Identification of malnutrition in hospitalised children within the UK and Ireland
Identification of malnutrition in hospitalised children within the UK and Ireland
复制标题
英国和爱尔兰住院儿童营养不良的识别
DOI：
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复制
发表时间：
2012
影响因子：
7
通讯作者：
H. McNulty
中科院分区：
文献类型：
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作者：
A. Carey;H. McCarthy;J. Gill;A. Thompson;H. McNulty
营养不良对儿童生长和临床结果的影响已得到广泛认可（1）。此外，营养不良对胎儿，婴儿和儿童生长的长期影响可能使儿童在成年后患慢性疾病的风险增加（2）。目前，据估计，9%至47%的住院儿童有营养不良的风险（3）。除了某些已知易导致营养不良的疾病状态，如囊性纤维化、心脏病和癌症，这些患病率估计高度依赖于用于定义营养不良的指数。此外，没有可比数据可用于估计住院儿童营养过剩的患病率。本研究的目的是确定目前英国和爱尔兰住院儿童营养不良的患病率。2011年4月在英国和爱尔兰进行了儿童营养调查。通过英国营养协会（BDA）和爱尔兰营养与营养研究所（INDI）的专业出版物和儿科专家组招募中心。参与中心记录了在规定的72小时内入院的所有儿童的常规临床数据。经许可，所使用的形式是根据2010年国家儿童营养局成人营养筛查周使用的形式改编的。共有22个中心参与了调查;记录了932名儿童的临床数据（573名男孩，427名女孩，平均年龄5.7岁）。记录了865名（93%）儿童的体重测量结果，而仅记录了468名（50%）儿童的身高。数据参考了UK-WHO生长参考数据。
The implications of malnutrition for growth and clinical outcomes in children are well recognized (1) . In addition, there are long term consequences of malnutrition on foetal, infant and childhood growth which can predispose a child to increased risk of chronic disease in adulthood (2) . Currently it is estimated that between 9 and 47% of hospitalised children are at risk of under-nutrition (3) . Apart from certain disease states known to predispose to under-nutrition, such as cystic fibrosis, cardiology and cancer conditions, these prevalence estimates are highly dependent on the indices used to define under-nutrition (3) . Furthermore, no comparable data are available to estimate the prevalence of over-nutrition in hospitalised children. The aim of this study was to establish the current prevalence of malnutrition in hospitalised children within the UK and Ireland. The Children’s Nutrition Survey was conducted throughout the UK and Ireland in April 2011. Centres were recruited through professional publications and specialist paediatric groups of the British Dietetics Association (BDA) and the Irish Nutrition and Dietetics Institute (INDI). Participating centres recorded routine clinical data for all children admitted over a defined 72-hour period. The proforma used was adapted, with permission, from those used in the BAPEN Adult Nutrition Screening Week 2010. In total, 22 centres participated in the survey; clinical data were recorded for 932 children (573 boys, 427 girls, mean age 5.7 years). Weight measurements were recorded for 865 (93%) children while height was recorded for only 468 (50%). Data were referenced against UK-WHO growth reference data.