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Diarrhoea is a nutritional disease.

D F Wittenberg1, W E Loening

  • 1Department of Paediatrics and Child Health, University of Natal, Durban.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|November 4, 1989
PubMed
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Hospitalized patients with diarrhea are more likely to be underweight. This study highlights the critical need for nutritional support during and after diarrhea episodes to prevent malnutrition.

Area of Science:

  • Pediatrics
  • Nutrition Science
  • Gastroenterology

Background:

  • Diarrhea is a common cause of hospitalization, often associated with nutritional deficits.
  • Underweight status is frequently observed in patients with diarrhea compared to those without.

Purpose of the Study:

  • To investigate the association between diarrhea and underweight status in hospitalized patients.
  • To compare the weight-for-age changes in patients hospitalized with diarrhea versus bronchopneumonia.
  • To assess the perceived importance of nutritional management in diarrhea care among health professionals.

Main Methods:

  • Retrospective survey of hospitalized patients.
  • Comparison of weight-for-age data between patients with diarrhea and bronchopneumonia during sequential admissions.

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  • Brief survey of healthcare professionals' attitudes towards nutritional management in diarrhea.

    • Main Results:

    • Hospitalized patients with diarrhea exhibited a higher prevalence of being underweight for age.
    • Patients with diarrhea showed a greater decrease in weight-for-age at second admission compared to those with bronchopneumonia.
    • Health professionals' attitudes indicated a tendency to underestimate the nutritional component in diarrhea management.

    Conclusions:

    • Diarrhea significantly contributes to malnutrition in hospitalized patients due to decreased intake, nutrient loss, and malabsorption.
    • Nutritional rehabilitation is crucial during and after diarrheal episodes.
    • Increased emphasis on nutritional support in teaching and clinical practice for diarrhea management is recommended.