Department of Paediatrics, University of Otago, Christchurch, New Zealand.
Acta Paediatr. 2012 Oct;101(10):e446-51. doi: 10.1111/j.1651-2227.2012.02789.x. Epub 2012 Aug 4.
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.
The anthropometry of hospitalized and healthy children from the same community was determined. Three nutritional risk score tools were applied to all inpatients.
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).
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.
本研究旨在确定入住伊朗一家三级医院的儿童的营养状况，并评估这些儿童的营养风险评分工具。
确定了来自同一社区的住院和健康儿童的人体测量值，并将三种营养风险评分工具应用于所有住院患者。
共招募了 119 名住院患者和 100 名对照组儿童。住院患者组营养不良的患病率为 25.2%，而社区组为 3%（p<0.0001）。与住院患者相比，社区组肥胖/超重的比例更高（22%比 2.5%：p=0.04）。严重营养不良的患儿住院时间长于营养正常的患儿（p<0.0001）。营养风险评分工具在中高危组中识别出 83%至 90%的营养不良患者。STRONG（kids）工具与人体测量指标的相关性强于其他工具。住院时间与风险状况相关（p=0.004）。
与来自同一社区的健康儿童相比，伊朗住院儿童的营养不良发生率更高。NRS 工具能够识别有营养风险的儿童，但观察到其应用效果存在差异。需要进一步在发展中环境中评估 NRS 工具。
