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Prevalence of Malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impact of Hospital

Andrea McCarthy1,2, Edgard Delvin3,4, Valerie Marcil5,6

  • 1Research Centre, CHU Sainte-Justine, Montreal, QC H3T 1C5, Canada. twisty555@hotmail.com.

Nutrients
|January 26, 2019
PubMed

Insights

Undernutrition in pediatric hospitals is often missed, leading to poor outcomes and higher costs. This review examines its prevalence and hospital practices that worsen child nutrition.

Area of Science:

  • Pediatric Nutrition
  • Hospital Medicine
  • Clinical Outcomes

Background:

  • Undernutrition is prevalent in pediatric hospitals, affecting patient outcomes and healthcare costs.
  • Prevalence estimates vary widely (2.5-51%) due to differing methodologies and definitions.
  • Sick children's nutritional status often declines during hospitalization, exacerbated by undetected undernutrition.

Purpose of the Study:

  • To review the prevalence of malnutrition in pediatric hospitals globally.
  • To identify hospital practices that negatively impact hospitalized children's nutritional status.

Main Methods:

  • Critical discussion of studies on pediatric malnutrition prevalence in developed and in-transition countries.
  • Analysis of hospital practices affecting nutritional status.

Main Results:

  • Significant variability in reported undernutrition prevalence exists.
  • Hospitalization can worsen nutritional status, with systematic screening often absent.
  • Certain hospital practices may jeopardize pediatric patients' nutritional health.

Conclusions:

  • Undernutrition remains a significant, often undetected, issue in pediatric hospital settings.
  • Standardized screening and improved hospital practices are crucial to address pediatric malnutrition.
  • Addressing undernutrition can improve clinical outcomes and reduce healthcare system burden.

Keywords:
hospital malnutritionhospital stay lengthnutritional screening tools

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