SCREENING THE NUTRITIVE STATUS OF THE HOSPITALIZED CHILD: A REVIEW OF THE LITERATURE
Abstract
Assessment of the nutritional status of a hospitalized pediatric patient on admission and in dynamics plays a key role in ensuring safe treatment. Early diagnosis of nutritional deficiency makes it possible to make timely changes in the content of the diet, which can prevent the development of complications and, in some cases, reduce the duration of hospitalization. Nutritional deficiency depends not only on the presence of initial protein-energy deficiency, but also on the region of residence, the profile of pathology, and the time of hospitalization. To assess the risk of nutritional deficiency in children, screening scales have been developed, each of which has advantages and disadvantages. In contrast to clinical recommendations for adults, no scale is approved as a screening tool in pediatric practice. A search for a reliable nutritional risk assessment scale is needed.
References
Александрович Ю.С., Александрович И.В., Пшениснов К.В. Скрининговые методы оценки нутритивного риска у госпитализированных детей. Вестник интенсивной терапии. 2015;3:24–31.
Вашура А.Ю., Кучер М.А., Ковтун Т.А. и др. Роль и актуальность нутрициологического диагноза в онкопедиатрии. Медицинский совет. 2023;17(12):99–109. DOI: 10.21518/ms2023-170.
Воронцов И.М., Мазурин А.В. Пропедевтика детских болезней. Издание 3-е, дополненное и переработанное. СПб.: Фолиант; 2009. EDN: QLSVXZ.
Гостимский А.В., Гавщук М.В., Завьялова А.Н., Барсукова И.М., Найденов А.А., Карпатский И.В., Петросян А.А., Лисовский О.В. Особенности нутритивной поддержки и ухода за пациентами с гастростомой. Медицина: теория и практика. 2018;3(2):3–10.
Грицинская В.Л., Губернаторова Т.Ю., Пермякова Е.С. и др. Скрининговая оценка нутритивного статуса школьников, проживающих в различных регионах Российской Федерации. Вопросы практической педиатрии. 2020;15(1):30–34. DOI: 10.20953/1817-7646- 2020-1-30-34.
Грицинская В.Л., Новикова В.П., Хавкин А.И. Вариативность динамики соматометрических показателей у школьников с различным нутритивным статусом (лонгитудинальное исследование). Вопросы практической педиатрии. 2020;15(5):68–72. DOI: 10.20953/1817-7646-2020-5-68-72.
Завьялова А.Н., Гостимский А.В., Лисовский О.В., Гавщук М.В., Карпатский И.В., Погорельчук В.В., Миронова А.В. Энтеральное питание в паллиативной медицине у детей. Педиатр. 2017;8(6):105–113. DOI: 10.17816/PED86105-113.
Завьялова А.Н., Гостимский А.В., Чуйнышева С.А. и др. Свидетельство о государственной регистрации программы для ЭВМ № 2018662238 Российская Федерация. Программный комплекс оценки и коррекции нутритивного статуса госпитализированного пациента педиатрического стационара: № 2018611721. EDN: VKIZQD.
Завьялова А.Н., Новикова В.П., Яковлева М.Н. Саркопения у детей: лекция. Медицинский совет. 2024;18(1):245–253. DOI: 10.21518/ms2023-470.
Завьялова А.Н., Трошкина М.Е., Щербак Л.А. и др. Саркопеническое ожирение у детей. Экспериментальная и клиническая гастроэнтерология. 2023;209(1):134–141. DOI: 10.31146/1682-8658-ecg-209-1-134-141.
Захарова И.Н., Дмитриева Ю.А., Сугян Н.Г. и др. Недостаточность питания в практике педиатра: дифференциальная диагностика и возможности нутритивной поддержки. Медицинский совет. 2019;2:200–208. DOI: 10.21518/2079-701X-2019-2-200-208.
Звонкова Н.Г., Боровик Т.Э., Черников В.В. и др. Адаптация и валидация русскоязычной версии опросника STRONGkids для оценки нутритивного риска у детей. Педиатрия. Журнал им. Г.Н. Сперанского. 2022;101(4):156–164. DOI: 10.24110/0031-403X-2022-101-4-155-164.
Лейдерман И.Н., Заболотских И.Б., Мазурок В.А. и др. Периоперационная нутритивная поддержка. Методические рекомендации Федерации анестезиологов и реаниматологов. Вестник интенсивной терапии им. А.И. Салтанова. 2021;4:7–20. DOI: 10.21320/1818-474X-2021-4-7-20.
Марковская И.Н., Лисица И.А., Кузнецова Ю.В., Абрамова Н.Н., Тризна Е.В., Мешков А.В., Новикова И.С., Белецкая Ю.А., Завьялова А.Н. Динамика развития микробиома ребенка, длительно госпитализированного в отделении интенсивной терапии. Клинический случай. Детская медицина Северо-Запада. 2024;12(1):123–135. https://doi.org/10.56871/CmN-W.2024.50.20.013.
Соколов И., Симонова О.И., Рославцева Е.А. и др. Нутритивный статус и состав тела детей с муковисцидозом. Экспериментальная и клиническая гастроэнтерология. 2021;1(5):57–69. DOI: 10.31146/1682-8658-ecg-189-5-57-69.
Шакурова М.Т., Вашура А.Ю., Ковтун Т.А. и др. Соматический пул белка, мышечная масса и саркопения как критерии нутритивного статуса в педиатрии. Лечащий Врач. 2023;9(26):22–30. DOI: 10.51793/ OS.2023.26.9.003.
Яковлева М.Н., Смирнова К.И., Лисица И.А. и др. Лабораторные маркеры белково-энергетической недостаточности. Обзор литературы. Университетский терапевтический вестник. 2024;6(1):79–89. DOI: 10.56871/UTJ.2024.38.70.007.
Abera E.G., Sime H. The prevalence of malnutrition among critically ill children: a systematic review and meta-analysis. BMC pediatrics. 2023;23(1):583. DOI: 10.1186/s12887-023-04419-x.
Atef H., Abdel-Raouf R., Zeid A.S. et al. Development of a simple and valid nutrition screening tool for pediatric hospitalized patients with acute illness. F1000Research. 2021;10:173. DOI: 10.12688/f1000research.51186.1.
Barros T.A., Cruvel J.M.D.S., Silva B.M. et al. Agreement between nutritional risk screening tools and anthropometry in hospitalized pediatric patients. Clinical nutrition ESPEN. 2022;47:227–232. DOI: 10.1016/j.clnesp.2021.12.008.
Bicakli D.H., Kantar M. Comparison of malnutrition and malnutrition screening tools in pediatric oncology patients: A cross-sectional study. Nutrition. 2021;86:111142. DOI: 10.1016/j.nut.2021.111142.
Bouma S. Diagnosing Pediatric Malnutrition. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2017;32(1):52–67. DOI: 10.1177/0884533616671861.
Burek A.G., Liljestrom T., Porada K. et al. Nutritional Advancement in the Hospitalized Child After NPO: A Retrospective Cohort Study. Hospital pediatrics. 2020;10(1):90–94. DOI: 10.1542/hpeds.2019-0251.
Carter L.E., Shoyele G., Southon S. et al. Screening for Pediatric Malnutrition at Hospital Admission: Which Screening Tool Is Best? Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2020;35(5):951–958. DOI: 10.1002/ncp.10367.
Castro J.D.S., Santos C.A.D., Rosa C.O.B. et al. STRONGkids nutrition screening tool in pediatrics: An analysis of cutoff points in Brazil. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2022;37(5):1225–1232. DOI: 10.1002/ncp.10807.
Dos Santos C.A., Ribeiro A.Q., Rosa C.O.B. et al. Nutritional risk in pediatrics by Strong Kids: a systematic review. European journal of clinical nutrition. 2019;73(11):1441–1449. DOI: 10.1038/s41430-018-0293-9.
Elif Öztürk M., Yabancı Ayhan N. Evaluation of malnutrition and screening tools in hospitalized children. Clinical nutrition ESPEN. 2023;57:770–778. DOI: 10.1016/j.clnesp.2023.08.031.
Freijer K., van Puffelen E., Joosten K.F. et al. The costs of disease related malnutrition in hospitalized children. Clinical nutrition ESPEN. 2018;23:228–233. DOI: 10.1016/j.clnesp.2017.09.009.
Gambra-Arzoz M., Alonso-Cadenas J.A., Jiménez-Legido M. et al. Nutrition Risk in Hospitalized Pediatric Patients: Higher Complication Rate and Higher Costs Related to Malnutrition. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2020;35(1):157–163. DOI: 10.1002/ncp.10316.
Hersberger L., Bargetzi L., Bargetzi A. et al. Nutritional risk screening (NRS 2002) is a strong and modifiable predictor risk score for short-term and long-term clinical outcomes: secondary analysis of a prospective randomised trial. Clinical nutrition (Edinburgh, Scotland). 2020;39(9):2720–2729. DOI: 10.1016/j.clnu.2019.11.041.
Hilbrands J., Feuling M.B., Szabo A. et al. Nutrition Screening in the Pediatric Intensive Care Unit: Evaluation of an Electronic Medical Record-Based Tool. Nutrients. 2023;15(21):4591. DOI: 10.3390/nu15214591.
Hjellbakk V.K., Hailemariam H., Reta F. et al. Diet and nutritional status among hospitalised children in Hawassa, Southern Ethiopia. BMC pediatrics. 2022;22(1):57. DOI: 10.1186/s12887-022-03107-6.
Hulst J.M., Huysentruyt K., Gerasimidis K. et al. Special Interest Group Clinical Malnutrition of ESPGHAN. A Practical Approach to Identifying Pediatric Disease-Associated Undernutrition: A Position Statement from the ESPGHAN Special Interest Group on Clinical Malnutrition. Journal of pediatric gastroenterology and nutrition. 2022;74(5):693–705. DOI: 10.1097/MPG.0000000000003437.
Huysentruyt K., Brunet-Wood K., Bandsma R. et al. On Behalf Of The Canadian Malnutrition Task Force-Pediatric Working Group. Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals. Nutrients. 2021;13(8):2635. DOI: 10.3390/nu13082635.
Huysentruyt K., Devreker T., Dejonckheere J. et al. Accuracy of Nutritional Screening Tools in Assessing the Risk of Undernutrition in Hospitalized Children. Journal of pediatric gastroenterology and nutrition. 2015;61(2):159–66. DOI: 10.1097/MPG.0000000000000810.
Karagiozoglou-Lampoudi T., Daskalou E., Lampoudis D. et al. Computer-based malnutrition risk calculation may enhance the ability to identify pediatric patients at malnutrition-related risk for unfavorable outcome. JPEN. Journal of parenteral and enteral nutrition. 2015;39(4):418–25. DOI: 10.1177/0148607114529161.
Klanjsek P., Pajnkihar M., Marcun Varda N. et al. Screening and assessment tools for early detection of malnutrition in hospitalised children: a systematic review of validation studies. BMJ Open. 2019; 9(5): e025444. DOI: 10.1136/bmjopen-2018-025444.
Lee Y.J. Nutritional Screening Tools among Hospitalized Children: from Past and to Present. Pediatric gastroenterology, hepatology & nutrition. 2018;21(2):79–85. DOI: 10.5223/pghn.2018.21.2.79.
Lee Y.J., Yang H.R. Comparison of four nutritional screening tools for Korean hospitalized children. Nutrition research and practice. 2019;13(5):410–414. DOI: 10.4162/nrp.2019.13.5.410.
Lee Y.M., Ryoo E., Hong J. et al. Nationwide “Pediatric Nutrition Day” survey on the nutritional status of hospitalized children in South Korea. Nutrition research and practice. 2021;15(2):213–224. DOI: 10.4162/nrp.2021.15.2.213.
Li R.R., Chen W., Cao W. et al. An investigation on the nutritional status and support of in-patients with common variable immunodeficiency. Chinese journal of preventive medicine. 2023;57(12):2164–2170. DOI:10.3760/cma.j.cn112150-20221216-01207. (In Chinese).
Li X.Y., Huang S., Zhou H.M. et al. Clinical application of the modified pediatric nutritional risk screening tool. Chinese journal of contemporary pediatrics. 2021;23(2):186–191. DOI: 10.7499/j.issn.1008-8830.2010120. (In Chinese).
Maciel J.R.V., Nakano E.Y., Carvalho K.M.B. et al STRONGkids validation: tool accuracy. Jornal de pediatria. 2020;96(3):371–378. DOI: 10.1016/j.jped.2018.12.012.
Malekiantaghi A., AsnaAshari K., Shabani-Mirzaee H. et al. Evaluation of the risk of malnutrition in hospitalized children by PYMS, STAMP, and STRONGkids tools and comparison with their anthropometric indices: a cross-sectional study. BMC nutrition. 2022;8(1):33. DOI: 10.1186/s40795-022-00525-8.
Mogensen K.M., Malone A., Becker P. et al. Malnutrition Committee of the American Society for Parenteral and Enteral Nutrition (ASPEN). Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Consensus Malnutrition Characteristics: Usability and Association With Outcomes. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2019;34(5):657–665. DOI: 10.1002/ncp.10310.
Niehaus I.M., Kansy N., Stock S. et al. Applicability of predictive models for 30-day unplanned hospital readmission risk in paediatrics: a systematic review. BMJ Open. 2022;12(3):e055956. DOI: 10.1136/bmjopen-2021-055956.
Ong S.H., Chen S.T. Validation of Paediatric Nutrition Screening Tool (PNST) among Hospitalized Malaysian Children. Journal of tropical pediatrics. 2020;66(5):461–469. DOI: 10.1093/tropej/fmz085.
Pereira D.S., da Silva V.M., Luz G.D. et al. Nutrition risk prevalence and screening tools' validity in pediatric patients: A systematic review. JPEN. Journal of parenteral and enteral nutrition. 2023;47(2):184–206. DOI: 10.1002/jpen.2462.
Pérez Moreno J., de la Mata Navazo S., López-Herce Arteta E. et al. Influence of nutritional status on clinical outcomes in hospitalised children. Anales de pediatria. 2019;91(5):328–335. DOI: 10.1016/j.anpedi.2019.01.014. (In Spanish).
Pérez-Solís D., Larrea-Tamayo E., Menéndez-Arias C. et al. Assessment of Two Nutritional Screening Tools in Hospitalized Children. Nutrients. 2020;12(5):1221. DOI: 10.3390/nu12051221.
Qiao J.Y., Guo F.F., Li F. et al. Nutritional assessment and clinical application of nutritional risk screening tools in critically ill children. Chinese journal of contemporary pediatrics. 2019;21(6):528–533. DOI: 10.7499/j.issn.1008-8830.2019.06.006. (In Chinese).
Reed M., Mullaney K., Ruhmann C. et al. Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in the Electronic Health Record: A Validation Study. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2020;35(6):1087–1093. DOI: 10.1002/ncp.10562.
Richou M., Mantha O.L., Peretti N. et al. ePINUT Study Group. Impact of the HAS 2019 French guidelines on the frequency of hospital undernutrition in children. Archives de pediatrie: organe officiel de la Societe francaise de pediatrie. 2023;30(1):36–41. DOI: 10.1016/j.arcped.2022.11.009.
Ritz A., Lurz E., Berger M. Sarcopenia in Children with Solid Organ Tumors: An Instrumental Era. Cells. 2022;11(8):1278. DOI: 10.3390/cells11081278.
Saengnipanthkul S., Phosuwattanakul J., Thepsuthammarat K. et al. Epidemiological data on nutritional disorders and outcomes in hospitalized Thai children: an analysis of data from the National Health Database 2015–2019. Epidemiology and health. 2022;44:e2022047. DOI: 10.4178/epih.e2022047.
Santos C.A.D., Rosa C.O.B., Franceschini S.D.C.C. et al. StrongKids for pediatric nutritional risk screening in Brazil: a validation study. European journal of clinical nutrition. 2020;74(9):1299–1305. DOI: 10.1038/s41430-020-0644-1.
Semsawat N., Dumrongwongsiri O., Phoonlapdacha P. The Low Sensitivity and Specificity of a Nutrition Screening Tool in Real Circumstances in a Tertiary Care Hospital Setting. Children (Basel, Switzerland). 2023;10(4):747. DOI: 10.3390/children10040747.
Taipa-Mendes A.M., Amaral T.F., Gregório M. Undernutrition risk and nutritional screening implementation in hospitals: Barriers and time trends (2019–2020). Clinical nutrition ESPEN. 2021;45:192–199. DOI: 10.1016/j.clnesp.2021.08.029.
Taşcı O., Bekem Soylu Ö., Kıran Taşcı E. et al. Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale. The Turkish journal of gastroenterology: the official journal of Turkish Society of Gastroenterology. 2020;31(4):324–330. DOI: 10.5152/tjg.2020.18637.
Teixeira A.F., Viana K.D. Nutritional screening in hospitalized pediatric patients: a systematic review. Jornal de pediatria. 2016;92(4):343–52. DOI: 10.1016/j.jped.2015.08.011.
Thavamani A., Umapathi K.K., Sankararaman S. et al. Effect of obesity on mortality among hospitalized paediatric patients with severe sepsis. Pediatric obesity. 2021;16(8):e12777. DOI: 10.1111/ijpo.12777.
Topal A., Tolunay O. Effect of malnutrition on length of hospital stay in children. Turkish Archives of Pediatrics. 2021;56(1):37–43. DOI: 10.14744/TurkPediatriArs.2020.46354.
Tsegaye A.T., Pavlinac P.B., Turyagyenda L. et al. The Role of Food Insecurity and Dietary Diversity on Recovery from Wasting among Hospitalized Children Aged 6-23 Months in Sub-Saharan Africa and South Asia. Nutrients. 2022;14(17):3481. DOI: 10.3390/nu14173481.
Ventura J.C., Silveira T.T., Bechard L. et al. Nutritional screening tool for critically ill children: a systematic review. Nutrition reviews. 2022;80(6):1392–1418. DOI: 10.1093/nutrit/nuab075.
Verwaaijen E.J., van Hulst A.M., Molinger J. et al. The utility of a portable muscle ultrasound in the assessment of muscle alterations in children with acute lymphoblastic leukaemia. Journal of cachexia, sarcopenia and muscle. 2023;14(5):2216–2225. DOI: 10.1002/jcsm.13305.
Vieira Gonçalves L., Oliveira A.G., Barracosa M. et al. Nutritional Risk and Malnutrition in Paediatrics: From Anthropometric Assessment to Strongkids® Screening Tool. Acta medica portuguesa. 2023;36(5):309–316. DOI: 10.20344/amp.16768.
Zembura M., Matusik P. Sarcopenic Obesity in Children and Adolescents: A Systematic Review. Frontiers in endocrinology. 2022;13:914740. DOI: 10.3389/fendo.2022.914740.
