Avaliaˋˋo antropom谷trica, fatores de risco para desnutriˋˋo e medidas de apoio nutricional em crianˋas internadas em hospitais de ensino no Brasil

作者:Sarni; Roseli O S; Carvalho; Maria de Fatima C C; Monte; Cristina M G do; Albuquerque; Zuleica P; Souza; Fabiola I S
来源:Jornal de Pediatria, 2009, 85(3): 223-228.
DOI:10.1590/S0021-75572009000300007

摘要

objective: to evaluate risk factors for malnutrition, nutritional status and nutritional support provided in hospitalized children. methods: this longitudinal study prospectively followed, for 3 consecutive months, all children under 5 years of age (n = 907) hospitalized in general pediatric medical wards of 10 brazilian university-based hospitals. for data collection, a standard questionnaire was used and nutritional condition was evaluated at hospital admission and discharge: weight-for-height, weight-for-age and height-for-age z score. results: only 56.7% of the children had their nutritional classification documented in the medical record. at hospital admission, 16.3 and 30.0% of the children had moderate/severe malnutrition and low stature, respectively. risk of malnutrition was associated with low birth weight and younger age. a high percentage of nutritional deficiencies was observed in the children analyzed, although child%26apos;s nutritional condition and the adoption of appropriate nutritional therapy were not documented in the medical records of the malnourished children. conclusion: these data underscore the importance of developing qualified hospital medical wards regarding diagnosis and therapeutic approach to malnutrition, based on the conduct guidelines already available in brazil.

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