Prevalence and Factors Associated with Malnutrition of Pediatric Patients in Hospitalized at Tertiary Care Hospitals
Keywords:
Malnutrition, Wasting, Stunting, ObesityAbstract
Background: Malnutrition is a common condition among children, influenced by many factors and differences in diagnostic criteria. It significantly affects growth, immunity, and increasing infection during hospitalization.
Objective: To determine the prevalence of malnutrition and associated factors in hospitalized children at Maharaj Nakhon Si Thammarat Hospital.
Materials and Methods: This is a retrospective descriptive study. Medical records of pediatric inpatients admitted to Maharaj Nakhon Si Thammarat Hospital between June 1, 2023, and June 30, 2024, were corrected.
Results: A total of 284 participants were included. Based on the World Health Organization (WHO) growth criteria, the prevalence of wasting (WFH z-score < -2) and stunting (HFA z-score < -2) was 13% each. The prevalence of being overweight (WFH z-score > 2/BMI z-score > 1) was 13%, while obesity (WFH z-score > 3/BMI z-score > 2) was 14%. No significant associated factors or complications from malnutrition were identified.
Conclusion: The prevalence of both undernutrition and overnutrition was relatively high, at 26% and 27%, respectively. Nutritional management in children remains important, although this study did not identify significant associated factors or complications. Further research is warranted.
References
Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49-64.
Mehta NM, Corkins MR, Lyman B, Malone A, Goday PS, Carney LN, et al. Defining pediatric malnutritio: a paradigm shift toward etiology-related definitions. JPEN J Parenter Enteral Nutr. 2013;37(4):460-81.
Endris N, Asefa H, Dube L. Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia. Biomed Res Int. 2017;2017:6587853.
Grover Z, Ee LC. Protein energy malnutrition. Pediatr Clin North Am. 2009;56(5):1055-68.
Katoch OR. Determinants of malnutrition among children: A systematic review. Nutrition. 2022;96:111565.
Dipasquale V, Cucinotta U, Romano C. Acute Malnutrition in Children: Pathophysiology, Clinical Effects and Treatment. Nutrients. 2020;12(8).
Bhutta ZA, Berkley JA, Bandsma RHJ, Kerac M, Trehan I, Briend A. Severe childhood malnutrition. Nat Rev Dis Primers. 2017;3:17067.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-51.
Ehwerhemuepha L, Bendig D, Steele C, Rakovski C, Feaster W. The Effect of Malnutrition on the Risk of Unplanned 7-Day Readmission in Pediatrics. Hosp Pediatr. 2018;8(4):207-13.
Morales F, Montserrat-de la Paz S, Leon MJ, Rivero-Pino F. Effects of Malnutrition on the Immune System and Infection and the Role of Nutritional Strategies Regarding Improvements in Children's Health Status: A Literature Review. Nutrients. 2023;16(1).
Waterlow JC. Classification and definition of protein-calorie malnutrition. Br Med J. 1972;3(5826):566-9
Joosten KF, Hulst JM. Prevalence of malnutrition in pediatric hospital patients. Curr Opin Pediatr. 2008;20(5):590-6.
Menghwar B, Laghari ZA, Memon SF, Warsi J, Shaikh SA, Baig NM. Prevalence of malnutrition in children under five years' age in District Tharparkar Sindh, Pakistan. J Pak Med Assoc. 2022;72(1):33-6.
Abera EG, Sime H. The prevalence of malnutrition among critically ill children: a systematic review and meta-analysis. BMC Pediatr. 2023;23(1):583.
Saengnipanthkul S, Chongviriyaphan N, Densupsoontorn N, Apiraksakorn A, Chaiyarit J, Kunnangja S, et al. Hospital-acquired malnutrition in paediatric patients: a multicentre trial focusing on prevalence, risk factors, and impact on clinical outcomes. Eur J Pediatr. 2021;180(6):1761-7.
Saengnipanthkul S, Apiraksakorn A, Densupsoontorn N, Chongviriyaphan N. Prevalence and risk factors for pediatric acute and chronic malnutrition: A multi-site tertiary medical center study in Thailand. Asia Pac J Clin Nutr. 2023;32(1):85-92.
Sermet-Gaudelus I, Poisson-Salomon AS, Colomb V, Brusset MC, Mosser F, Berrier F, Ricour C (2000) Simple pediatric nutritional risk score to identify children at risk of malnutrition. Am J Clin Nutr 72:64–70.
Semsawat N, Dumrongwongsiri O, Phoonlapdacha P. The Low Sensitivity and Specificity of a Nutrition Screening Tool in Real Circumstances in a Tertiary Care Hospital Setting. Children (Basel). 2023;10(4).
Rerksuppaphol L, Rerksuppaphol S. Prevalence of Metabolic Syndrome in Thai Children: A Cross-sectional Study. J Clin Diagn Res. 2014;8(4):PC04-7.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
