The Effect of Nutritional Consultation on the Level of Malnutrition and Growth Indices in Children with Cystic Fibrosis

سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 136

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شناسه ملی سند علمی:

JR_INJPM-8-8_015

تاریخ نمایه سازی: 5 شهریور 1402

چکیده مقاله:

Background: Malnutrition is one of the most common disorders among children with Cystic Fibrosis (CF). The present study aimed to investigate the effect of nutritional consultation on the type and severity of malnutrition in children with CF. Materials and Methods: This quasi-experimental study was conducted on ۷۸ children with CF referred to Mofid Pediatric Hospital, Tehran, Iran, in ۲۰۱۷-۲۰۱۸. Their parents filled the demographic questionnaire. Participants with malnutrition were undergoing the assessment on growth indices, including weight, height, ideal body weight, mid-upper arm circumference, and Z-score. Moreover, the nutritional consultations were considered for them (۳۰-۴۵ minutes). Children and their parents were consulted and trained about total daily calorie acquirement, type, number of the meal, amount of food intake, drinks, and avoided eating of any low-calorie food like snacks, during the consultation. All patients were reassessed three months later for growth indices. The data were analyzed using SPSS software version ۲۲.۰. Results: We assessed ۷۸ children with CF, ۲۱ (۲۶%) of them had mild, ۲۶ (۳۴%) moderate malnutrition, and ۳۱ (۴۰%) severe malnutrition. The result showed that nutritional intervention was effective. Consequently, ۱ (۳.۸%) of the moderately malnourished child was improved to mild malnutrition and ۵ (۲۷.۸%) children under five years old were improved from severe to moderate malnutrition. Moreover, ۱ (۵.۶%) child were improved from severe to mild, and ۲ (۱۵.۴%) of children over five years old were improved from severe to moderate malnutrition. Conclusion: According to the results, the early growth assessment in hospitalized and outpatient, diagnosis of malnutrition and nutritional interventionwill be useful in improving the severity of malnutrition and growth indices in children with CF.

نویسندگان

Naghi Dara

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Farid Imanzadeh

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Seyed Ramin Madani

Kashan University of Medical sciences, Kashan, Iran.

Saleheh Tajalli

Student Research Committee. School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Pejman Rohani

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Amirhossein Hosseini

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Parastoo Ashtigoo

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Sayeh Hatefi

Pediatric Surgery Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Zahra Fazeli Farsani

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Mahmoud Hajipour

Student Research Committee, Epidemiology Department, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Katayoun Khatami

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Ali Akbar Sayyari

Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid Beheshti University of Medical sciences, Tehran, Iran.

Beheshteh Olang

Department of Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Pediatric Gastroentrology, Hepatology and Nutrition Research Center, Research Institute for Children&#۰۳۹;s Health, Shahid