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Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions

The aim of this study is to assess the awareness of Chinese physicians on gastrointestinal and nutritional management of children with neurological impairment (NI) and to assess the practical application of the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines on t...

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Autores principales: Hong, Li, Xu, Kaishou, Zhu, Dengna, Sun, Lingxia, Dipasquale, Valeria, Romano, Claudio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158340/
https://www.ncbi.nlm.nih.gov/pubmed/37168742
http://dx.doi.org/10.1097/PG9.0000000000000164
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author Hong, Li
Xu, Kaishou
Zhu, Dengna
Sun, Lingxia
Dipasquale, Valeria
Romano, Claudio
author_facet Hong, Li
Xu, Kaishou
Zhu, Dengna
Sun, Lingxia
Dipasquale, Valeria
Romano, Claudio
author_sort Hong, Li
collection PubMed
description The aim of this study is to assess the awareness of Chinese physicians on gastrointestinal and nutritional management of children with neurological impairment (NI) and to assess the practical application of the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines on the management of nutritional and gastrointestinal problems in children with NI in Asian countries, particularly in several major medical centers in China. METHODS: A web-based questionnaire was distributed between November 2020 and January 2021 among Chinese healthcare professionals involved in the clinical management of children with NI. Fifteen questions covering the most relevant aspects of nutritional management and gastrointestinal issues of children with NI were surveyed. A descriptive analysis of responses was performed. RESULTS: A total of 577 healthcare professionals from over 28 provinces in China answered the questionnaire. Anthropometrics were the most used parameters (n = 539) to assess nutritional status. Most respondents (n = 455) indicated weight faltering and/or failure to thrive as definition of undernutrition. Direct observation of meals was considered the recommended method for diagnosing oropharyngeal dysfunction by 542 professionals. Fundoplication was indicated at the time of gastrostomy placement in patients with uncontrolled gastroesophageal reflux disease by 437 respondents. CONCLUSIONS: The clinical practice of Chinese healthcare professionals does not completely match the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines, probably due to the medical system and the economic, social, and cultural differences. Further studies are needed to improve clinical practice and knowledge. Multidisciplinary approach is crucial to optimize the overall medical care and quality of life for children with NI.
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spelling pubmed-101583402023-05-09 Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions Hong, Li Xu, Kaishou Zhu, Dengna Sun, Lingxia Dipasquale, Valeria Romano, Claudio JPGN Rep Original Article The aim of this study is to assess the awareness of Chinese physicians on gastrointestinal and nutritional management of children with neurological impairment (NI) and to assess the practical application of the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines on the management of nutritional and gastrointestinal problems in children with NI in Asian countries, particularly in several major medical centers in China. METHODS: A web-based questionnaire was distributed between November 2020 and January 2021 among Chinese healthcare professionals involved in the clinical management of children with NI. Fifteen questions covering the most relevant aspects of nutritional management and gastrointestinal issues of children with NI were surveyed. A descriptive analysis of responses was performed. RESULTS: A total of 577 healthcare professionals from over 28 provinces in China answered the questionnaire. Anthropometrics were the most used parameters (n = 539) to assess nutritional status. Most respondents (n = 455) indicated weight faltering and/or failure to thrive as definition of undernutrition. Direct observation of meals was considered the recommended method for diagnosing oropharyngeal dysfunction by 542 professionals. Fundoplication was indicated at the time of gastrostomy placement in patients with uncontrolled gastroesophageal reflux disease by 437 respondents. CONCLUSIONS: The clinical practice of Chinese healthcare professionals does not completely match the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines, probably due to the medical system and the economic, social, and cultural differences. Further studies are needed to improve clinical practice and knowledge. Multidisciplinary approach is crucial to optimize the overall medical care and quality of life for children with NI. Lippincott Williams & Wilkins, Inc. 2021-12-10 /pmc/articles/PMC10158340/ /pubmed/37168742 http://dx.doi.org/10.1097/PG9.0000000000000164 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Article
Hong, Li
Xu, Kaishou
Zhu, Dengna
Sun, Lingxia
Dipasquale, Valeria
Romano, Claudio
Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions
title Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions
title_full Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions
title_fullStr Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions
title_full_unstemmed Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions
title_short Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions
title_sort nutritional management of children with neurological impairment in china: current status and future directions
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158340/
https://www.ncbi.nlm.nih.gov/pubmed/37168742
http://dx.doi.org/10.1097/PG9.0000000000000164
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