Assessment of nutritional status and nutritional risk in hospitalized Iranian children.
OBJECTIVE
This study aimed to define the nutritional state of children admitted to a tertiary Iranian hospital and to evaluate nutritional risk score tools in these children.


METHODS
The anthropometry of hospitalized and healthy children from the same community was determined. Three nutritional risk score tools were applied to all inpatients.


RESULTS
One hundred and nineteen inpatients were recruited along with a comparison group of 100 children. The prevalence of under-nutrition in the inpatient group was 25.2% and 3% in the community group (p < 0.0001). Obesity/overweight was more prevalent in the community group than the inpatients (22% versus 2.5%: p = 0.04). Severely malnourished children had a longer hospital stay than those with normal nutrition (p < 0.0001). The nutritional risk score tools identified between 83% and 90% of the malnourished patients in the moderate and high-risk groups. The STRONG(kids) tool correlated more strongly with anthropometric measurements than the other tools. The length of hospital stay was associated with risk status (p = 0.004).


CONCLUSIONS
Hospitalized Iranian children have higher rates of under-nutrition than healthy children from the same community. NRS tools were able to identify children at nutritional risk; however, variable utility was observed. Further assessment of NRS tools in the developing setting is required.
Department of Paediatrics, University of Otago, Christchurch, New Zealand.
Vesal
V
Moeeni
Tony
T
Walls
Andrew S
AS
Day
D000293:Adolescent; D000886:Anthropometry; D002648:Child; D015362:Child Nutrition Disorders / Q000175:diagnosis / Q000453:epidemiology*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007297:Inpatients / Q000706:statistics & numerical data; D007492:Iran / Q000453:epidemiology; D007902:Length of Stay; D008297:Male; D015596:Nutrition Assessment; D009752:Nutritional Status; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D018570:Risk Assessment; D062606:Tertiary Care Centers