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مقالات فارسیISIکنفرانسهاژورنالها

Evaluating the STRONGkids Tool for Assessing Malnutrition Risk in Hospitalized Iranian Children – A Cross-Sectional Study

محل انتشار: فصلنامه تغذیه، روزه داری و سلامت، دوره: 12، شماره: 2
سال انتشار: 1403
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 28

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استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:
https://civilica.com/doc/1948744

شناسه ملی سند علمی:

JR_JNFH-12-2_007

تاریخ نمایه سازی: 19 فروردین 1403

چکیده مقاله:

Introduction: Malnutrition in hospitalized children can impair health outcomes. The STRONGkids screening tool requires further reliability testing across diverse healthcare providers to identify pediatric patients requiring nutritional support. This study evaluated the effectiveness of STRONGkids compared to standard anthropometric criteria in determining malnutrition risk among hospitalized Iranian children. Methods: This cross-sectional analysis evaluated ۲۸۷ patients (mean age nine months) admitted for ≥۴ days across all non-critical wards in a pediatric hospital in Mashhad, Iran, from November ۲۰۲۰ to October ۲۰۲۱. STRONGkids categories were compared to weight-for-age (WAZ), height-for-age (HAZ), BMI-for-age (BMIZ), and weight-for-length/height (WLZ/H) z-scores using agreement statistics. Results: The malnutrition rate exceeded previous estimates for Iranian pediatric patients. STRONGkids demonstrated statistically significant agreement with WLZ/H (p<۰.۰۰۱) and WAZ (p=۰.۰۱۴) in ruling out malnutrition risk. However, sensitivity for identifying high-risk cases was suboptimal. Conclusions: STRONGkids can reliably exclude malnutrition when agreement exists with anthropometric criteria. Standardizing training and administration of the tool could optimize sensitivity and utility for detecting hospitalized children requiring nutritional intervention.

کلیدواژه ها:

Child Malnutrition ، Pediatric hospitalization ، Nutritional Status ، Growth charts ، STRONGkids tool

نویسندگان

Alireza Hatami

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

Maryam Ahmadi-Khorram

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

Ali Jafarzadeh Esfahani

Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Mehrara Hashempour

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

Mahya Nikoumanesh

Student Research Committee, Varastegan Institute for Medical Sciences, Mashhad, Iran.

Mohtaram Hashemi

Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.

Ensieh Beheshtian

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

Delara Mahdavi

Service of Clinical Nutrition and Dietitian, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

Mona Afarandeh

Service of Clinical Nutrition and Dietitian, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

Fatemeh Molavi

Department of Nutrition Improvement, Faculty of Health Center, Mashhad University of Medical Science, Mashhad, Iran.

Hamidreza Kianifar

Department of Pediatrics Mashhad University of Medical Sciences Mashhad Iran.

Saeedeh Talebi

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

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