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Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children

The purpose of this study was to estimate the prevalence of pediatric undernutrition in the US general population using the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition consensus statement on identification of pediatric malnutrition (undernutrition). Natio...

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Autores principales: Price, Alyssa Archdeacon, Williams, Jennifer A., Estes Doetsch, Holly, Spees, Colleen K., Taylor, Christopher A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285203/
https://www.ncbi.nlm.nih.gov/pubmed/32422888
http://dx.doi.org/10.3390/nu12051409
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author Price, Alyssa Archdeacon
Williams, Jennifer A.
Estes Doetsch, Holly
Spees, Colleen K.
Taylor, Christopher A.
author_facet Price, Alyssa Archdeacon
Williams, Jennifer A.
Estes Doetsch, Holly
Spees, Colleen K.
Taylor, Christopher A.
author_sort Price, Alyssa Archdeacon
collection PubMed
description The purpose of this study was to estimate the prevalence of pediatric undernutrition in the US general population using the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition consensus statement on identification of pediatric malnutrition (undernutrition). National Health and Nutrition Examination Survey (NHANES) data for years 2005–2014 was analyzed for children ages 1–13 years (n = 13,950) with valid anthropometric data. The prevalence of undernutrition was assessed through z-scores for weight-for-height, body mass index (BMI)-for-age, height-for-age, and mid-upper-arm circumference-for-age generated from the 2000 Centers for Disease Control and Prevention growth charts. Children were stratified into: no undernutrition, mild undernutrition, and moderate or severe undernutrition. Descriptive statistics were used to identify the prevalence of undernutrition. Differences in Z-scores across growth chart metrics were compared across undernutrition categories using analysis of variance. The total prevalence of pediatric undernutrition in this sample was 0.4% (severe undernutrition), 2.0% (moderate undernutrition), and 10.9% (mild undernutrition) for all ages. Z-scores differed significantly across all levels of undernutrition for all anthropometrics, showing poorer mean growth metrics in those with undernutrition. Pediatric undernutrition is a prevalent condition that transcends the prior focus on <5th percentile of growth curves and impacts children across different demographic categories.
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spelling pubmed-72852032020-06-18 Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children Price, Alyssa Archdeacon Williams, Jennifer A. Estes Doetsch, Holly Spees, Colleen K. Taylor, Christopher A. Nutrients Article The purpose of this study was to estimate the prevalence of pediatric undernutrition in the US general population using the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition consensus statement on identification of pediatric malnutrition (undernutrition). National Health and Nutrition Examination Survey (NHANES) data for years 2005–2014 was analyzed for children ages 1–13 years (n = 13,950) with valid anthropometric data. The prevalence of undernutrition was assessed through z-scores for weight-for-height, body mass index (BMI)-for-age, height-for-age, and mid-upper-arm circumference-for-age generated from the 2000 Centers for Disease Control and Prevention growth charts. Children were stratified into: no undernutrition, mild undernutrition, and moderate or severe undernutrition. Descriptive statistics were used to identify the prevalence of undernutrition. Differences in Z-scores across growth chart metrics were compared across undernutrition categories using analysis of variance. The total prevalence of pediatric undernutrition in this sample was 0.4% (severe undernutrition), 2.0% (moderate undernutrition), and 10.9% (mild undernutrition) for all ages. Z-scores differed significantly across all levels of undernutrition for all anthropometrics, showing poorer mean growth metrics in those with undernutrition. Pediatric undernutrition is a prevalent condition that transcends the prior focus on <5th percentile of growth curves and impacts children across different demographic categories. MDPI 2020-05-14 /pmc/articles/PMC7285203/ /pubmed/32422888 http://dx.doi.org/10.3390/nu12051409 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Price, Alyssa Archdeacon
Williams, Jennifer A.
Estes Doetsch, Holly
Spees, Colleen K.
Taylor, Christopher A.
Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children
title Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children
title_full Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children
title_fullStr Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children
title_full_unstemmed Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children
title_short Utilization of Current Diagnostic Indicators to Characterize Pediatric Undernutrition among US Children
title_sort utilization of current diagnostic indicators to characterize pediatric undernutrition among us children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285203/
https://www.ncbi.nlm.nih.gov/pubmed/32422888
http://dx.doi.org/10.3390/nu12051409
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