Prevalence of malnutrition and energy intake in hospitalized children

Autor: Marinela Mamić, Petra Kučan, Diana Vukman, Tena Niseteo
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Paediatria Croatica
Volume 62
Issue 2
ISSN: 1846-405X
1330-1403
Popis: Glavni cilj ovoga istraživanja bio je izvijestiti o sedmogodišnjoj učestalosti malnutricije u djece hospitalizirane u tercijarnoj bolnici te utvrditi razliku između preporuka i stvarnog unosa pedijatrijskih bolesnika. Istraživanje je obuhvatilo 606 bolesnika u dobi od 0 mjeseci do 18 godina primljenih u Kliniku za dječje bolesti Zagreb. Energetski unos procijenjen je i uspoređen s dnevnim potrebama koje preporuča hrvatski Standard prehrane bolesnika u bolnicama. Izmjerene su tjelesna masa i visina te je izračunat indeks tjelesne mase (ITM) sa standardnom devijacijom (SD). Malnutricija je defi nirana primjenom prijelomne vrijednosti (ITM Z-score SD) Svjetske zdravstvene organizacije kao kriterija u najširoj uporabi. U ukupno 28.6% ispitivane populacije utvrđena je malnutricija, uključujući 19.7% bolesnika s prekomjernom tjelesnom masom i pretilih bolesnika, 8.9% neuhranjenih bolesnika te 6.9% bolesnika koji ne dostižu prosječnu tjelesnu visinu s obzirom na dob, odnosno zaostaju u razvoju. Rezultati istraživanja su pokazali kako u 37% svih ispitanika prosječan dnevni energetski unos iznosi 60% do 90%, a u 33% iznad 90% preporučenih vrijednosti. Zaključno, učestalost malnutricije uključujući pothranjenost, prekomjernu tjelesnu masu i pretilost kod hospitalizirane djece u Hrvatskoj slična je onoj u Europi. Veoma je važno prepoznati djecu u riziku u ranoj fazi kako bi se mogla uvesti odgovarajuća nutritivna potpora te bi kod sve djece primljene na bolničko liječenje trebalo napraviti procjenu uhranjenosti. Ključni elementi za poboljšanje energetskog unosa uključuju kombinaciju nutritivnog probira, odgovarajuće nutritivne procjene, daljnjeg praćenja bolesnika te poboljšanja bolničkih obroka.
The main aim of the present study was to report the seven-year prevalence of malnutrition in a tertiary children’s hospital and to assess the diff erence between recommendations and actual intake in paediatric inpatients. The study included 606 patients, age range from 0 months to 18 years, admitted to the Children’s Hospital Zagreb. Energy intake by all routes was assessed and compared with daily requirements recommended by the Croatian nutritional standard for hospital diets. Weight and height were measured, and body mass index (BMI) with standard deviation (SD) was calculated. Malnutrition was defi ned using the World Health Organization (WHO) cut-off BMI Z-score SD as the most widely used criteria. Overall, 28.6% of the study population were malnourished, including 19.7% of overweight and obese patients, 8.9% of undernourished patients and 6.9% of stunted patients. Study results showed that 37% of all study patients had an average daily energy intake between 60% and 90%, and 33% above 90% of the recommended values. In conclusion, the prevalence of malnutrition, including undernutrition and overnutrition, in hospitalized children in Croatia is similar to that in Europe. It is of great importance to identify the children at risk at an early stage, so that appropriate nutritional intervention can be introduced. A simple nutritional screening tool should be implemented and used in all children admitted to the hospital. Key elements in improving dietary intake are a combination of screening, appropriate nutritional assessment, further patient monitoring, and improving the hospital menu.
Databáze: OpenAIRE
Externí odkaz: