Assessment of Malnutrition Risk in Canadian Pediatric Hospitals: A Multicenter Prospective Cohort Study

Véronique Bélanger, Andrea McCarthy, Valérie Marcil, Valérie Marchand, Dana L. Boctor, Mohsin Rashid, Angela Noble, Vishal Avinashi, Bridget Davidson, Véronique Groleau, Schohraya Spahis, Emile Levy

Résultat de recherche: Articleexamen par les pairs

34 Citations (Scopus)

Résumé

Objective: To assess the prevalence, causes, and consequences of malnutrition, as well as the evolution of nutritional status, in Canadian pediatric health care institutions. Study design: In this multicenter prospective cohort study, a total of 371 patients were recruited from pediatric hospitals in 5 Canadian provinces. Subjects were aged 1 month to 18 years; admitted to a medical, surgical, or oncology ward; and had a planned hospital stay of >48 hours. Data on demographics, medical condition, anthropometric measures, and dietary intake were collected. The Screening Tool Risk on Nutritional Status and Growth (STRONGkids) and Subjective Global Nutritional Assessment (SGNA) were applied at admission. Malnutrition was defined as a weight-for-age, height-for-age, body mass index-for-age, or weight-for-length/height z score <-2 SD. Results: Among 307 subjects (median age, 5.3 years; median length of stay, 5 days), 19.5% were malnourished on admission. Both STRONGkids and SGNA classifications were associated with baseline nutritional status. Mean weight-for-age z score was lower at discharge compared with admission (-0.14 vs -0.09; P <.01), and nearly one-half of all patients lost weight during their hospital stay. Only one-half of the children who were malnourished or screened as high risk of malnutrition were visited by a dietitian during their stay. The percentage of patients who lost weight during hospitalization was significantly greater in the group not visited by a dietitian (76.5 vs 23.5%; P <.01). Conclusion: Nutritional status deterioration and malnutrition are common in hospitalized Canadian children. Screening tools, anthropometric measurements, and dietitian consultation should be used to establish adequate nutritional support.

Langue d'origineEnglish
Pages (de-à)160-167.e6
JournalJournal of Pediatrics
Volume205
DOI
Statut de publicationPublished - févr. 2019
Publié à l'externeOui

Note bibliographique

Funding Information:
Funded by Abbott Nutrition, Canada. The funder had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. The authors declare no conflicts of interest.

Publisher Copyright:
© 2018 Elsevier Inc.

ASJC Scopus Subject Areas

  • Pediatrics, Perinatology, and Child Health

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