Primer malnutrisyonlu çocukların prevalansının, demografik özelliklerinin, ilişkili risk faktörlerinin ve kullanılan enteral beslenme ürünlerinin etkilerinin değerlendirilmesi

Amaç: Bu çalışmada malnütrisyonlu çocukların prevalansının, demografik özelliklerinin, ilişkili risk faktörlerinin ve kullanılan enteral beslenme ürünlerinin etkilerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Primer malnütrisyona bağlı büyüme yetersizliği olan ve hiperkalorik enteral beslenme rejimi başlanmış 1-18 yaşları arasında toplam 229 pediatrik hasta çalışmaya dahil edildi. Büyümesi normal 73 sağlıklı çocuk kontrol grubunu oluşturdu. Antropometrik ölçümlere; boy (cm), ağırlık (kg), vücut kitle indeksi (kg/m2), yaşa göre boy Z skoru ve yaşa göre ağırlık Z skoru dahil edildi. Bulgular: Malnutrisyonlu hastalar kontrol grubu ile kıyaslandığında; daha küçük yaşta ve doğum ağırlığı >3001 g olanlarda malnütrisyonun görülme olasılığının daha fazla olduğu, bu hastaların emzirme sürelerinin daha kısa, kardeş sayısının daha az, ailelerinin düşük aylık gelirli ve annelerinin okuma yazma bilmiyor oldukları gözlendi. Malnütrisyonlu grupta boy, ağırlık (, vücut kitle indeksi, yaşa göre boy ve yaşa göre ağırlık Z skorları; cinsiyet, kardeş sayısı, anne eğitimi ve aylık gelir düzeyinden bağımsız olarak, başlangıç değerlerine kıyasla, 3. ve 6. ay kontrollerinde önemli ölçüde iyileşmiştir. Sonuç: Bulgularımız başlangıç semptomları ve sosyo-ekonomik risk faktörlerinden bağımsız olarak, primer malnutrisyonlu çocuklarda verilen 6 aylık yüksek kalorili enteral beslenme desteğinin etkililiğini ve tolere edilebilirliğini göstermektedir.

Evaluation of prevalence, demographic characteristics, associated risk factors and effects of enteral nutrition products in children with primary malnutrition

Purpose: The present study aims to evaluate the prevalence, demographic characteristics, associated risk factors and effects of enteral nutrition products in malnourished children. Materials and Methods: A total of 229 pediatric outpatients aged 1-18 years with primary malnutrition related growth failure and prescribed with hypercaloric enteral feeding regimen were included. A total of 73 healthy children with normal growth served as the control group. Anthropometric measurements included height (cm), weight (kg), body mass index (kg/m2), height for age Z score and weight for age Z score. Results: When the malnourished patients were compared with the control group; patients were aged younger and associated with higher likelihood of having a birth weight >3001 , shorter duration of breastfeeding, lower number of siblings, family with lower monthly income and illiterate mothers. In the malnourished group, height, weight, body mass index and height for age and weight for age Z scores improved significantly during 3rd month and 6th month as compared with baseline scores, regardless of gender, sibling number, maternal education and monthly income level. Conclusion: Our findings show the efficacy and tolerability of 6-month high-calorie enteral nutritional support given to children with primary malnutrition, regardless of initial symptoms and socio-economic risk factors.

Keywords:

Primary malnutrition, high-calorie enteral feeding, anthropometrics gastrointestinal tolerance, risk factors,

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