Dépister la dénutrition de l’enfant | Systematic nutritional assessment in children
2013
Hankard, Régis | Colomb, Virginie | Piloquet, Hugues | Bocquet, Alain | Bresson, Jean-Louis | Briend, André | Chouraqui, Jean-Pierre | Darmaun, Dominique | Dupont, Christophe | Frelut, Marie-Laure | Girardet, Jean-Philippe | Goulet, O. (Olivier) | Rieu, Daniel | Simeoni, Umberto | Turck, Dominique | Vidailhet, Michel
Protein energy malnutrition (PEM) occurs when energy and protein intake do not meet requirements. PEM increases both morbidity and mortality of a given disease. The Nutrition Committee of the French Paediatric Society recommends weighing and measuring any child when hospitalized or seen as outpatients. Body mass index (BMI) must be calculated and analyzed according to references anytime growth kinetics cannot be analyzed. Any child with a BMI below the third centile or –2 standard deviations for age and sex needs to be examined looking for clinical signs of malnutrition and signs orienting toward an aetiology, and requires having his BMI and height dynamics plotted on a chart. PEM warrants drawing a nutritional strategy along with the global care plan. A target weight needs to be determined as well as the quantitative, qualitative and modality of nutritional care. This plan must be evaluated afterwards in order to adapt nutritional therapy.
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