Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients

R. El-sayed
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Abstract

Background: However, the hospital malnutrition's prevalence is high; this condition is ignored and, as a result, is not treated. The first step in fighting malnutrition is to know how to identify patients at higher risk of suffering from this condition by using risk screening tools. The aim of the present study was to design child-friendly food guide based on nutritional risk assessment of pediatric inpatients. Method: In this exploratory cross-sectional study, one hundred children in medical departments affiliated to Mansoura University Children Hospital, Egypt was assessed as regarding their admission and discharge weight and height of the body, the body mass index/kg/m2, and biochemical analysis of hemoglobin and serum albumin. A Screening Tool for Assessing Malnutrition in Pediatrics (STAMP) has been applied in order to also assess pediatric inpatients' overall risk of malnutrition. Furthermore, the perspective of hospitalized children/their mothers about the hospital introduced food habits and meals pattern were surveyed. Results: Slightly less than half of the studied children were males and the large percent of the hospitalized children's mothers were highly educated. According to STAMP score, all studied children were considered to be at risk for malnutrition with the underlying diseases were related to neurological or general medical disorders among the largest. The study findings also revealed that the majority of participants tried to escape the delivered hospital meals and reported their needs for a dietary guide contains healthy food varieties to overcome the risk of under-nutrition related to children's hospitalization. Conclusion: every effort must be made to identify children at risk of developing under-nutrition upon admission in order to provide necessary nutritional support for them.
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基于儿科住院患者营养风险评估设计儿童友好型饮食指南
背景:然而,医院营养不良的患病率较高;这种情况被忽略,因此不进行治疗。抗击营养不良的第一步是了解如何通过使用风险筛查工具来识别患这种疾病风险较高的患者。本研究旨在设计以儿科住院病人营养风险评估为基础的儿童友好型饮食指南。方法:采用探索性横断面研究方法,对埃及曼苏拉大学儿童医院附属科室的100名儿童进行入院和出院时的体重和身高、体重指数/kg/m2、血红蛋白和血清白蛋白生化分析。一项评估儿科营养不良的筛查工具(STAMP)已被应用,以评估儿科住院患者的总体营养不良风险。此外,还调查了住院儿童/其母亲对医院引入的饮食习惯和膳食模式的看法。结果:略少于一半的被研究儿童是男性,大部分住院儿童的母亲受过高等教育。根据STAMP评分,所有被研究的儿童都被认为有营养不良的风险,其中潜在疾病与神经系统或一般医学疾病有关。研究结果还显示,大多数参与者试图逃避医院提供的膳食,并报告他们需要包含健康食品品种的膳食指南,以克服与儿童住院有关的营养不良风险。结论:必须尽一切努力在入院时识别有营养不良风险的儿童,以便为他们提供必要的营养支持。
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