Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Nationwide "Pediatric Nutrition Day" survey on the nutritional status of hospitalized children in South Korea

  • Lee, Yoo Min (Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Ryoo, Eell (Department of Pediatrics, Gachon University Gil Medical Center, Gachon University College of Medicine) ;
  • Hong, Jeana (Department of Pediatrics, Kangwon National University School of Medicine) ;
  • Kang, Ben (Department of Pediatrics, School of Medicine, Kyungpook National University) ;
  • Choe, Byung-Ho (Department of Pediatrics, School of Medicine, Kyungpook National University) ;
  • Seo, Ji-Hyun (Department of Pediatrics, Gyeongsang National Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Park, Ji Sook (Department of Pediatrics, Gyeongsang National Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Jang, Hyo-Jeong (Department of Pediatrics, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Lee, Yoon (Department of Pediatrics, Korea University College of Medicine) ;
  • Chang, Eun Jae (Department of Pediatrics, Myongji Hospital, Hanyang University College of Medicine) ;
  • Chang, Ju Young (Department of Pediatrics, Boramae Medical Center, Seoul National University) ;
  • Lee, Hae Jeong (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Ju Young (Department of Pediatrics, Daejeon Eulji Medical Center, Eulji University School of Medicine) ;
  • Lee, Eun Hye (Department of Pediatrics, Nowon Eulji Medical Center, Eulji University School of Medicine) ;
  • Kim, Hyun Jin (Department of Pediatrics, Busan Paik Hospital, Inje University College of Medicine) ;
  • Chung, Ju-Young (Department of Pediatrics, Inje University Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Choi, You Jin (Department of Pediatrics, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Choi, So Yoon (Department of Pediatrics, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Soon Chul (Department of Pediatrics, Jeonbuk National University Hospital, Jeonbuk National University Medical School) ;
  • Kang, Ki-Soo (Department of Pediatrics, Jeju National University Hospital) ;
  • Yi, Dae Yong (Department of Pediatrics, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Moon, Kyung Rye (Department of Pediatrics, Chosun University School of Medicine) ;
  • Lee, Ji Hyuk (Department of Pediatrics, Chungbuk National University College of Medicine) ;
  • Kim, Yong Joo (Department of Pediatrics, Hanyang University Medical Center, Hanyang University College of Medicine) ;
  • Yang, Hye Ran (Department of Pediatrics, Seoul National University Bundang Hospital)
  • Received : 2020.03.17
  • Accepted : 2020.08.03
  • Published : 2021.04.01
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Abstract

BACKGROUND/OBJECTIVES: To evaluate the nutritional status and prevalence of malnutrition in hospitalized children at admission and during hospitalization in South Korea. SUBJECTS/METHODS: This first cross-sectional nationwide "Pediatric Nutrition Day (pNday)" survey was conducted among 872 hospitalized children (504 boys, 368 girls; 686 medical, 186 surgical) from 23 hospitals in South Korea. Malnutrition risk was screened using the Pediatric Yorkhill Malnutrition Score (PYMS) and the Screening Tool Risk on Nutritional status and Growth. Nutritional status was assessed by z-scores of weight-for-age for underweight, weight-for-height for wasting, and height-for-age for stunting as well as laboratory tests. RESULTS: At admission, of the 872 hospitalized children, 17.2% were underweight, and the prevalence of wasting and stunting was 20.2% and 17.3%, respectively. During hospitalization till pNday, 10.8% and 19.6% experienced weight loss and decreased oral intake, respectively. During the aforementioned period, fasting was more prevalent in surgical patients (7.5%) than in medical patients (1.6%) (P < 0.001). According to the PYMS, 34.3% and 30% of the children at admission and on pNday, respectively, had a high-risk of malnutrition, requiring consultation with the nutritional support team (NST). However, only 4% were actually referred to the NST during hospitalization. CONCLUSIONS: Malnutrition was prevalent at admission and during hospitalization in pediatric patients, with many children experiencing weight loss and poor oral intake. To improve the nutritional status of hospitalized children, it is important to screen and identify all children at risk of malnutrition and refer malnourished patients to the multidisciplinary NST for proper nutritional interventions.

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References

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