Challenges of nutritional assessment in pediatric ICU

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dc.contributor.authorFeferbaum, Rubens
dc.contributor.authorDelgado, Artur F.
dc.contributor.authorZamberlan, Patricia
dc.contributor.authorLeone, Claudio
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2016-01-24T13:52:32Z
dc.date.available2016-01-24T13:52:32Z
dc.date.issued2009-05-01
dc.description.abstractPurpose of reviewThe nutritional assessment of children in the pediatric ICU is unique in view of the metabolic changes of the underlying disease. This review addresses the use and limitations of anthropometry and laboratorial and body composition markers in the diagnosis of the nutritional status of such patients.Recent findingsThe presence of inflammatory activity leads to body composition changes (lean mass reduction) and undernutrition. Nutritional assessment in pediatric ICU must prioritize anthropometric and laboratory markers that can differentiate body composition to detect specific macronutrient and micronutrient deficiencies and assessment of the inflammatory activity.SummaryNutritional assessment is one of the main aspects of the pediatric intensive care patient and is the most important tool to avoid hospital undernutrition. There is currently no gold standard for nutritional assessment in the pediatric ICU. the results of anthropometric and laboratory markers must be jointly analyzed, but individually interpreted according to disease and metabolic changes, in order to reach a correct diagnosis of the nutritional status and to plan and monitor the nutritional treatment.en
dc.description.affiliationUniv São Paulo, Inst Crianca, Hosp Clin, Dept Pediat,Fac Med,Div Neonatol, BR-05403000 São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Inst Crianca, Hosp Clin, Dept Pediat,Fac Med,Nutr Team, BR-05403000 São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Inst Crianca, Hosp Clin, Dept Pediat,Fac Med,Div Nutr, BR-05403000 São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Saude Publ, Dept Mother & Child Hlth, BR-05403000 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent245-250
dc.identifierhttp://dx.doi.org/10.1097/MCO.0b013e32832a3f43
dc.identifier.citationCurrent Opinion in Clinical Nutrition and Metabolic Care. Philadelphia: Lippincott Williams & Wilkins, v. 12, n. 3, p. 245-250, 2009.
dc.identifier.doi10.1097/MCO.0b013e32832a3f43
dc.identifier.issn1363-1950
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/31509
dc.identifier.wosWOS:000265560200005
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofCurrent Opinion in Clinical Nutrition and Metabolic Care
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectcritical careen
dc.subjectcytokinesen
dc.subjectmalnutritionen
dc.subjectnutritional assessmenten
dc.subjectpediatric nutritionen
dc.titleChallenges of nutritional assessment in pediatric ICUen
dc.typeinfo:eu-repo/semantics/article
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