Assessment of Nutritional Status Based on STRONGkids Tool in Iranian Hospitalized Children
DOI:
https://doi.org/10.6000/1929-4247.2015.04.01.7Keywords:
Nutritional screening, Hospitalized children, Iran, STRONGkids.Abstract
Background & Objective: Malnutrition is very common in hospitalized children and is associated with related clinical consequences such as increased risk of infections, increased muscle loss, impaired wound healing, longer hospital stay and higher morbidity and mortality. The estimated prevalence of acute malnutrition in hospitalized children varies from 6.1 to 40.9% in different countries. The current study was conducted with the aim of evaluating the efficiency of STRONGkids (Screening Tool for Risk On Nutritional Status and Growth) tool for assessing malnutrition in hospitalized children in Iran.
Methods: All children older than 28 days admitted to the pediatric hospital (Dr. Sheikh, Mashhad, Iran) were enrolled in this study and the screening tool named STRONGkids was applied for them. The anthropometric measurements were measured by a trained operator using standard methods and equipments. The children were classified in three groups of being at high risk, moderate risk and low risk of malnutrition.
Results: According to STRONGkids score; 17% of children were classified as low risk, 75% as moderate risk and 8% as high risk group. According to WFH, HFA and WFA z-scores31.4%, 19.2% and 28% of children were identified as moderately and severely malnourished respectively. According to MUAC cut-offs, 3.4% of children were classified as having moderate malnutrition and there was no child with severe malnutrition.
Conclusion: It is very important to recognize the nutritional status of the children as early as possible because of its effects on children’s growth. Therefore, evaluating the nutritional status of the hospitalized children is an essential step in clinical assessment. We suggest to apply the STRONGkids score aside with other clinical and anthropometric data.
References
Hartman C, Shamir R, Hecht C, Koletzko B. Malnutrition screening tools for hospitalized children. Curr Opin Clin Nutr Metab Care 2012; 15: 303-9. http://dx.doi.org/10.1097/MCO.0b013e328352dcd4
Spagnuolo MI, Liguoro I, Chiatto F, Mambretti D, Guarino A. Application of a score system to evaluate the risk of malnutrition in a multiple hospital setting. Ital J Pediatr 2013; 39: 81. http://dx.doi.org/10.1186/1824-7288-39-81
Mehta NM, Corkins MR, Lyman B, et al. American Society for Parenteral and Enteral Nutrition Board of Directors. Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. J Parenter Enteral Nutr 2013; 37: 460-81. http://dx.doi.org/10.1177/0148607113479972
Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the health care system. Int J Environ Res Public Health 2011; 8: 514-27. http://dx.doi.org/10.3390/ijerph8020514
Moeeni V, Day AS. Nutritional risk screening tools in hospitalised children. Int J Child Health Nutr 2012; 1: 39-43.
Joosten KF, Hulst JM. Malnutrition in pediatric hospitalpatients: currentissues. Nutrition 2011; 27: 133-7. http://dx.doi.org/10.1016/j.nut.2010.06.001
http://www.cdc.gov/nchs/data/nhanes/nhanes_09_10/bodymeasures_09.pdf (access date: August 2014).
http://www.unicef.org/supply/files/Mid_Upper_Arm_Circumference_Measuring_Tapes.pdf (access date: July 2014).
http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html (access date: May 2014).
Moeeni V, Walls T, Day AS. Assessment of nutritional status and nutritional risk in hospitalized Iranian children. Acta Paediatr 2012; 101: e446-51. http://dx.doi.org/10.1111/j.1651-2227.2012.02789.x
Mahdavi AM, Ostadrahimi A, Safaiyan A. Nutritional status of children hospitalized in Tabriz Paediatric Hospital, Islamic Republic of Iran. East Mediterr Health J 2011; 17: 36-40.
Tienboon P. Nutrition problems of hospitalised children in a developing country: Thailand Asia Pac J Clin Nutr 2002; 11: 258-62. http://dx.doi.org/10.1046/j.1440-6047.2002.00307.x
Ozer N. Determination of malnutrition in hospitalized children. Turkish Klinial J Pediatr 2001; 10: 133-8.
Pawellek I, Dokoupil K, Koletzko B. Prevalence of malnutrition in paediatric hospital patients. Clin Nutr 2008; 27: 72-6. http://dx.doi.org/10.1016/j.clnu.2007.11.001
Hulst J, Joosten K, Zimmermann L, et al. Malnutrition in critically ill children: from admission to 6 months after discharge. Clin Nutr 2004; 23: 223-32. http://dx.doi.org/10.1016/S0261-5614(03)00130-4
Moeeni V, Walls T, Day AS. Nutritional status and nutrition risk screening in hospitalized children in New Zealand. Acta Paediatr 2013; 102: e419-23.
Ling RE, Hedges V, Sullivan PB. Nutritional risk in hospitalized children: an assessment of two instruments. E-SPEN 2011; 6: e153-7.
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