Campanozzi Angelo, Russo Massimo, Catucci Alessandra, Rutigliano Irene, Canestrino Gennaro, Giardino Ida, Romondia Arturo, Pettoello-Mantovani Massimo
Department of Medical Sciences, Pediatrics, University of Foggia, Foggia, Italy.
Nutrition. 2009 May;25(5):540-7. doi: 10.1016/j.nut.2008.11.026. Epub 2009 Feb 20.
Little is known about the incidence and risk factors of hospital-acquired malnutrition in children with mild illness (grade 1 clinical conditions) and its timing of occurrence. The aim of this study was to recognize any early stage of denutrition and possible risk factors leading to nutritional deterioration in children hospitalized due to mild clinical conditions.
Four hundred ninety-six children (age 1-192 mo) with mild clinical conditions were studied. Weight and height were measured. Weight was assessed daily and body mass index (BMI) Z-score was calculated for all patients.
Children with a BMI Z-score <-2 SD on admission showed a mean BMI decrease at the end of their hospital stay, which was significantly higher than in children who showed a better nutritional condition at admission. Risk factors for hospital-acquired malnutrition were an age <24 mo, a duration of hospital stay >5 d, fever, and night-time abdominal pain.
Hospital stay has an impact on the nutritional status of children affected by mild clinical conditions. Children already malnourished on admission were found to be at risk for further nutritional deterioration during their hospital stay; and in all groups of children identified by their BMI Z-score at admission, nutritional status declined progressively.
对于轻症儿童（1级临床状况）医院获得性营养不良的发生率、危险因素及其发生时间知之甚少。本研究的目的是识别营养不良的任何早期阶段以及导致因轻症临床状况住院儿童营养恶化的可能危险因素。
对496名患有轻症临床状况的儿童（年龄1至192个月）进行研究。测量体重和身高。每天评估体重，并为所有患者计算体重指数（BMI）Z评分。
入院时BMI Z评分<-2 SD的儿童在住院期末显示平均BMI下降，这显著高于入院时营养状况较好的儿童。医院获得性营养不良的危险因素包括年龄<24个月、住院时间>5天、发热和夜间腹痛。
住院对受轻症临床状况影响儿童的营养状况有影响。发现入院时已营养不良的儿童在住院期间有进一步营养恶化的风险；并且在所有根据入院时BMI Z评分确定的儿童组中，营养状况逐渐下降。
