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Published on: January 29, 2018
[Malnutrition screening in clinical practice]
R Hankard1, V Colomb, H Piloquet
1Inserm, CIC 0802, université de Poitiers, CHU de Poitiers, 86000 Poitiers, France. regis.hankard@inserm.fr
Insights
Protein energy malnutrition (PEM) in children requires prompt identification through regular weight and height monitoring. Early nutritional strategies are crucial for managing this condition and improving health outcomes.
Area of Science:
- Pediatric Nutrition
- Clinical Malnutrition Assessment
Context:
- Protein energy malnutrition (PEM) is a significant concern in pediatric healthcare.
- PEM negatively impacts functional and structural health, increasing disease morbidity and mortality.
Purpose:
- To outline the importance of early detection and management of PEM in children.
- To emphasize the role of anthropometric measurements in identifying malnutrition.
Summary:
- The French Pediatric Society recommends regular weighing and measuring of children.
- Body Mass Index (BMI) calculation and analysis are vital when growth kinetics are unavailable.
- Children with BMI below the third centile or -2 standard deviations require thorough examination and monitoring.
Impact:
- Effective PEM management necessitates a comprehensive nutritional strategy integrated into the overall care plan.
- Establishing target weights and detailed nutritional plans, followed by regular evaluation, is essential for adapting therapy and improving patient outcomes.
Abstract:
Protein energy malnutrition (PEM) occurs when energy and protein intake do not meet requirements. It has a functional and structural impact and increases both morbidity and mortality of a given disease. The Nutrition Committee of the French Pediatric Society recommends weighing and measuring any child when hospitalized or seen in consultation. The body mass index (BMI) must be calculated and analyzed according to references any time growth kinetics cannot be analyzed. Any child with a BMI below the third centile or -2 standard deviations for age and sex needs to be examined looking for clinical signs of malnutrition and signs orienting toward an etiology and requires having his BMI and height dynamics plotted on a chart. PEM warrants drawing up a nutritional strategy along with the overall care plan. A target weight needs to be determined as well as the quantitative and qualitative nutritional care including its implementation. This plan must be evaluated afterwards in order to adapt the nutritional therapy.
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