Nutritional evolution of hospitalized children who were under nutritional orientation
Keywords:
child, dietotherapy, nutritional state, hospitalizationAbstract
Objective
This study aimed at evaluating the nutritional evolution of hospitalized children with infectious diseases, who
were put under nutritional orientation.
Methods
Evaluate the effect of therapeutic nutritional orientation on 125 children between 6 and 36 months of age,
who were admitted at the Pediatric Infectology Ward of the Hospital São Paulo, São Paulo, Brazil, between
March 2001 and December 2002. The evaluations of nutritional status and energetic intake were based on
data obtained from inquiry-forms on feeding-patterns and anthropometric measurements.
Results
Of the children being evaluated, 53,6% (67) were male. The mean age was 17 months, and the average period
spent in the hospital was 10 days. At admission, 24,8% (31) of the children were undernourished and 10,0%
(23) were overweight or obese. The diagnosis of acute diseases affected 69,6% (87) of the children. Nutritional
support was provided for 21.6% (27) of the children, out of which, 81.5% (22) received nutritional support
orally. The undernourished group presented a significant improvement of the Z-score of Weight over
Height – Z W/H (p=0.001); the eutrophic group had no significant change of the Z-score Weight over Height
(p=0.651), and the group overweight/obese showed a significant reduction of the Z-score Weight over Height
(p=0.026). No significant associations were found between nutritional support therapy and improvement of
the nutritional status (p=0.37). The children who had an energy intake higher than the one recommended for
their age, had a significant improvement of the Z-score Weight over Height (p<0.001).
Conclusion
The children followed up in this study had their nutritional condition significantly improved, making it evident
that nutritional orientation, or diet therapy, can improve the treatment of hospitalized children
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