HN-00480020_Medical Management of Critically Ill Obese Children: Clinical Nutrition Approaches

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 482

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شناسه ملی سند علمی:

ICNC03_020

تاریخ نمایه سازی: 12 اسفند 1398

چکیده مقاله:

Introduction: Childhood obesity is an important and serious health problem in the world. The number of critically ill obese children is rapidly increasing and nutrition support of this nutritionally high risk population during the acute phase of stress is of particular importance since optimal energy and nutrient delivery may lead to improved clinical outcomes in PICUs.Methods: This review was conducted on the National Library of Medicine’s PubMed, Scopus, Embase and Cochrane databases. A combination of relevant MeSH terms and keywords were used to provide updates on the nutritional management of obese patients in PICUs. The reference lists of the search results were also reviewed. After screening, 42 eligible relevant articles were obtained and entered the review process.Results: Obese children are at a high risk of nutritional deprivation in PICUs, therefore nutritional assessment is considered as an essential step that may improve individualized nutrient delivery. We addressed some routinely recommended nutritional assessment indices in obese children admitted to PICUs in addition to some aspects of nutritional assessment which are conditionally indicated. Moreover, optimal isocaloric feeding with adequate macronutrients, and micronutrients should be considered in critically ill obese children.Conclusion: This review provides recent evidence to assist pediatric intensivists in nutritional management of critically ill obese children and consequently individualized realistic nutrition support of them.

نویسندگان

Fatemeh Roudi

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran- Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

Mohsen Nematy

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Golnaz Ranjbar

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Mahdieh Pouryazdanpanah

Nutrition department, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran

Gholamreza Khademi

Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran