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PREVALENCE OF MALNUTRITION AND ITS ASSOCATTED FACTORS IN PEDIATRIC PATIENTS WITH BILIARY ATRESIA TREATED AT CHILDREN'S HOSPITAL 2
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Aims: To determine the prevalence of malnutrition and related factors in children with biliary atresia being treated at Children's Hospital 2.
Methods: A cross-sectional study was conducted on 120 children with biliary atresia being monitored and treated at the Hepatology Department of Children's Hospital 2 from March to April 2024.
Results: According to mid-upper arm circumference (MUAC), the prevalence of malnutrition was 47.7% and its associated factors were younger age groups and blood albumin levels. Based on body mass index (BMI), the rates of stunting, wasting, and malnutrition, respectively, were 30.8, 12.4, and 10%. Stunting was associated to blood albumin levels and nutritional counseling. Wasting was related to Kasai surgery, and malnutrition was related to younger age groups. Supplementation with medium-chain triglycerides (MCT) was associated with stunting and malnutrition. Maltose supplementation was associated with all four types of malnutrition. Tube feeding was associated with wasting and malnutrition.
Conclusion: The screening, assessment, and nutritional support for children biliary atresia have not received adequate attention. Regular monitoring of the nutritional status, using both overall anthropometric indices and specific anthropometric indices is crucial to early identify the risk of malnutrition in this group. It is important to enhance educational efforts to ensure caregivers recognize the crucial role of nutrition and nutritional counseling for children with biliary and cholestatic jaundice in general.
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Từ khóa
malnutrition, stunting, biliary atresia, nutritional support, MUAC
Tài liệu tham khảo
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