Effect of Nutritional Rehabilitation on Neurodevelopmental Status of Children With Severe Acute Malnutrition.

IF 1.7 4区医学 Q2 PEDIATRICS Indian pediatrics Pub Date : 2024-10-15 Epub Date: 2024-07-23

Dilip Upadhyay, Surendra Singh, Deepak Dwivedi

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引用次数: 0

Abstract

Objective: To evaluate the change in the neurodevelopmental status of children (1-30-months-old) with severe acute malnutrition (SAM) following nutritional rehabilitation.

Methods: A prospective study was conducted in the Severe Malnutrition Therapeutic Unit (SMTU) of a tertiary hospital in Central India, between April 2021 and October 2022. Children with primary neurological conditions like cerebral palsy and epilepsy were excluded. Neurodevelopment was assessed using the Developmental Assessment Scale of Indian Infants (DASII) at admission and following nutritional rehabilitation as per the National Health Mission (NHM) guidelines at the time of discharge, 2 months and 4 months follow-up. Developmental quotient (DQ) ≤ 70 was considered delayed.

Results: 114 children with SAM were included; 4 were lost to follow-up. There was an increase in Motor Developmental Quotient (MoDQ) and Mental Developmental Quotient (MeDQ) at discharge, 2 months, and 4 months. The improvement in MoDQ and MeDQ was greater in children with adequate weight gain. Poor weight gain, higher age of presentation and lower MeDQ and MoDQ at admission were associated with persistent developmental delay at 4 months follow-up.

Conclusion: There was a consistent improvement in DQ with improvement in nutritional status.

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营养康复对严重急性营养不良儿童神经发育状况的影响

目的：本前瞻性研究旨在评估严重急性营养不良儿童（1-30 个月大本前瞻性研究旨在评估患有严重急性营养不良（SAM）的儿童（1-30 个月大）在接受营养康复治疗后神经发育状况的变化：在 2021 年 4 月至 2022 年 10 月期间，对印度中部一家三甲医院严重营养不良治疗室（SMTU）收治的儿童进行了一项前瞻性研究。患有脑瘫和癫痫等原发性神经系统疾病的儿童被排除在外。入院时使用印度婴儿发育评估量表（DASII）对神经发育情况进行评估，出院、2 个月和 4 个月随访时则根据国家健康计划（NHM）指南进行营养康复。发育商数（DQ）≤70为发育迟缓：结果：共纳入 114 名患 SAM 的儿童，其中 4 名儿童失去了随访机会。运动发育商数（MoDQ）和心理发育商数（MeDQ）在出院、2个月和4个月时都有所提高。体重增加充足的患儿的运动发育商数和心理发育商数提高幅度更大。体重增加不足、发病年龄较高、入院时 MeDQ 和 MoDQ 较低与 4 个月随访时持续发育迟缓有关：结论：随着营养状况的改善，发育迟缓率也会持续改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.