Nutritional Risk and Malnutrition in Paediatrics: From Anthropometric Assessment to Strongkids® Screening Tool

Luís Vieira Gonçalves1, Ana Gisela Oliveira2, Mariana Barracosa3

  • 1Serviço de Anestesiologia. Centro Hospitalar de Leiria. Leiria. Portugal.

Acta Medica Portuguesa
|January 20, 2023
PubMed

Insights

Hospitalized children face high malnutrition risks. The STRONGkids® tool effectively identifies at-risk children, enabling early nutritional intervention to improve health outcomes.

Area of Science:

  • Pediatric Nutrition
  • Clinical Assessment
  • Public Health

Background:

  • Malnutrition is prevalent in hospitalized children, leading to adverse health consequences.
  • Early identification and intervention are crucial for managing nutritional status in pediatric hospital settings.

Purpose of the Study:

  • To characterize the nutritional status of hospitalized children.
  • To compare nutritional risk stratification using the STRONGkids® tool versus anthropometric assessment.

Main Methods:

  • Prospective study of children aged 1 month to 17 years.
  • Utilized STRONGkids® screening and anthropometric measurements (z-scores).
  • Assessed correlation with hospitalization details and chronic conditions.

Main Results:

  • 25% of children were malnourished; 6% acute, 14% chronic malnutrition.
  • STRONGkids® identified 54% at moderate risk and 2% at high risk.
  • STRONGkids® scores correlated with admission nutritional status and disease severity.

Conclusions:

  • STRONGkids® is a simple, rapid tool for nutritional screening in hospitalized children.
  • High rates of malnutrition risk necessitate early detection and intervention.
  • Implementing STRONGkids® can improve nutritional care during pediatric hospitalizations.
Abstract

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