Hastanede Yatarak Tedavi Gören Çocuklarda Malnütrisyon: Ulusal Türk ve Dünya Sağlık Örgütü (DSÖ) Çocuk Büyüme Standartlarının Karşılaştırılması

Yıl 2012, Cilt: 25 Sayı: 3, 128 - 132, 18.03.2015

Engin Tutar Perran Boran , Sedat Öktem Gülnur Tokuç Binnaz Çalışkan

Öz

Amaç: Özellikle hastanede yatarak tedavi gören çocuklarda olmak üzere,
malnütrisyonun önemli bir mortalite nedeni olduğu iyi bilinmektedir. Tüm
dünyada malnütrisyonun tanımlanması açısından bir karmaşa söz konusu
olduğundan, Dünya Sağlık Örgütü (DSÖ) z-skorlamasının kullanımını önermiş
ve DSÖ büyüme standartlarının tüm ülkelerde geçerli olarak kullanılabileceğini
bildirmiştir. Bu çalışmanın amacı, hastanede yatarak tedavi görmekte olan
çocuk hastalarda malnütrisyon durumunu değerlendirmek ve Neyzi büyüme
standartları ile DSÖ standartlarını karşılaştırmaktır.
Hastalar ve Yöntem: Beş yaş altındaki hastalarda, ulusal Neyzi ve DSÖ 2006
standartlarına göre, yaşa-göre-ağırlık, boya-göre-ağırlık ve yaşa-göre-boy
yüzdeleri ve z-skorları hesaplandı,

Anahtar Kelimeler

Malnütrisyon, Çocuk, Hastane, Z-skoru

Kaynakça

• 1. World Health Organization. Child growth standards and the identification of severe acute malnutrition in infants and children. A joint statement by the World Health Organization and The United Nations Children’s Fund. New York: WHO, 2009.
• 2. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet 2003; 361: 2226-34. doi:10.1016/S0140-6736(03)13779-8
• 3. Pelletier DL, Frongillo EA Jr, Schroeder DG, Habicht JP. The effects of malnutrition on child mortality in developing countries. Bull World Health Organ 1995; 73: 443-8.
• 4. Mendez MA, Adair LS. Severity and timing of stunting in the first two years of life affect performance on cognitive tests in late childhood. J Nutr 1999; 129: 1555-62.
• 5. World Health Organization. A Critical Link. Interventions for physical growth and psychological development. A review. Doc WHO/CHS/CAH/ 99.3. Geneva: WHO, 1999.
• 6. Barker DJ, Fall CH. Fetal and infant origins of cardiovascular disease. Arch Dis Child 1993; 68: 797–9.
• 7. Cortes RV, Nava-Flores G, Perez CC. Frecuenci de la desnutricion en ninos de un hospital pediatrico de tercer nivel. Rev Mexicana Pediatr 1995;62: 131-3.
• 8. Tienboon P. Nutritional status of pediatric patients: Maharaj Nakorn Chiang Mai Hospital. Thai J Paren Enter 1995; 6: 3-14.
• 9. Leite HP, Isatugo MK, Sawaki L, et al. Anthropometric nutritional assessment of critically ill hospitalized children. Rev Paul Med 1993;111: 309-3.
• 10. World Health Organization. Management of severe malnutrition: a manual for physicians and other senior health workers. Geneva: WHO, 1999. doi: 10.1590/S1020-49891999000700020
• 11. Ministry of Health, Hacettepe University Institute of Population Studies. Turkey Demographic Health Surveys, 2008. http://www.hips.hacettepe.edu.tr/TNSA2008-AnaRapor.pdf. Accessed January 25, 2011.
• 12. Joosten KFM and Hulst JM. Prevalence of malnutrition in pediatric hospital patients. Curr Opin Pediatr 2008; 20:590-6. doi:10.1097/MOP.0b013e32830c6ede
• 13. WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: length/height-for-age, weight-forage, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: WHO; 2006.
• 14. World Health Organization, Multicentre Growth Reference Study Group and Mercedes de Onis. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatrica Suppl 2006; 450:76-85. doi: 10.1080/08035320500495548
• 15. Neyzi O, Binyildiz P, Alp H. Türk cocuklarında büyüme gelişme normları 1. İstanbul Tıp Fak Mecm 1978; 41 Suppl 74:3-22.
• 16. Neyzi O, Günöz H, Furman A, et al. Weight, height, head circumference and body mass index references for Turkish children. Turk Pediatr J 2008; 51:1-14.
• 17. Weisstaub G, Araya M. Acute malnutrition in Latin America: the challenge of ending avoidable deaths. J Pediatr Gastroenterol Nutr 2008; 47: S10-4. doi:10.1097/MPG.0b013e3181818e78
• 18. Caulfield LE, de Onis M, Blössner M, et al. Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles. Am J Clin Nutr 2004;80:193-8.
• 19. Ferreira HS, França AOS. Evolution of nutritional status in hospitalized children. J Pediatr (Rio J) 2002;78:491-6.
• 20. Maitland K, Berkley JA, Shebbe M, et al. Children with severe malnutrition: Can those at highest risk of death be identified with the WHO protocol? PLoS Med 2006;3: e500.
• 21. De Moraes Silveira CR, De Mello ED, Antonacci Carvalho PR. Evolution of nutritional status of pediatric in patients of a tertiary care general hospital in Brazil. Nutr Hosp 2008; 23:599-606.
• 22. Sanabria MC, Dietz E, Varela CA. Evaluación nutricional de niños hospitalizados en un servicio de pediatria de referencia. Pediatria 2000;27:26-36.
• 23. Pawellek I, Dokoupil K, Koletzko B. Prevalence of malnutrition in paediatric hospital patients. Clin Nutr 2008;27:72-6. doi: 10.1016/j.clnu.2007.11.001
• 24. Doğan Y, Erkan T, Yalvaç S, et al. Nutritional status of patients hospitalized in pediatric clinic. Turk J Gastroenterol 2005;16:212-6.
• 25. Ozturk Y, Buyukgebiz B, Arslan N, Ellidokuz H. Effects of hospital stay on nutritional anthropometric data in Turkish children. J Trop Pediatr 2003; 49:189-90. doi: 10.1093/tropej/fmg033
• 26. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo S, Wei R. CDC growth charts: United States. Adv Data 2000;314:1-27.
• 27. Seal A, Kerac M. Operational implications of using 2006 World Health Organization growth standards in nutrition programmers: secondary data analysis. BMJ 2007;334:705-6. doi: 10.1136/bmj.39101.664109.AE
• 28. de Onis M, Onyango AW, Borghi E, Garza C, Yang H. WHO Multicentre Growth Reference Study Group. Comparison of the World Health Organization (WHO) Child Growth Standards and the National Center for Health Statistics/WHO international growth reference: implications for child health programmes. Public Health Nutr 2006;9:942-7. doi:10.1017/PHN20062005