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Assessment of nutritional status in paediatric outpatients using bioelectrical impedance analysis and anthropometric z-scores.
| Content Provider | Europe PMC |
|---|---|
| Author | Zhu, Yuan Ye, Hong Feng, Yi Pan, Li‐ya Fu, Huan‐huan Liu, Yun‐man Fei, Jun Hong, Li |
| Abstract | AimTo investigate paediatric outpatients' nutritional status using bioelectrical impedance analysis and anthropometric z‐scores.MethodsA retrospective data analysis of tertiary paediatric hospital outpatients from 2017 to 2019 was conducted. Patients were categorised into three groups (non‐illness, illness and simple obesity) according to clinical diagnoses. The nutritional status was evaluated using anthropometric and bioelectrical impedance analysis. In addition, body composition measurements of patients in three subgroups of the illness group and age‐ and gender‐matched healthy controls were compared.ResultsA total of 2015 paediatric outpatients were enrolled. According to body mass index z‐scores, undernutrition prevalence among participants was 14.0% (non‐illness group, 21.3%; illness group, 11.4%). Body composition measurements indicated that 41.6% of participants had a low fat‐free mass index, and the proportions of participants with a low fat‐free mass index in the non‐illness, illness and simple obesity groups were 48.4, 47.0 and 10.7%, respectively. Compared with healthy controls, the haematology and oncology subgroup had a significantly lower fat‐free mass index and fat mass index; the nephrology and rheumatology subgroup had significantly lower height‐for‐age z‐scores but higher fat mass index; and the gastroenterology subgroups had lower fat mass index, fat‐free mass index and body mass index z‐scores.ConclusionsThe results suggested the low fat‐free mass index prevalence was greater than the low body mass index z‐score prevalence among paediatric outpatients, and body composition parameters varied across different illnesses. Body composition analysis is recommended in nutrition clinics for accurate paediatric outpatient nutritional assessment, thereby providing timely individualised nutritional interventions. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8451919&blobtype=pdf |
| Page Count | 7 |
| ISSN | 10344810 |
| Journal | Journal of Paediatrics and Child Health [J Paediatr Child Health] |
| Volume Number | 57 |
| DOI | 10.1111/jpc.15450 |
| PubMed Central reference number | PMC8451919 |
| Issue Number | 8 |
| PubMed reference number | 33749969 |
| e-ISSN | 14401754 |
| Language | English |
| Publisher | John Wiley & Sons Australia, Ltd. |
| Publisher Date | 2021-03-22 |
| Publisher Place | Australia |
| Access Restriction | Open |
| Rights License | This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. © 2021 The Authors. Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians). |
| Subject Keyword | nutritional assessment anthropometry body composition children adolescent |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health |