Effect of malnutrition in infants with cystic fibrosis in India: An underestimated danger

Autor:	Sneha Varkki, Madhan Kumar, B Arul Premanand Lionel, Leenath Thomas, Anu Punnen, Shincy T John, Grace Rebekah
Rok vydání:	2021
Předmět:	Pediatrics medicine.medical_specialty business.industry Anemia Mortality rate Retrospective cohort study malnutrition medicine.disease Infant mortality Cystic fibrosis infant mortality Malnutrition Weight loss Failure to thrive Medicine Original Article Hypoalbuminemia medicine.symptom business
Zdroj:	Journal of Family Medicine and Primary Care Journal of Family Medicine and Primary Care, Vol 10, Iss 5, Pp 1994-1997 (2021)
ISSN:	2249-4863
Popis:	Aims: To assess the clinical profile and nutritional status of infants with cystic fibrosis (CF) and track their nutritional outcomes with treatment. Materials and Methods: This retrospective study was conducted in a tertiary-care institute in South India. Demographic and clinical information were collected. The nutritional status and treatment outcome was assessed by Z-scores for weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) at diagnosis and follow-up. Results: Nineteen infants with CF had mean follow-up duration of 9.7 ± 8.7 months. There was a mean delay of 2.9 ± 2.1 months from symptom onset to diagnosis, by which time infants were severely malnourished (mean WAZ -4.68 ± 1.8). Pneumonia, summer dehydration with electrolyte abnormalities (42.1%), and a combination of anemia, hypoalbuminemia, and malnutrition (42.1%) were the predominant features. Significant weight loss had been recorded in undiagnosed infants by second month of life before symptom onset. At follow-up, there was a remarkable improvement in WAZ (P 0.001), but not LAZ and WLZ. There was a high mortality rate of 37% in these infants. Conclusions: Malnutrition is a significant morbidity in infants with CF in India. There was significant improvement of WAZ with treatment, but it lagged behind the recommended targets. There is an opportunity for identification of CF infants at the time of vaccination at six and ten weeks of age, by the primary care physician and pediatrician. Screening of young infants having failure to thrive in the immunization clinic may be a strategy for early diagnosis of infants with severe CF phenotype.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4f287751e8868637bf6f16fa0848acde https://pubmed.ncbi.nlm.nih.gov/34195137 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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