Malnutrition in Hospitalized Children: Prevalence, Impact, and Management

2014 ◽  
Vol 75 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Veronique Groleau ◽  
Maxime Thibault ◽  
Myriam Doyon ◽  
Eve-Emmanuelle Brochu ◽  
Claude C. Roy ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Energy Intake ◽  
Lower Energy ◽  
Skinfold Thickness ◽  
Nutritional Risk ◽  
Hospitalized Children ◽  
Nutrition Interventions ◽  
Not At Risk ◽  
The Impact

Purpose Malnutrition in hospitalized children has been reported since the late 1970s. The prevalence of acute and chronic malnutrition was examined in hospitalized patients in a general pediatric unit, and the impact and management of malnutrition were assessed. Methods The nutritional risk score (NRS) and nutritional status (NS) (weight, height, body mass index, and skinfold thickness) of children aged zero to 18 years were assessed upon hospital admission. Growth and energy intake were monitored every three days until discharge. Results A total of 173 children (median age three years, 88 girls) participated; 79.8% had a moderate to severe NRS and 13.3% were acutely and/or chronically malnourished. A high NRS was associated with a longer hospital stay in children older than three years (P<0.05), while a poor NS (weight for height percentile) was correlated with prolonged hospitalization in children aged three years or younger (P<0.05). Although weight did not change during hospitalization, a decrease in skinfolds was documented (n=43, P<0.05). Patients with a high NRS had lower energy intake than those not at risk. However, children with abnormal NS received 92.5% of recommended energy intake. Conclusions This study suggests that all children admitted to hospital should have an evaluation of their NRS and NS, so that they can receive appropriate nutrition interventions provided by a multidisciplinary nutrition team.

Malnutrition of the elderly patient in hospital: risk factors, detection and management

2001 ◽  
Vol 11 (3) ◽  
pp. 229-236 ◽  
Author(s):  
Yee Kiat Teo ◽  
HA Wynne
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Nutritional Status ◽  
Body Mass ◽  
The Elderly ◽  
Skinfold Thickness ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Admission Rates ◽  
Healthy Elderly

Dietary, biochemical and anthropometric data indicate good nutritional status, in general, in community-dwelling, healthy elderly people, at least in the USA. In a sample of 209 men over 65 years of age without acute disease-related nutritional risk factors, mean intake of nutrients generally met or exceeded the recommended dietary values, with the exception of calories, although 7% of subjects consumed inadequate amounts of thiamine, vitamin A, vitamin C and calcium. Few subjects were extremely underweight or obese, although body fat, as assessed by skinfold thickness, fell over the two years of evaluation. The prevalence of malnutrition in patients with chronic disease living in the community in the UK is estimated to be around 8%, however. In this study of more than 11 000 men and women aged 18 years or over, consultation rates in general practice and prescription rates were lowest amongst patients with a body-mass index between 20 and 25. Hospital outpatient referral rates were not related to nutritional status, but both hospital admission rates and mortality were greatest in people with a body-mass index(BMI) (kg/m2) below 20, and declined as BMI increased.

scholarly journals Evaluation of growth and nutritional status in children and adolescents with extrahepatic portal vein obstruction and portal hypertension

2017 ◽  
Vol 30 (4) ◽  
pp. 455-461
Author(s):  
Priscila Francisco MARQUES ◽  
Maria Angela Bellomo BRANDÃO ◽  
Gabriel HESSEL ◽  
Roberta Vacari ALCANTARA ◽  
Marcela Linden FERREIRA ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Portal Hypertension ◽  
Nutritional Status ◽  
Portal Vein ◽  
Dietary Intake ◽  
Children And Adolescents ◽  
Energy Intake ◽  
Body Mass ◽  
Extrahepatic Portal Vein Obstruction ◽  
Portal Vein Obstruction

ABSTRACT Objective: This study aims to evaluate dietary intake, nutritional status, and growth rate in children and adolescents with extrahepatic portal vein obstruction and portal hypertension. Methods: Outpatients aged 1-18 years, diagnosed with extrahepatic portal vein obstruction and portal hypertension, who had no associated diseases, and who had not been subjected to a venous shunt were included in this study. Two evaluations were carried out in this study: an initial (evaluation 1) and a final evaluation (evaluation 2), with a three-month minimum interval between them. In each evaluation, dietary intake was analyzed comparing the results with recommended energy intake using the Harris & Benedict equation and participants’ anthropometric data, such as weight, height, mid-arm muscle circumference, weight-for-age, height-for-age, and body mass index-for-age, based on the World Health Organization 2006 standards. Results: A total of 22 patients participated in this study. There was a significant improvement in weight, height, body mass index, and mid-arm muscle circumference measurements (p<0.001; p<0.001; p<0.017; p=0.0018 respectively) and in the relationship between dietary intake and energy recommended energy intake, according to the Harris & Benedict equation (p=0.0001) from the first and second evaluation. Conclusion: Extrahepatic portal vein obstruction and portal hypertension were not shown to be factors predisposing to malnourishment.

scholarly journals The Impact of Nutritional Status and Body Mass Index on Rehabilitation Outcomes in Patients Receiving Home-Based Medical Care

2020 ◽  
Vol 3 (2) ◽  
pp. 15
Author(s):  
Kanako Eiwa ◽  
Naomi Nakayama ◽  
Yumi Takami ◽  
Shuko Iwasaki ◽  
Yoshinori Hino ◽  
...  
Keyword(s):  
Body Mass Index ◽  
At Risk ◽  
Nutritional Status ◽  
Medical Care ◽  
Body Mass ◽  
Functional Independence ◽  
The Body ◽  
Rehabilitation Outcomes ◽  
Home Based ◽  
The Impact

Background: Home-based medical care is expanding rapidly in Japan.Objectives: We aimed to identify the factors associated with outcomes of therapy in patients receiving home-visit rehabilitation.Methods: One hundred twenty-one patients receiving home-based rehabilitation were investigated. Nutritional status was assessed by the Mini Nutritional Assessment Short Form (MNA-SF). The Functional Independence Measure (FIM) was employed to assess the activities of daily living (ADL). The body mass index (BMI), medical history, and orthopedic disease-related pain were also recorded. The primary outcome was the improvement in FIM scores in one year.Results: A total of 19 (17%) patients were malnourished and 58 (48%) were at risk of malnutrition. Malnourished patients had a lower FIM score at initiation than those at risk of malnutrition or with normal nutritional status. Only changes in patients’ BMI and MNA-SF scores over one year were significantly associated with improved FIM scores (p = 0.0079 and p = 0.0049, respectively). No association was noted with the other factors.Conclusions: This is the first report to demonstrate that changes in MNA-SF scores and BMI are significantly associated with rehabilitation outcomes in home-based care. Nutritional management is essential along with rehabilitation to improve ADL in the long-term home care setting.

scholarly journals Nutritional risk evaluation and nutritional status characterization in hospitalized children: preliminary study

2019 ◽  
Vol 51 (sup1) ◽  
pp. 156-156
Author(s):  
Sofia Soares Castanheira ◽  
Maria Leonor Silva ◽  
Ana Rita Silva ◽  
Paulo Oom
Keyword(s):  
Nutritional Status ◽  
Risk Evaluation ◽  
Nutritional Risk ◽  
Hospitalized Children ◽  
Preliminary Study

scholarly journals Nutritional status of pregnant women - effects on the course and pregnancy outcome

2021 ◽  
Vol 74 (1-2) ◽  
pp. 15-19
Author(s):  
Isidora Djozic ◽  
Edita Stokic ◽  
Jelena Nikolic
Keyword(s):  
Body Mass Index ◽  
Gestational Diabetes ◽  
Cesarean Section ◽  
Nutritional Status ◽  
Arterial Hypertension ◽  
Pregnant Women ◽  
Body Mass ◽  
Apgar Score ◽  
Statistical Significance ◽  
The Impact

Introduction. In recent decades, obesity has taken on epidemic proportions and is becoming one of the most significant public health problems today. The results of clinical and epidemiological studies show that obese pregnant women can be considered a high risk group, given the increased risk of maternal and fetal complications. The aim of this study was to examine the relationship between pregnant women?s nutritional status and the development of arterial hypertension, gestational diabetes and obstetric cholestasis during pregnancy, as well as the impact of pregnant women?s nutritional status on newborn birth weight and vital parameters at birth, assessed by Apgar score. Material and Methods. This retrospective study included 71 pregnant women who were divided into two groups, depending on the nutritional status. The first group included 28 pregnant women with a body mass index < 25 kg/m? or less, whereas the second group included obese pregnant women with a body mass index > 30 kg/m? or more. Birth protocol data were used for the newborns. Results. In obese pregnant women, the termination of pregnancy by cesarean section was statistically significant more frequent (p < 0.05). Newborns of obese mothers had a statistically lower Apgar score at 5 minutes, while higher body weight of newborns and a lower Apgar score at 1 minute were at the limit of statistical significance (p = 0.068). Arterial hypertension was more common in obese pregnant women (p = 0.014), while gestational diabetes (p = 0.42) and obstetric cholestasis (p = 0.51) were more common in obese pregnant women, but without statistical significance. Conclusion. Obesity in pregnancy is a risk factor for the development of hypertension, a higher incidence of cesarean section, and a lower Apgar score of newborns.

scholarly journals The Association between Nutritional Status and In-Hospital Mortality of COVID-19 in Critically-Ill Patients in the ICU

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3302
Author(s):  
Michał Czapla ◽  
Raúl Juárez-Vela ◽  
Vicente Gea-Caballero ◽  
Stanisław Zieliński ◽  
Marzena Zielińska
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nutritional Status ◽  
Hospital Mortality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Invasive Mechanical Ventilation ◽  
Nutritional Risk ◽  
Risk Of Death ◽  
The Impact

Background: Coronavirus disease 2019 (COVID-19) has become one of the leading causes of death worldwide. The impact of poor nutritional status on increased mortality and prolonged ICU (intensive care unit) stay in critically ill patients is well-documented. This study aims to assess how nutritional status and BMI (body mass index) affected in-hospital mortality in critically ill COVID-19 patients Methods: We conducted a retrospective study and analysed medical records of 286 COVID-19 patients admitted to the intensive care unit of the University Clinical Hospital in Wroclaw (Poland). Results: A total of 286 patients were analysed. In the sample group, 8% of patients who died had a BMI within the normal range, 46% were overweight, and 46% were obese. There was a statistically significantly higher death rate in men (73%) and those with BMIs between 25.0–29.9 (p = 0.011). Nonsurvivors had a statistically significantly higher HF (Heart Failure) rate (p = 0.037) and HT (hypertension) rate (p < 0.001). Furthermore, nonsurvivors were statistically significantly older (p < 0.001). The risk of death was higher in overweight patients (HR = 2.13; p = 0.038). Mortality was influenced by higher scores in parameters such as age (HR = 1.03; p = 0.001), NRS2002 (nutritional risk score, HR = 1.18; p = 0.019), PCT (procalcitonin, HR = 1.10; p < 0.001) and potassium level (HR = 1.40; p = 0.023). Conclusions: Being overweight in critically ill COVID-19 patients requiring invasive mechanical ventilation increases their risk of death significantly. Additional factors indicating a higher risk of death include the patient’s age, high PCT, potassium levels, and NRS ≥ 3 measured at the time of admission to the ICU.

scholarly journals Impact Exerted by Nutritional Risk Screening on Clinical Outcome of Patients with Esophageal Cancer

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Rui Wang ◽  
Hongfei Cai ◽  
Yang Li ◽  
Caiwen Chen ◽  
Youbin Cui
Keyword(s):  
Esophageal Cancer ◽  
Clinical Outcome ◽  
Nutritional Status ◽  
Serum Albumin ◽  
Nutritional Support ◽  
Nutritional Risk ◽  
Control Group ◽  
Risk Screening ◽  
The Impact ◽  
Nutritional Risk Screening

Objective. Preoperative nutritional status of patients is closely associated with their recovery after the surgery. This study aims to ascertain the impact exerted by the nutritional risk screening on clinical outcome of patients with esophageal cancer. Methods. 160 patients with esophageal cancer aged over 60, having got therapy at the First Hospital of Jilin University from Jun 2016 to Feb 2017 were evaluated by adopting the NRS2002. 80 cases of patients got active therapy of nutritional support, and the other patients not supported nutritionally were selected as the control group. The comparison was drawn between two groups in serum albumin, serum immunoglobulin, postoperative complications, hospitalization, and hospitalization expenses. Results. For all the patients, in 3 and 7 days after the surgery, the serum albumin in the nutritionally supported group outstripped that in group without nutritional support (P<0.05) regardless of the nutritional risk. For the patients in the risk of nutrition, the IgA in the nutritionally supported group outstripped that of group without nutritional support (P<0.05) in 3 and 7 days before the surgery, and the serum IgG outstripped that of the group without nutritional support in 1 and 3 days before the surgery (P<0.05). In terms of the patients in the risk of nutrition, the average hospitalization of nutritionally supported group was shorter (P<0.05), and the average hospitalization expenses were lower compared with those of the group without nutritional support. And for the patients in no risk, the hospitalization expenses of supported group surmounted those of group without nutritional support (P<0.05), whereas the average hospitalization took on no statistic difference (P>0.05). Conclusion. For the patients in the risk of nutrition, preoperative nutritional support can facilitate the nutritional status and immunization-relative result after surgery, which shall also decrease the average hospitalization and hospitalization cost.

scholarly journals WHICH PATIENTS SURGICALLY TREATED FOR UROLITHIASIS NEED NUTRITIONAL CARE?

2015 ◽  
pp. 1-5
Author(s):  
V. Aparecida Leandro-Merhi ◽  
J.L. Braga de Aquino ◽  
R. Marmiroli ◽  
L. Oliveira Reis
Keyword(s):  
Nutritional Status ◽  
Kidney Stones ◽  
Nutritional Assessment ◽  
Multinomial Logistic Regression ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Significance Level ◽  
Factors Associated ◽  
Urologic Diseases ◽  
The Impact

Introduction: The present study is justified by the interest of investigating the impact of nutritional status on urology patients. Objective: To investigate the nutritional status of urology patients and identify the risk factors associated with type of kidney stone. Method: This cross-sectional study assessed the nutritional status and energy and nutrient intakes of 175 hospitalized adult urology patients stratified as follows: patients submitted to percutaneous nephrolithotripsy (PN), patients submitted to endoscopic ureterolithotripsy (EU), and patients without kidney stones. All study variables were investigated as possible predictors of urologic diseases. Multinomial logistic regression analysis and the proportional odds model identified the factors associated with kidney stones. The significance level was set at 5%. Results: Kidney stones were more common in females (p<0.0001), EU patients without nutritional risk according to the Nutritional Risk Screening (NRS) (p=0.0061), patients with normal triceps skinfold thickness (p=0.015), and younger patients (p=0.0001). Patients hospitalized for longer periods (p=0.0038) and older patients (p=0.0001) did not have kidney stones. In EU patients kidney stones were associated with being female (p<0.0001; OR: 3.699; CI: 2.001; 6.838), having mid-upper arm muscle circumference between the 10th and 90th percentiles (p=0.0477; OR: 3.164; CI: 1.012; 9.895), not being at nutritional risk according to the NRS (p=0.0308; OR: 3.265; IC: 1.116; 9.557), and being younger (p=0.0008; OR: 0.966; CI: 2.001; 6.838). Conclusion: PN patients seem to need nutritional assessment and follow-up, while patients with kidney stones smaller than one centimeter do not seem to need routine nutritional assessment.

RA10.03: IMPACT EXERTED BY NUTRITIONAL RISK SCREENING ON CLINICAL OUTCOME OF PATIENTS WITH ESOPHAGEAL CANCER

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 42-43
Author(s):  
Rui Wang ◽  
Hongfei Cai ◽  
Youbin Cui
Keyword(s):  
Esophageal Cancer ◽  
Clinical Outcome ◽  
Nutritional Status ◽  
Serum Albumin ◽  
Nutritional Support ◽  
Nutritional Risk ◽  
Control Group ◽  
Risk Screening ◽  
The Impact ◽  
Nutritional Risk Screening

Abstract Background Preoperative nutritional status of patients is closely associated with their recovery after the surgery. This study aims to ascertain the impact exerted by the nutritional risk screening on clinical outcome of patients with esophageal cancer, to provide scientific determination of nutritional support for patients suffering from esophageal cancer. Methods 160 patients with esophageal cancer aged over 60, having got therapy at the First Hospital affiliated by Jilin University from Jun. 2016to Feb. 2017 were evaluated adopting the NRS2002. 80 cases of patients got active therapy of nutritional support, and the other patients not supported nutritionally were selected as the control group. The comparison was drawn between two groups in serum albumin, serum immunoglobulin, postoperative complications, hospitalization and hospitalization expenses. Experimental data were acquired through adopting t-test and χ2 test for statistical analysis. Results For all the patients, in 3 and7 days after the surgery, the serum albumin in the nutritionally supported group outstripped that in group without nutritional support (P < 0.05) regardless of the nutritional risk. For the patients in the risk of nutrition, the IgA in the nutritionally supported group outstripped that of group without nutritional support (P < 0.05) in 3 and 7 days before the surgery, and the serum IgG outstripped that of the group without nutritional support in 1 and 3 days before the surgery(P < 0.05). Two groups were not statistically different in the rate of postoperative complication (P > 0.05). In terms of the patients in the risk of nutrition, the average hospitalization of nutritionally supported group was shorter(P < 0.05), and the average hospitalization expenses were lower compared with those of the group without nutritional support. And for the patients in no risk, the hospitalization expenses of supported group surmounted those of group without nutritional support (P < 0.05), whereas the average hospitalization took on no statistic difference(P > 0.05). Conclusion For the patients in the risk of nutrition, preoperative nutritional support can facilitate the nutritional status and immunization-relative result after surgery, which shall also decrease the average hospitalization and hospitalization cost. Disclosure All authors have declared no conflicts of interest.

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