Huang Jeannie S, Chun Stanford, Cheung Christopher, Poon Linda, Terrones Laura
Department of Pediatrics, Division of Gastroenterology, University of California San Diego, La Jolla, CA, United States; Division of Gastroenterology, Rady Children's Hospital, San Diego, CA, United States.
Department of Pediatrics, Division of Gastroenterology, University of California San Diego, La Jolla, CA, United States.
Clin Nutr ESPEN. 2016 Oct;15:122-125. doi: 10.1016/j.clnesp.2016.06.008. Epub 2016 Jun 28.
US hospitals routinely provide food to hospitalized children. The nutritional content of provided foods has not been evaluated. We performed our study to examine meal orders of hospitalized youth and determine whether the nutritional contents of ordered meals meet dietary guidelines.
We performed a cross-sectional evaluation among hospitalized youth ≥1 y receiving all nutritional intake by mouth and not on a clear liquid diet. Meal orders from hospitalized youth were analyzed for nutritional content. Daily calories, fiber, protein, fat content, and sugar-sweetened beverages ordered were determined and compared with published dietary recommendations. Distribution analyses and odds ratios for meeting v. not meeting dietary recommendations were calculated for select factors and adjusted for hospital length of stay.
969 meal orders from 247 patients [13 (1, 26) [median (min, max)] years, 50% male, 47% Hispanic] at a tertiary care pediatric hospital were reviewed. Forty-four percent of daily meals exceeded caloric recommendations, 9% met fiber recommendations, 36% met fat recommendations, all met protein requirements, and 53% included sugar-sweetened beverages. Overweight/obese boys <13 y hospitalized ≤7 d were more likely to place meal orders exceeding daily caloric recommendations while Hispanic overweight/obese youth hospitalized ≤7 d were more likely to order sugar-sweetened beverages than inpatient counterparts.
Pediatric hospital meal orders commonly do not meet dietary guidelines. Hospitals should encourage youth and families to order within nutritional guidelines to prevent additional health risk.
美国医院通常会为住院儿童提供食物。但所提供食物的营养成分尚未得到评估。我们开展这项研究以检查住院青少年的膳食订单，并确定所订膳食的营养成分是否符合饮食指南。
我们对年龄≥1岁、经口摄入所有营养且非清流食饮食的住院青少年进行了横断面评估。分析住院青少年的膳食订单的营养成分。确定每日卡路里、纤维、蛋白质、脂肪含量以及所订的含糖饮料，并与已公布的饮食建议进行比较。计算选定因素符合与不符合饮食建议的分布分析和比值比，并根据住院时长进行调整。
对一家三级儿科医院247例患者[13（1，26）[中位数（最小值，最大值）]岁，50%为男性，47%为西班牙裔]的969份膳食订单进行了审查。44%的日常膳食热量超过建议值，9%符合纤维建议值，36%符合脂肪建议值，所有膳食均满足蛋白质需求，53%的膳食包含含糖饮料。住院≤7天的13岁以下超重/肥胖男孩更有可能订购热量超过每日建议值的膳食，而住院≤7天的西班牙裔超重/肥胖青少年比住院的同龄人更有可能订购含糖饮料。
儿科医院的膳食订单通常不符合饮食指南。医院应鼓励青少年及其家庭在营养指南范围内订餐，以防止增加健康风险。
