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PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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Submitted Abstracts

PENSA 2017 Congress

Submitted: October 7, 2017

Abstract ID = 85 | Classification: (2) - Malnutrition and related issues

Title: Prevalence of malnutrition and nutritional status data of pediatric patients admitted in a tertiary care hospital in the Philippines

Author(s): Melissa T. Sy MD

Institution where study was conducted: Institute of Pediatrics, St. Luke’s Medical Center, Quezon City, Philippines

Keywords: prevalence, malnutrition, pediatric, nutritional status

Background: There is a need to know the profile of nutritional screening status of all admitted patients in a private tertiary care hospital in the Philippines (St. Luke’s Medical Center, Quezon City). This will help in identifying the nutritionally at risk patients and to give them priority in nutrition care and start developing programs that will address the undernutrition and obesity problems of the pediatric population.

Objectives: To determine the prevalence of malnutrition in the pediatric population and establish the profile of nutritional status in this subset of the hospital population.

Methods: From March to May 2016, admitted pediatric patients underwent nutrition screening using the newly proposed nutrition screening form based on the z-score. The Z-score values are: Obese: (= 2 to 3); Overweight: (= 2); Risk of overweight or underweight: (= +1/-1); Normal: (= 0 to +1/-1); Wasted: (= -2); Severe underweight: (= -3). Nutrition screening data were classified as follows: severe underweight, wasted, normal, overweight, obese and at risk. Percentages of each category were done to show the nutrition profile of the admitted pediatric population

Results: N = 257; Normal status – most predominant status in all admitted patients in all age groups (55%); >50% in age groups 0-2y, >2y-5y and >15y-18y; in the >15y-18y most patients were mainly normal. Underweight status – covers both severe underweight and wasted status groups; Severe underweight group: present in most age groups except >15y-18y group where none were seen; predominant in 0-2y age group and >5y-10y age group. Wasted group: also present in most age groups except >15y-18y where none were seen; most predominant in 0-2y age group; “at risk”: 13% present in the 0-2y age group. Overweight and obese status: Overweight: present only in 0-2y and >2y-5y age groups; Predominant in the >2y-5y age group. Obese: also present in all age groups: most predominant in >5y-10y and >10y-15y age groups. There is an increasing trend in obesity in all age groups except at >15y-18y age group.

Conclusion: a) Most of the admissions were normal especially in the >15y-18y where 85% were normal, b) severe underweights were seen in the 0-2y and 5-10y age groups, c) obesity was increasing in the different age groups except in the >15y-18y group where it dropped to 5%.

Email: melissatsy@gmail.com

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