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The nutritional status and factors contributing to malnutrition in children with chronic pancreatitis

E Kolodziejczyk1, K Wejnarska1, M Dadalski1

  • 1Department of Gastroenterology, Hepatology and Feeding Disorders, The Children's Memorial Health Institute, Al. Dzieci Polskich 20, 04-730 Warsaw, Poland.

Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [Et Al.]
|July 27, 2014
PubMed

Insights

Malnutrition affects 25% of children with chronic pancreatitis (CP). Later age at CP onset is linked to increased malnutrition risk in these pediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Nutritional Science
  • Pancreatic Diseases

Background:

  • Chronic pancreatitis (CP) is a debilitating condition in children.
  • Malnutrition is a significant concern in pediatric CP.
  • Understanding malnutrition prevalence and risk factors is crucial for management.

Purpose of the Study:

  • To determine the prevalence of malnutrition in children with CP.
  • To investigate the relationship between CP etiology, clinical features, and malnutrition severity.

Main Methods:

  • Study included 208 children with CP (1988-2012).
  • Malnutrition severity assessed using Cole's ratios.
  • Analysis included etiological factors, clinical characteristics, and discriminant analysis for malnutrition predictors.

Main Results:

  • 25% of children with CP exhibited malnutrition (17.3% moderate, 0.96% severe).
  • No significant difference in malnutrition prevalence across different CP etiological factors.
  • Later age at CP onset was a significant predictor of malnutrition.

Conclusions:

  • A substantial proportion of children with CP experience malnutrition.
  • Delayed onset of CP is associated with a higher risk of developing malnutrition.
Abstract

Keywords:
ChildrenChronicCole's indexExocrine pancreatic insufficiencyMalnutritionPancreatits

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