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Determining the prevalence of malnutrition in hospitalized paediatric patients
L V Marino1, E Goddard, L Workman
1Department of Dietetics, Red Cross War Memorial Children's Hospital, Rondebosch, Cape Town, South Africa. lmarino@pgwc.gov.za
Insights
Malnutrition affects 34% of hospitalized children, with 14% overweight, exceeding national averages. A nutrition risk-screening tool is recommended for better patient care and discharge planning.
Area of Science:
- Pediatric Nutrition
- Hospital Malnutrition
- Public Health
Background:
- Malnutrition is a significant concern in hospitalized children.
- Assessing nutritional status is crucial for effective patient management.
- Previous data on malnutrition prevalence in this specific hospital setting is limited.
Purpose of the Study:
- To determine the prevalence of malnutrition in hospitalized pediatric patients.
- To identify the proportion of underweight and overweight children.
- To inform the development of targeted nutrition interventions.
Main Methods:
- A 1-day cross-sectional survey was conducted.
- Data collected from medical, surgical wards, and specialist outpatient clinics.
- 227 pediatric patients participated in the study.
Main Results:
- Overall undernutrition prevalence was 34%.
- 14% of children were overweight or obese, exceeding the national average.
- HIV prevalence was 18% among participants.
Conclusions:
- The study highlights a significant burden of both undernutrition and overweight/obesity in hospitalized children.
- A nutrition risk-screening tool is recommended to identify at-risk patients.
- Developing and implementing a nutrition care plan is essential for improving outcomes.
Aim:
To determine the prevalence of malnutrition in hospitalised paediatric patients at Red Cross War Memorial Children's Hospital.
Method:
A 1-day cross-sectional survey was completed in all medical and surgical wards and some specialist outpatient clinics.
Results:
A total of 227 children participated in the study. Thirty-five per cent of patients were moderately malnourished (< or = -2 z-score), of whom 70% had no road to health card with them. Thirty-four per cent of children under 60 months of age received supplements in addition to a normal ward diet, 7.8% were enterally fed and less than 1% were parenterally fed. Almost 14% of children were found to be overweight/obese, which is higher than the national average of 6%. The prevalence of HIV infection on the day of the audit was 18% across all age groups compared with the Western Cape antenatal prevalence of 15.7% (2005).
Conclusion:
The overall prevalence of undernutrition was 34%, which is comparable with similar studies. However, the proportion of overweight children (14%) was greater than the national average. In view of the level of malnutrition seen, a nutrition risk-screening tool, identifying risk factors for malnutrition such as food access and vulnerability, should be developed. The tool should be used to assess nutrition status and risk during the course of hospitalisation, in addition to planning appropriate nutrition care plan interventions for discharge.
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