Prevalence of Malnutrition risk Based on Three Nutritional Risk Scores in Hospitalized Iranian children
Journal Title: International Research Journal of Applied and Basic Sciences - Year 2016, Vol 10, Issue 4
Abstract
Objective: It is essential for patients who are malnourished to be identified as soon as admitting to the hospital. Nutrition risk screening (NRS) has been validated to predict the risk of malnutrition. The aim of this study was to assess the nutritional status of hospitalized children and compare the prevalence of malnutrition based on three nutritional risk scores. Material and Methods: This study applied three NRS tools (STRONGkids, STAMP and PYMS) for children admitted to a pediatric hospital in Mashhad, Iran. These tools, classified as low, medium and high-risk groups. The anthropometric indices of hospitalized children were determined and classified via using standard criteria. Result: The study group was comprised of 115 children. 30.6% were found to have acute malnutrition based on their weight for height (WFH) Z-score and the prevalence of chronic malnutrition was 22.8% according to height for age (HFA) Z-score. PYMS identified 23.5% in the medium-risk group and 52.2% in the high-risk group. STAMP identified 20.9% in medium-risk group and 69.6% in high-risk group. STRONGkids classified 71.3% of children at medium and just 7.8% at high-risk. Only the risk stratification of PYMS was correlated with WFH Z-scores (p<0.001). Weight for age (WFA) Z-scores correlated with the risk stratification of STAMP and PYMS (p<0.001 for both). Conclusion: High prevalence of malnutrition risk was seen among hospitalized children. Also NRS tools were able to detect children at a higher risk of nutritional deterioration; however, variable utility was observed.
Authors and Affiliations
Mina Hosseini Nasab| MSc of Nutrition, Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, Zahra Gholampour| MSc of Nutrition, Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, Bahareh Imani| MD., Department of Pediatrics, Mashhad University of Medical Sciences, Mashhad, Iran, Abdolreza Norouzy*| MD PhD, Nutrition Research Center and Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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