study ◽  
Genetic Regulation ◽  
Genomic Analysis ◽  
The United States ◽  
Health Concern ◽  
First Year ◽  
Strong Kids ◽  
Funding Sources ◽  
Stable Growth ◽  
First Year Of Life

Abstract Objectives Childhood obesity is becoming a significant health concern in the United States, and the prevalence of excess weight increases continuously throughout the growing years. It has been proposed that genetic variation partly contributes to the susceptibility of obesity and its development during the early onset. Thus, this study focuses on the determination of the genome-wide signatures (GWAS) and epigenomic signatures (EWAS) of divergent weight for length z scores (WFLZ) in the first year of life. In addition, it attempts to relate the molecular findings to body composition, BMI, adipose tissue deposition, in the first 5 years of life. Our objective is to generate novel preliminary data on the contributions to child health outcomes. Our approach involves integrating genetic and epigenetic variations with factors such as diet and growth. Methods Initially, saliva samples of 426 children from SKP cohort were collected. Next, height and weight measurements were collected at intervals of 6 weeks, 3, 12, and 18 months, and 2, 3, 4 and 5 years. Measures such as maternal height and weight were also collected at the time points mentioned above. Furthermore, children were separated into three groups based on their WFLZ score trajectories (low-slow raising growth, mid stable growth and low-high rising growth) and it was demonstrated that there was a biological variation within the groups to investigate the genetic regulation of development in early life. For genomic analysis, DNA was extracted from infant saliva samples, fixed and quantified to used for genomic analysis. Results After statistical analysis 96 samples were chosen and genotyping were carried out using Illimuna Systems. Further results will be discussed at Nutrition 2021 Online. For the epigenetic analysis, EWAS analysis will be conducted and 850,000 methylation sites further will be investigated. We hypothesize that divergent growth factors in the first year of life will represent a unique epigenomic pattern and reveal new genetic targets modified by environmental variables. Conclusions This cohort study will provide valuable information about growth trajectories and genome and epigenome in the first 5 y of life. Funding Sources University of Illinois at Urbana-Champaign, FIRE Grant

scholarly journals Relationship between Solid Food Introduction and Picky Eating in the STRONG Kids 2 Cohort

2017 ◽  
Vol 31 (S1) ◽  
Author(s):  
Natasha Chong Cole ◽  
Soo‐Yeun Lee ◽  
Sharon M. Donovan
Keyword(s):  
Solid Food ◽  
Picky Eating ◽  
Strong Kids ◽  
Solid Food Introduction
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