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A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients
05:01

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

Published on: October 17, 2017

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Nutritional status and metabolic profile in neurologically impaired pediatric surgical patients

Gloria Pelizzo, Valeria Calcaterra, Veronica Carlini

    Journal of Pediatric Endocrinology & Metabolism : JPEM
    |February 22, 2017
    PubMed

    Insights

    Malnutrition is common in children with neuromotor disabilities. Monitoring nutritional and metabolic status is crucial to prevent adverse health outcomes in these vulnerable pediatric patients.

    Area of Science:

    • Pediatric Endocrinology
    • Nutritional Science
    • Metabolic Health

    Background:

    • Malnutrition is a significant concern in children with pediatric neuromotor disabilities, affecting overall health.
    • Neurologically impaired (NI) children undergoing surgery present unique nutritional and metabolic challenges.

    Purpose of the Study:

    • To evaluate the nutritional and metabolic status of neurologically impaired children undergoing surgical procedures.
    • To identify the prevalence of undernutrition and metabolic syndrome in this population.

    Main Methods:

    • Conducted anthropometry, body composition, hormonal, and nutritional assessments in 44 NI subjects (mean age 13.7 years).
    • Calculated energy needs using Krick's formula and defined metabolic syndrome (MS) and undernutrition based on established criteria.
    • Assessed insulin resistance using homeostasis model assessment for insulin resistance (HOMA-IR).

    Main Results:

    • Inadequate energy intake was observed in 73.8% of patients, with no correlation to Body Mass Index (BMI).
    • Undernutrition affected 34.1% of subjects, and 11.36% met criteria for metabolic syndrome (MS).
    • Fifty percent of patients exhibited insulin resistance, independent of BMI, body composition, or other MS components.

    Conclusions:

    • Nutritional and metabolic monitoring is essential for disabled children and young adults.
    • Early detection and intervention can mitigate risks associated with malnutrition and metabolic disturbances in NI children.
    • Regular health assessments are recommended to prevent adverse outcomes in this patient group.
    Abstract

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