Nutritional risk and anthropometric evaluation in pediatric liver transplantation
Clinics
; 67(12): 1387-1392, Dec. 2012. ilus, tab
Article
in English
| LILACS
| ID: lil-660465
Responsible library:
BR1.1
ABSTRACT
OBJECTIVE:
To analyze the nutritional status of pediatric patients after orthotopic liver transplantation and the relationship with short-term clinical outcome.METHOD:
Anthropometric evaluations of 60 children and adolescents after orthotopic liver transplantation, during the first 24 hours in a tertiary pediatric intensive care unit. Nutritional status was determined from the Z score for the following indices weight/age height/age or length/age, weight/height or weight/length, body mass index/age, arm circumference/age and triceps skinfold/age. The severity of liver disease was evaluated using one of the two models which was adequated to the patients' age 1. Pediatric End-stage Liver Disease, 2. Model for End-Stage Liver Disease.RESULTS:
We found 50.0% undernutrition by height/age; 27.3% by weight/age; 11.1% by weight/height or weight/ length; 10.0% by body mass index/age; 61.6% by arm circumference/age and 51.0% by triceps skinfold/age. There was no correlation between nutritional status and Pediatric End-stage Liver Disease or mortality. We found a negative correlation between arm circumference/age and length of hospitalization.CONCLUSION:
Children with chronic liver diseases experience a significant degree of undernutrition, which makes nutritional support an important aspect of therapy. Despite the difficulties in assessment, anthropometric evaluation of the upper limbs is useful to evaluate nutritional status of children before or after liver transplantation.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
/
SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
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Malnutrition and Nutritional Deficiencies
/
Obesity
/
Nutrition
Database:
LILACS
Main subject:
Body Mass Index
/
Nutritional Status
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Liver Transplantation
/
Malnutrition
Type of study:
Etiology study
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Prognostic study
/
Risk factors
Aspects:
Social determinants of health
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2012
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR