Focus
MALNUTRIZIONE OSPEDALIERA Nutrizione del bambino ospedalizzato: principi e pratica
MALNUTRITION IN HOSPITALISED CHILDREN
MANILA CANDUSSO
U.O. di Pediatria, P.O. Annunziata, Cosenza
Maggio 2000 - pagg. 289 -299
Abstract
In spite of the evidence on the influence of nutritional status on the prognosis of many chronic
diseases, not enough attention is paid to ensure adequate nutrition in patients affected
by chronic diseases, particularly when they are admitted to hospital. Simple tools such as
growth charts and Z-score should always be used to assess the nutritional status of these
patients. Special attention should be given to periods of enhanced growth, such as infancy
and puberty, when malnutrition is more likely to occur. Artificial nutrition (parenteral, or
enteral through nasogastric feeding) is indicated also in patients admitted for acute diseases
when oral feeding is still inadequate after the first 48 hours of illness.
Parole chiave
Classificazione MeSH
Bibliografia
1. A.S.P.E.N. Board of Directors. Guidelines
for the use of parenteral and enteral nutrition
in adult and pediatric patients. JPEN 1993;
17:1SA-28SA.
2. Marian M. Pediatric nutrition support. Nutr Clin Pract 1993;8:199-209.
3. Klein S, Kinney J, Jeejeebhoy K, et al. Nutrition support in clinical practice: review of published data and recommendation for future research directions. JPEN 1997;21:133-56.
4. Heyland DK, MacDonald S, Keefe L, et al. Total parenteral nutrition in the critically ill patient. A meta-analysis. JAMA 1998;280: 2013-9.
5. Lumbers M, Driver LT, Howland RJ, et al. Nutritional status and clinical outcome in elderly female surgical orthopaedic patients. Clin Nutr 1996;15:101-7.
6. Green CJ. Existence, causes and consequences of disease-related malnutrition in the hospital and the community, and clinical and financial benefits of nutritional intervention. Clin Nutr 1999;18(Suppl 2):3-28.
7. Bistrian RB, Blackburn GL, Vitale J, et al. Prevalence of malnutrition in general medical patients. JAMA 1976;235:1567-70.
8. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ 1994;308:945-8.
9. Comi D, Palmo A, Brugnani M, et al. The hospital malnutrition Italian study. Clin Nutr 1998;17(Suppl):52.
10. Milla P. Pediatric nutrition requirements. In: Payne J, Grimble G, Silk D. Artificial nutrition support in clinical practice. Ed E. Arnold, 1995:167-74.
11. Hendrikse WH, Reilly JJ, Weaver LT. Malnutrition in a children’s hospital. Clin Nutr 1997;16:13-8.
12. Parsons MG, Francoeur TM, Howland P, et al. The nutritional status of hospitalized children. Am J Clin Nutr 1980;33:1140-6.
13. Moy RJD, Smallman S, Booth IW. Malnutrition in a UK children’s hospital. J Hum Nutr Dietetics 1990;3:93-100.
14. Walker-Smith JA. Management of growth failure in Crohn’s disease. Arch Dis Child 1996;75:351-4.
15. Mantovani A. Le citochine: un mondo a parte? Prospettive in Pediatria 1994;24:81-90.
16. Tedeschi A., Profiti V, Crupi I, et al. Trattamento nutrizionale dei bambini con handicap neuromotorio. Medico e Bambino 1996; 1:16-7.
17. Candusso M, Braga M, Faraguna D, et al. I Fogli di Trieste. Parte I. RINPE 1994;12: 107-10.
18. Taylor Baer M, Bradford Harris A. Pediatric nutrition assessment: identifying children at risk. J Am Diet Assoc 1997;97(Suppl 2): S107-S115.
19. Lai UC, Kosorok M, Sondel SA, et al. Growth status in children wih cystic fibrosis based on the national cystic fibrosis patient registry data: evaluation of various criteria used to identify malnutrition. J Pediatr 1998; 132:478-85.
20. Stark LJ, Mulvihill MM, Powers SW, et al. Behavioral intervention to improve calorie intake of children with cystic fibrosis: treatment versus wait list control. JPGN 1996;22: 240-53.
21. Candusso M, Faraguna D. Nutrizione artificiale. In: Pocecco M, Panizon F. Pediatria Ospedaliera. Carocci editore, 1998:637-52.
22. Goulet O, Ricour C. Paediatric enteral nutrition. In: Payne J, Grimble G, Silk D. Artificial nutrition support in clinical practice. Ed E. Arnold, 1995:257-69.
2. Marian M. Pediatric nutrition support. Nutr Clin Pract 1993;8:199-209.
3. Klein S, Kinney J, Jeejeebhoy K, et al. Nutrition support in clinical practice: review of published data and recommendation for future research directions. JPEN 1997;21:133-56.
4. Heyland DK, MacDonald S, Keefe L, et al. Total parenteral nutrition in the critically ill patient. A meta-analysis. JAMA 1998;280: 2013-9.
5. Lumbers M, Driver LT, Howland RJ, et al. Nutritional status and clinical outcome in elderly female surgical orthopaedic patients. Clin Nutr 1996;15:101-7.
6. Green CJ. Existence, causes and consequences of disease-related malnutrition in the hospital and the community, and clinical and financial benefits of nutritional intervention. Clin Nutr 1999;18(Suppl 2):3-28.
7. Bistrian RB, Blackburn GL, Vitale J, et al. Prevalence of malnutrition in general medical patients. JAMA 1976;235:1567-70.
8. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ 1994;308:945-8.
9. Comi D, Palmo A, Brugnani M, et al. The hospital malnutrition Italian study. Clin Nutr 1998;17(Suppl):52.
10. Milla P. Pediatric nutrition requirements. In: Payne J, Grimble G, Silk D. Artificial nutrition support in clinical practice. Ed E. Arnold, 1995:167-74.
11. Hendrikse WH, Reilly JJ, Weaver LT. Malnutrition in a children’s hospital. Clin Nutr 1997;16:13-8.
12. Parsons MG, Francoeur TM, Howland P, et al. The nutritional status of hospitalized children. Am J Clin Nutr 1980;33:1140-6.
13. Moy RJD, Smallman S, Booth IW. Malnutrition in a UK children’s hospital. J Hum Nutr Dietetics 1990;3:93-100.
14. Walker-Smith JA. Management of growth failure in Crohn’s disease. Arch Dis Child 1996;75:351-4.
15. Mantovani A. Le citochine: un mondo a parte? Prospettive in Pediatria 1994;24:81-90.
16. Tedeschi A., Profiti V, Crupi I, et al. Trattamento nutrizionale dei bambini con handicap neuromotorio. Medico e Bambino 1996; 1:16-7.
17. Candusso M, Braga M, Faraguna D, et al. I Fogli di Trieste. Parte I. RINPE 1994;12: 107-10.
18. Taylor Baer M, Bradford Harris A. Pediatric nutrition assessment: identifying children at risk. J Am Diet Assoc 1997;97(Suppl 2): S107-S115.
19. Lai UC, Kosorok M, Sondel SA, et al. Growth status in children wih cystic fibrosis based on the national cystic fibrosis patient registry data: evaluation of various criteria used to identify malnutrition. J Pediatr 1998; 132:478-85.
20. Stark LJ, Mulvihill MM, Powers SW, et al. Behavioral intervention to improve calorie intake of children with cystic fibrosis: treatment versus wait list control. JPGN 1996;22: 240-53.
21. Candusso M, Faraguna D. Nutrizione artificiale. In: Pocecco M, Panizon F. Pediatria Ospedaliera. Carocci editore, 1998:637-52.
22. Goulet O, Ricour C. Paediatric enteral nutrition. In: Payne J, Grimble G, Silk D. Artificial nutrition support in clinical practice. Ed E. Arnold, 1995:257-69.