Nutritional status and nutrition risk screening in hospitalized children in New Zealand
Article first published online: 3 JUN 2013
©2013 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd
Volume 102, Issue 9, pages e419–e423, September 2013
How to Cite
Moeeni, V., Walls, T. and Day, A. S. (2013), Nutritional status and nutrition risk screening in hospitalized children in New Zealand. Acta Paediatrica, 102: e419–e423. doi: 10.1111/apa.12299
- Issue published online: 2 AUG 2013
- Article first published online: 3 JUN 2013
- Accepted manuscript online: 21 MAY 2013 09:14AM EST
- Manuscript Accepted: 17 MAY 2013
- Manuscript Revised: 7 MAY 2013
- Manuscript Received: 10 MAR 2013
- New Zealand;
- Nutritional risk screening
Children requiring hospitalization are at risk of malnutrition. This study aimed to define the nutritional status of paediatric inpatients in comparison with healthy children and to compare and contrast the feasibility and validity of three nutritional risk screening (NRS) tools in the hospitalized children.
A total of 162 children admitted to Christchurch Hospital were assessed along with a similar group of healthy children. Their nutritional state was assessed and classified using standard criteria. The NRS tools were applied, and patients were classified into low-, medium- and high-risk groups. The feasibility and validity of the tools were assessed.
Under-nutrition was more frequent in the inpatient group (9.9% vs. 3.7%; p = 0.04), whereas both groups had similar rates of overweight/obesity. NRS tools were able to identify between 81% and 100% of the malnourished patients in the medium- to high-risk groups. Undernourished patients had longer hospital stay than well-nourished patients.
Hospitalized children have higher rates of under-nutrition than healthy children in NZ. The three NRS tools were able to identify children at nutritional risk with differing utility. In this setting, STRONGkids was the most reliable tool.