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Challenges of nutritional assessment in pediatric ICU

Feferbaum, Rubens ; Delgado, Artur F ; Zamberlan, Patrícia ; Leone, Claudio

Current opinion in clinical nutrition and metabolic care, 2009-05, Vol.12 (3), p.245-250 [Periódico revisado por pares]

England: Lippincott Williams & Wilkins, Inc

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  • Título:
    Challenges of nutritional assessment in pediatric ICU
  • Autor: Feferbaum, Rubens ; Delgado, Artur F ; Zamberlan, Patrícia ; Leone, Claudio
  • Assuntos: Anthropometry - methods ; Body Composition ; Child ; Critical Illness ; Humans ; Inflammation - complications ; Intensive Care Units, Pediatric ; Malnutrition - complications ; Malnutrition - diagnosis ; Malnutrition - prevention & control ; Nutrition Assessment ; Nutritional Status
  • É parte de: Current opinion in clinical nutrition and metabolic care, 2009-05, Vol.12 (3), p.245-250
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-3
    content type line 23
    ObjectType-Review-1
  • Descrição: 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.
  • Editor: England: Lippincott Williams & Wilkins, Inc
  • Idioma: Inglês
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