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Assessment of nutritional status and nutritional risk in hospitalized Iranian children

Vesal Moeeni1, Tony Walls, Andrew S Day

  • 1Department of Paediatrics, University of Otago, Christchurch, New Zealand.

Acta Paediatrica (Oslo, Norway : 1992)
|July 19, 2012
PubMed

Insights

Hospitalized Iranian children show higher under-nutrition rates. Nutritional risk score (NRS) tools effectively identified malnourished children, though their utility varied. Further assessment in developing settings is recommended.

Area of Science:

  • Pediatric Nutrition
  • Clinical Nutrition
  • Public Health

Background:

  • Hospitalized children often face nutritional challenges.
  • Assessing nutritional status is crucial for patient outcomes.
  • Nutritional risk score (NRS) tools aid in identifying at-risk patients.

Purpose of the Study:

  • To determine the nutritional status of children hospitalized in an Iranian tertiary hospital.
  • To evaluate the effectiveness of three different NRS tools in this pediatric population.

Main Methods:

  • Anthropometric measurements were taken for 119 inpatients and 100 healthy community children.
  • Three distinct NRS tools were applied to all hospitalized children.
  • Statistical analysis compared nutritional status and tool performance.

Main Results:

  • Under-nutrition prevalence was significantly higher in inpatients (25.2%) compared to the community group (3%).
  • Obesity/overweight was more common in the community group (22%) than inpatients (2.5%).
  • NRS tools identified 83-90% of malnourished patients; STRONG(kids) showed stronger correlation with anthropometry. Longer hospital stays were linked to malnutrition and risk status.

Conclusions:

  • Iranian children admitted to hospitals exhibit greater under-nutrition than their healthy peers.
  • NRS tools are valuable for identifying nutritional risk in hospitalized children, but performance varies.
  • Further validation of NRS tools in developing countries is necessary.
Abstract

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