Indications for nutritional assessment in childhood
- Sarah M Phillips, MS, RD, LD
Sarah M Phillips, MS, RD, LD
- Instructor of Pediatric Gastroenterology
- Baylor College of Medicine
- Craig Jensen, MD
Craig Jensen, MD
- Section Editor — Pediatric Gastroenterology
- Associate Professor
- Baylor College of Medicine
The goal of nutritional assessment in childhood is to prevent nutritional disorders and the increased morbidity and mortality that accompany them. To meet this goal, pediatric clinicians must know the risk factors for obesity and protein energy malnutrition and must understand the normal and abnormal patterns of growth and the changes in body composition during childhood and adolescence. In addition, they must be able to accurately perform and interpret the results of the nutritional evaluation .
Nutritional assessment is the quantitative evaluation of nutritional status. A comprehensive nutritional assessment has five components:
●Dietary, medical, and medication history
●Growth, anthropometric, and body composition measurements
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- EPIDEMIOLOGY OF NUTRITIONAL DISORDERS
- Effects of nutritional disorders on health
- NORMAL PATTERNS OF GROWTH
- BODY COMPOSITION
- Measurement of body composition
- Effect of malnutrition on body composition
- INDICATIONS FOR NUTRITIONAL ASSESSMENT
- Growth charts
- Thresholds for further assessment
- SPECIAL POPULATIONS
- Hospitalized children
- Recurrent febrile illness
- Developmental disability
- SUMMARY AND RECOMMENDATIONS