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Nationwide “Pediatric Nutrition Day” survey on the nutritional status of hospitalized children in South Korea

Nutrition Research and Practice 2021년 15권 2호 p.213 ~ 224
이유민, Ryoo Eell, 홍지나, 강빈, 최병호, 서지현, 박지숙, Jang Hyo-Jeong, 이윤, 장은재, 장주영, 이혜정, 김주영, 이은혜, 김현진, 정주용, 최유진, 최소윤, 김순철, 강기수, 이대용, 문경래, 이지혁, 김영주, 양혜란,
소속 상세정보
이유민 ( Lee Yoo-Min ) - Soonchunhyang University College of Medicine Soonchunhyang University Bucheon Hospital Department of Pediatrics
 ( Ryoo Eell ) - Gachon University College of Medicine Gachon University Gil Medical Center Department of Pediatrics
홍지나 ( Hong Jea-Na ) - Kangwon National University School of Medicine Department of Pediatrics
강빈 ( Kang Ben ) - Kyungpook National University School of Medicine Department of Pediatrics
최병호 ( Choe Byung-Ho ) - Kyungpook National University School of Medicine Department of Pediatrics
서지현 ( Seo Ji-Hyun ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Pediatrics
박지숙 ( Park Ji-Sook ) - Gyeongsang National University School of Medicine Gyeongsang National University Hospital Department of Pediatrics
 ( Jang Hyo-Jeong ) - Keimyung University School of Medicine Keimyung University Dongsan Medical Center Department of Pediatrics
이윤 ( Lee Yoon ) - Korea University College of Medicine Department of Pediatrics
장은재 ( Chang Eun-Jae ) - Hanyang University College of Medicine Myongji Hospital Department of Pediatrics
장주영 ( Chang Ju-Young ) - Seoul National University Boramae Medical Center Department of Pediatrics
이혜정 ( Lee Hae-Jeong ) - Sungkyunkwan University School of Medicine Samsung Changwon Hospital Department of Pediatrics
김주영 ( Kim Ju-Young ) - Eulji University School of Medicine Daejeon Eulji Medical Center Department of Pediatrics
이은혜 ( Lee Eun-Hye ) - Eulji University School of Medicine Nowon Eulji Medical Center Department of Pediatrics
김현진 ( Kim Hyun-Jin ) - Inje University College of Medicine Inje University Busan Paik Hospital Department of Pediatrics
정주용 ( Chung Ju-Young ) - Inje University College of Medicine Sanggye Paik Hospital Department of Pediatrics
최유진 ( Choi You-Jin ) - Inje University College of Medicine Inje University Ilsan Paik Hospital Department of Pediatrics
최소윤 ( Choi So-Yoon ) - Inje University College of Medicine Haeundae Paik Hospital Department of Pediatrics
김순철 ( Kim Soon-Chul ) - Chonbuk National University Medical School Chonbuk National University Hospital Department of Pediatrics
강기수 ( Kang Ki-Soo ) - Jeju National University Hospital Department of Pediatrics
이대용 ( Yi Dae-Yong ) - Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Pediatrics
문경래 ( Moon Kyung-Rye ) - Chosun University School of Medicine Department of Pediatrics
이지혁 ( Lee Ji-Hyuk ) - Chungbuk National University College of Medicine Department of Pediatrics
김영주 ( Kim Yong-Joo ) - Hanyang University College of Medicine Hanyang University Medical Center Department of Pediatrics
양혜란 ( Yang Hye-Ran ) - Seoul National University Bundang Hospital Department of Pediatrics

Abstract


BACKGROUND/OBJECTIVES: To evaluate the nutritional status and prevalence of malnutrition in hospitalized children at admission and during hospitalization in South Korea.

SUBJECTS/METHODS: This first cross-sectional nationwide “Pediatric Nutrition Day (pNday)” survey was conducted among 872 hospitalized children (504 boys, 368 girls; 686 medical, 186 surgical) from 23 hospitals in South Korea. Malnutrition risk was screened using the Pediatric Yorkhill Malnutrition Score (PYMS) and the Screening Tool Risk on Nutritional status and Growth. Nutritional status was assessed by z-scores of weight-for-age for underweight, weight-for-height for wasting, and height-for-age for stunting as well as laboratory tests.

RESULTS: At admission, of the 872 hospitalized children, 17.2% were underweight, and the prevalence of wasting and stunting was 20.2% and 17.3%, respectively. During hospitalization till pNday, 10.8% and 19.6% experienced weight loss and decreased oral intake, respectively. During the aforementioned period, fasting was more prevalent in surgical patients (7.5%) than in medical patients (1.6%) (P < 0.001). According to the PYMS, 34.3% and 30% of the children at admission and on pNday, respectively, had a high-risk of malnutrition, requiring consultation with the nutritional support team (NST). However, only 4% were actually referred to the NST during hospitalization.

CONCLUSIONS: Malnutrition was prevalent at admission and during hospitalization in pediatric patients, with many children experiencing weight loss and poor oral intake. To improve the nutritional status of hospitalized children, it is important to screen and identify all children at risk of malnutrition and refer malnourished patients to the multidisciplinary NST for proper nutritional interventions.

키워드

Nutrition surveys; nutritional status; malnutrition; child; hospitalization

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