2020, Cilt 7, Sayı 1, Sayfa(lar) 015-022
Evaluation of Malnutrition Development in Hospitalized Children
Hatice PARS1, Hasibe KAZANCI2, Gülperi SÖYLEMEZ BAYRAM3
1Dr. Öğr. Üyesi, Hacettepe Üniversitesi Hemşirelik Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı, Ankara, Türkiye
2Hemşire, Hacettepe Üniversitesi İhsan Doğramacı Çocuk Hastanesi, Özel Poliklinik, Ankara, Türkiye
3Hemşire, Hacettepe Üniversitesi İhsan Doğramacı Çocuk Hastanesi, Özel Poliklinik, Ankara, Türkiye
Keywords: Hospitalized children, malnutrition, nutritional status, screening tools

Aim: The aim of this study was to determine the development of malnutrition and the factors affecting it in hospitalized children.

Material and Methods: In this descriptive, cross-sectional study, nutritional status of 80 patients were evaluated using Waterlow and Gomez malnutrition classifications systems. Physical measurements were calculated by z-scores of weight-forlength/ height (WFL/H), weight for age (WFA), height-for-age (HFA) and body mass index–for–age (BMI) at hospital admission and at discharge.

Results: While 25% of the children had a z-score index below -2 at hospital admission, this rate was 31.2% during discharge. According to Gomez malnutrition classification system, moderate and severe malnutrition was detected in 17.5% of children (10% moderate malnutrition, 7.5% severe malnutrition) at hospital admission and 25.1% of children at discharge. According to the Waterlow classification system, acute malnutrition was found in 20% of children at hospital admission and 28.8% during discharge. The length of hospital stay was found to be longer in children with a 3% reduction in WFL/H, WFA and BMI standard deviation scores (p <0.05).

Conclusion: Malnutrition remains a major problem at admission and hospitalization process. All hospitalized children should be evaluated in terms of nutritional status in order to provide early diagnosis and treatment of malnutrition.