Trần Châu Quyên, Nguyệt Thu Nghiêm , Trần Quang Bình, Nguyễn Thị Ngoan, Lê Danh Tuyên

Nội dung chính của bài viết

Tóm tắt

Aims: To determine the nutritional status and the dietary intake of inpatient children with lower respiratory infections.

Methods: This cross-sectional study was conducted in 106 children aged under 5 years admitted to the Pediatric Department of the National Lung Hospital in Hanoi, Vietnam, from August to December 2018. Body weight, height/length were measured; nutritional status was evaluated by using World Health Organization criteria and Subjective Global Assessment (SGA). Dietary intake was daily recorded during the first week of hospitalization.

Results: The prevalence of malnutrition was 30.1%,  25.7%, and 17.8%  respectively for underweight, stunting and wasting. According to the SGA, 20% of the patients were at risk for malnutrition.  From the first day to seventh day of hospitalization, the rate of chidlren given 100% of requirement had a fluctuating upward trend from 30% to 40% in energy intake and from 66% to 84% in protein intake; the rates of energy intake under 80% of requirement were from 31% to 54% in patients, while the rates of protein intake over 1.5-fold requirement were from 37% to 50% in patients.

Conclusions: The study indicated the alarmingly high prevalence of malnutrition in children aged under 5 years and the contrast between under energy intake and over protein intake in the hospitalized children.

Chi tiết bài viết

Tài liệu tham khảo

1. Chisti MJ, Tebruegge M, La Vincente S, Graham SM, Duke T. Pneumonia in severely malnourished children in developing countries - mortality risk, aetiology and validity of WHO clinical signs: a systematic review. Trop Med Int Health. 2009;14(10):1173-1189.
2. Schaible UE, Kaufmann SH. Malnutrition and infection: complex mechanisms and global impacts. PLoS Med. 2007;4(5):e115.
3. Katona P, Katona-Apte J. The interaction between nutrition and infection. Clin Infect Dis. 2008;46(10):1582-1588.
4. Westwood A. Nutrition in children with long-term health conditions. S Afr Med J. 2015;105(7):606.
5. Narayanan M, Owers-Bradley J, Beardsmore CS, et al. Alveolarization continues during childhood and adolescence: new evidence from helium-3 magnetic resonance. Am J Respir Crit Care Med. 2012;185(2):186-191.
6. Korten I, Usemann J, Latzin P. "Lung sparing growth": is the lung not affected by malnutrition?. Eur Respir J. 2017;49(4):1700295.
7. Rodríguez L, Cervantes E, Ortiz R. Malnutrition and gastrointestinal and respiratory infections in children: a public health problem. Int J Environ Res Public Health. 2011;8(4):1174-1205.
8. Huong PTT, Huong CTT. Nutrition status of hospitalized children at National Peadiatrics Hospital. Preventive medicine Journal Vietnam. 2015; 25(3): 163-165.
9. Huong PT, Lam NT, Thu NN, et al. Prevalence of malnutrition in patients admitted to a major urban tertiary care hospital in Hanoi, Vietnam. Asia Pac J Clin Nutr. 2014;23(3):437-444.

10. Pham NV, Cox-Reijven PL, Greve JW, Soeters PB. Application of subjective global assessment as a screening tool for malnutrition in surgical patients in Vietnam. Clin Nutr. 2006;25(1):102-108.
11. Secker DJ, Jeejeebhoy KN. Subjective Global Nutritional Assessment for children. Am J Clin Nutr. 2007;85(4):1083-1089.
12. WHO. Training course on child growth assessment. Geneva, WHO. 2008.
13. WHO. WHO Anthro Survey Analyser and other tools. 2019 [cited 2019].
14. Secker DJ, Jeejeebhoy KN. How to perform Subjective Global Nutritional assessment in children. J Acad Nutr Diet. 2012;112(3):424-431.e6.
15. Gibson RS. Principles of nutritional assessment. Oxford university press, USA. 2005.
16. NIN. Vietnam food composition table. Hanoi, Vietnam: Medical Publisher. 2007.
17. MOH, NIN. Nutrition requirement for Vietnamese population. 2016, Hanoi: Hanoi medical publisher.
18. NIN. Prevalence of malnutrition in children under five years old in six ecological regions nationwide in 20133 [cited 2019].
19. Mai CTP. Nutrition status and some nutrition related factors in 6 to 24 month children accessed Nutrition clinic of National Peadiatrics Hospital. 2014, Hanoi Medical University.
20. Huang JS, Chun S, Cheung C, Poon L, Terrones L. The nutritional value of food service meals ordered by hospitalized children. Clin Nutr ESPEN. 2016;15:122-125.
21. Vijfhuize S, Verburg M, Marino L, van Dijk M, Rode H. An evaluation of nutritional practice in a paediatric burns unit. S Afr Med J.2010;100(6):383-386.