Challenges of nutritional assessment in pediatric ICU

Challenges of nutritional assessment in pediatric ICU

Author Feferbaum, Rubens Google Scholar
Delgado, Artur F. Google Scholar
Zamberlan, Patricia Google Scholar
Leone, Claudio Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Abstract Purpose of reviewThe nutritional assessment of children in the pediatric ICU is unique in view of the metabolic changes of the underlying disease. This review addresses the use and limitations of anthropometry and laboratorial and body composition markers in the diagnosis of the nutritional status of such patients.Recent findingsThe presence of inflammatory activity leads to body composition changes (lean mass reduction) and undernutrition. Nutritional assessment in pediatric ICU must prioritize anthropometric and laboratory markers that can differentiate body composition to detect specific macronutrient and micronutrient deficiencies and assessment of the inflammatory activity.SummaryNutritional assessment is one of the main aspects of the pediatric intensive care patient and is the most important tool to avoid hospital undernutrition. There is currently no gold standard for nutritional assessment in the pediatric ICU. the results of anthropometric and laboratory markers must be jointly analyzed, but individually interpreted according to disease and metabolic changes, in order to reach a correct diagnosis of the nutritional status and to plan and monitor the nutritional treatment.
Keywords critical care
cytokines
malnutrition
nutritional assessment
pediatric nutrition
Language English
Date 2009-05-01
Published in Current Opinion in Clinical Nutrition and Metabolic Care. Philadelphia: Lippincott Williams & Wilkins, v. 12, n. 3, p. 245-250, 2009.
ISSN 1363-1950 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 245-250
Origin http://dx.doi.org/10.1097/MCO.0b013e32832a3f43
Access rights Closed access
Type Article
Web of Science ID WOS:000265560200005
URI http://repositorio.unifesp.br/handle/11600/31509

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