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Page 22
allied
academies
Journal of Current Pediatric Research | Volume: 22
Joint Event
August 16-17, 2018 | Paris, France
Primary Healthcare
12
th
International Conference on
International Conference and Medicare Expo on
&
Pediatrics Health Care
Background:
Supply of nutritional requirements is vital for all
patients. Malnutrition brings several disadvantages, namely,
increase in the length of hospitalization, immune system
dysfunction, loss of muscle mass, and eventually death thus
patients of Intensive Care Unit (ICU) need special medical care
including nutritional care. This study aimed to evaluate the
relationshipbetweendietary supplementationandmalnutrition
status in PICU children in Iran.
Methods:
A case–control study was conducted on 200 patients
aged 8–10 years in PICU. Data of two groups including 100
patients (cases) who had consumed regular hospital meals
and dietary supplements and 100 patients (controls) who had
received regular hospital meals were compared. The dietary
supplements that used in this study was Nestle Nutrition
Peptamen Junior Powder.
Anthropometric measurements, laboratory values, and dietary
intakes were extracted from medical records, and Maastricht
index (MI) was calculated. Maastricht index (MI) is one of the
best indicators toevaluatenutritional status among thepatients.
Both anthropometric indicators and biochemical parameters,
namely, albumin, prealbumin, and total lymphocyte count (TLC),
are involved in MI calculation. The result of this calculation is a
score which determines the level of malnutrition in the patient.
Scores lower than zero indicate nutritional adequacy while zero
and greater values determine the malnutrition status.
Results:
Therewere no significant differences in anthropometric
indicators, biochemical parameters, energy intake and the
percentage of energy from macronutrients between two
groups at the baseline of the study. But daily intake of energy,
carbohydrate, and protein of the case group was significantly
higher at the end of the study (after 3weeks). In case group,
albumin (35.1 ± 5.5 g/L) and prealbumin (17.9 ± 4.7 mg/L)
were significantly higher and TLC (1107.865 ± 881.3 cell/mm3)
was significantly lower at the 21th day (P = 0.01). MI declined
significantly after 3 weeks in both groups with a greater drop in
case group (MI: Case group: 3.3 ± 3.9; control group: 4.1 ± 3.6,
P = 0.001)
Conclusions:
Consuming dietary supplements besides the
regular hospital meals helped supply nutritional requirements
and improved the malnutrition. Also this study showed that
Peptamen® Junior powder is a good nutritionally complete
with 100% whey peptide that can meet the energy needs of
paediatric patients with or at risk of malnutrition, such as PICU
children.
Speaker Biography
Mehnoosh Samadi has completed her PhD at the age of 32 years from Ahvaz
Jundishapur University of Medical Sciences. She is the Assistant Professor of
nutritional science department in School of Nutritional Science and Food Technology
of Kermanshah University of Medical Sciences, Kermanshah, Iran. She has published
more than 10 papers in reputed journals and has been serving as an editorial board
member of repute.
e:
mehnoosh_samadi@yahoo.comMehnoosh Samadi
Kermanshah University of Medical Sciences, Iran
Nutritional complete and malnutrition in Pediatric Intensive Care Unit (PICU) children
Notes:
Mehnoosh Samadi, Pediatrics & Primary HealthCare 2018, Volume 22
DOI: 10.4066/0971-9032-C1-001