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Effect of enteral and parenteral nutrition on growth parameters of hospitalized Turkish children
1Gazi University Faculty of Medicine, Department of Pediatrics, Ankara, Turkey. fatihezgu@isbank.net.tr
Insights
Enteral nutrition significantly improved weight and height in hospitalized children compared to parenteral nutrition. This highlights the benefits of enteral feeding for pediatric growth and recovery.
Area of Science:
- Pediatric Nutrition
- Clinical Nutrition
- Growth Monitoring
Background:
- Hospitalized pediatric patients often require nutritional support.
- Enteral nutrition (EN) and parenteral nutrition (PN) are common methods.
- Assessing growth and complications is crucial for patient outcomes.
Purpose of the Study:
- To compare the efficacy of enteral nutrition versus parenteral nutrition in hospitalized pediatric patients.
- To investigate the impact of EN and PN on growth parameters.
- To identify potential complications associated with each nutritional support method.
Main Methods:
- A comparative study involving hospitalized pediatric patients receiving either EN (n=26) or PN (n=15).
- Anthropometric measures (weight, height) were recorded and expressed as z-scores.
- Biochemical analyses and complete blood counts were performed.
Main Results:
- Significant improvements in weight-for-age, height-for-age, and weight-for-height z-scores were observed in the EN group (P < 0.01).
- Positive correlations were found between changes in weight-for-age and height-for-age z-scores and follow-up time in the EN group.
- No statistically significant improvements in z-scores were noted in the PN group.
Conclusions:
- Enteral nutrition demonstrates significant benefits for improving both weight and height in sick hospitalized pediatric patients.
- EN appears to be a more effective method for promoting growth compared to PN in this population.
- Further research may explore long-term outcomes and specific complication rates.
Abstract:
This study was conducted to investigate growth and the complications in the hospitalized pediatric patients receiving either enteral (n = 26) or parenteral (n = 15) nutrition. Anthropometric measures as well as the results of biochemical analyses and complete blood counts were recorded. Weight, height and weight for height were expressed in z scores. The improvement in z scores for the 26 children receiving enteral nutrition in weight for age (P = 0.001), height for age (P = 0.002) and weight for height (P = 0.008) were all statistically significant. There were also significant correlations between the changes in weight for age (r2 = 0.15, P = 0.0049) and height for age (r2 = 0.64 and P = 0.0001) z scores and the time for follow up. Corresponding z scores in the parenteral nutrition group were not statistically significant. This study indicated that enteral nutrition provides significant improvement not only in weight but also height of sick hospitalized pediatric patients.
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