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Updated: Feb 27, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Clinical tools to assess nutritional risk and malnutrition in hospitalized children and adolescents
E Rinninella1, A Ruggiero, P Maurizi
1Area Gastroenterologia, Nutrition Team, Fondazione Policlinico Universitario "A. Gemelli", Catholic University of the Sacred Heart, School of Medicine, Rome, Italy. e.rinninella@gmail.com.
Insights
Malnutrition in hospitalized children is often overlooked. This review highlights simple clinical tools to identify nutritional risk and assess status, improving care for pediatric patients.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment
- Hospital Medicine
Background:
- Malnutrition is frequently underestimated in hospitalized children and adolescents.
- Acute or chronic illnesses can negatively impact nutritional status, delaying recovery and increasing hospital stay.
- Despite available methods, clinical tools for assessing nutritional status in pediatric patients are underutilized.
Purpose of the Study:
- To review clinical tools for identifying nutritional risk upon admission in hospitalized children and adolescents.
- To focus on methods for assessing the nutritional status of pediatric patients during their hospital stay.
- To emphasize the importance of these tools for managing various illnesses.
Main Methods:
- Literature review of clinical tools for nutritional assessment in pediatric populations.
- Focus on simple, easily performable methods for routine clinical practice.
- Identification of techniques to reveal nutritional risk and assess nutritional status.
Main Results:
- Several established methods exist for investigating malnutrition in children.
- Many of these techniques are practical for clinical use.
- These tools can aid in the better management of pediatric illnesses.
Conclusions:
- Early identification of nutritional risk is crucial for hospitalized children and adolescents.
- Simple clinical tools can effectively assess nutritional status in pediatric patients.
- Implementing these methods can improve patient outcomes and hospital stay duration.
Abstract:
Malnutrition in children and adolescents may be underestimated during hospital stay. In western countries, children were often hospitalized for acute or chronic diseases that are not necessarily related to malnutrition. However, acute or chronic injuries may hamper nutritional status, prolonging recovery after admission and consequently length of hospital stay. Several methods and techniques are known to investigate malnutrition in children, even if their use is not widespread in clinical practice. Many of these are simple and easy to perform and could be useful to a better management of every kind of illness. In this review, we will focus on clinical tools necessary to reveal a nutritional risk at admission and to assess nutritional status in hospitalized children and adolescents.
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