Risk Factors of Malnutrition in Children with Cystic Fibrosis: A 14-year Retrospective Study from Saudi Arabia

Farah A Albrahim1, Yazan S Said2, Kholoud A Althobaiti2

  • 1Department of Clinical Nutrition, Hepatology and Nutrition, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Insights

Malnutrition is prevalent in Saudi children with cystic fibrosis (CF). Key risk factors include older age, poor appetite, delayed diagnosis, and fat malabsorption, highlighting the need for early intervention.

Area of Science:

  • Pediatric Nutrition
  • Respiratory Medicine
  • Genetic Disorders

Background:

  • Malnutrition is a significant concern for children with cystic fibrosis (CF), affecting growth and lung health.
  • Research on malnutrition risk factors in Saudi Arabian children with CF is limited.

Purpose of the Study:

  • To determine the nutritional status of children with CF in Saudi Arabia.
  • To identify factors associated with malnutrition in this pediatric population.

Main Methods:

  • Retrospective study of pediatric CF patients (<18 years) from a tertiary hospital in Dammam, Saudi Arabia (Jan 2010 - Jul 2023).
  • Analysis of nutritional status, diagnosis timing, hospital admissions, fat malabsorption, and appetite.

Main Results:

  • 60.4% of 48 included children with CF were malnourished.
  • Malnourished children had delayed diagnosis, higher hospitalizations, uncontrolled fat malabsorption, and poor appetite.
  • Independent risk factors for malnutrition included older age, and fair/poor appetite and intake.

Conclusions:

  • High prevalence of malnutrition observed in Saudi children with CF.
  • Age, poor appetite/intake, delayed diagnosis, and fat malabsorption are significant associated factors.
  • These findings underscore the need for targeted nutritional interventions in pediatric CF care.
Abstract

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