Description of the etiological factors behind acute moderate and severe malnutrition in children under 5 years hospitalized at two high‐complexity referral centers: Case series

Author:

Olarte‐Bernal Mónica1ORCID,Guevara‐Santamaría Fabian Ricardo2ORCID,Jacome‐Suarez Jennyfer Carolina1ORCID,Palacios‐Ariza María Alejandra34ORCID,Medina‐Parra Jorge4ORCID,Merchán‐Chaverra Ricardo Alfonso1456ORCID,Cuellar‐Fernandez Yeny Marjorie456ORCID

Affiliation:

1. Departamento de Nutrición y Terapia Clínica Infantil Santa María del Lago, Clínica Colsanitas SA, Grupo Keralty Bogotá DC Colombia

2. Versania Primera Infancia, Grupo Keralty Bogotá DC Colombia

3. Grupo de investigación en Salud de la infancia Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty Bogotá DC Colombia

4. Facultad de Medicina Fundación Universitaria Sanitas Bogotá DC Colombia

5. Grupo de investigación en Nutrición Clínica Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty Bogotá DC Colombia

6. Centro Latinoamericano de Nutrición (CELAN), Chía (Cundinamarca), Colombia Colombia

Abstract

AbstractBackgroundAcute malnutrition in children <5 years of age has a direct relationship with medical complications and mortality. We aimed to describe the etiologic factors in children with moderate and severe non–illness‐related acute malnutrition who required hospitalization for treatment of malnutrition in two high‐complexity hospital centers in Bogotá, Colombia.MethodsThis is a multicenter case series (December 2016 to December 2020) including patients aged 1–59 months with a weight/height indicator less than −2 SD. Electronic health records were reviewed, and demographic (sex, age, city of origin, and socioeconomic status) and clinical data (gestational age at birth, edema, and nutrition status) were collected. Descriptive analysis of information was performed. An exploratory bivariate analysis by diagnostic categories of moderate and severe acute malnutrition vs days of hospitalization was also performed.ResultsForty‐five patients were included, 62.2% of whom were male, with a median age of 14 months (Q1–Q3: 7–24). The main etiologic factors of malnutrition were related to problems with total food intake (33.3%), transition in consistency of feeding (31.1%), and breastfeeding technique (22.2%). Only 13.3% had problems related to food insecurity. There were no statistically significant differences between moderate (median: 7 days; Q1–Q3: 5–12) and severe (median: 8 days; Q1–Q3: 5–16) acute malnutrition when compared by days of hospitalization.ConclusionsThe main etiologic factors of malnutrition in our study population were related to problems in the amount of food provided and transition in consistency of complementary feeding.

Publisher

Wiley

Reference27 articles.

1. Diagnosing Pediatric Malnutrition

2. Defining Pediatric Malnutrition

3. United Nations Children's Fund (UNICEF) World Health Organization (WHO) International Bank for Reconstruction and Development/The World Bank.Levels and Trends in Child Malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates: Key Findings of the 2023 Edition. Accessed February 6 2024.https://data.unicef.org/wp-content/uploads/2023/10/JME-2023-United-Nations-regions.pdf

4. Ministerio de Salud y Protección Social Instituto Nacional de Salud Instituto Colombiano de Bienestar Familiar.Encuesta Nacional de la Situación Nutricional 2015. Accessed July 18 2019. Accessed September 6 2024.https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/documento-metodologico-ensin-2015.pdf

5. [Nutritional status of children under 6 months of age in a pediatric hospital in Peru: prevalence and associated factors];Mamani‐Urrutia V;Nutr Clín Diet Hosp,2021

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3