Pediatric Growth Charts and Malnutrition
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- Опубликовано: 16 окт 2024
- Working in pediatrics means inevitably using growth charts. In this helpful pediatric foundational video, Alyson RD, CNSC introduces the different types of growth charts, z-scores, and pediatric malnutrition indicators.
References:
Becker, P., Carney, L. N., Corkins, M. R.,
Monczka , J., Smith, E., Smith, S. E., Spear, B. A., White, J. V., Academy of Nutrition
and Dietetics, & American Society for Parenteral and Enteral Nutrition (2015). Consensus statement of the Academy of
Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification
and documentation of pediatric malnutrition (undernutrition). Nutrition in clinical practice : official publication of the American
Society for Parenteral and Enteral Nutrition 30 (1), 147 161. doi.org/10.117...
Corkins, M. R., & Balint, J. (2015).
The A.S.P.E.N. Pediatric Nutrition Support Core Curriculum . American Society for Parenteral and
Enteral Nutrition.
Goldberg, D. L., Becker, P. J., Brigham, K., Carlson, S., Fleck, L.,
Gollins , L., Sandrock, M., Fullmer, M., & Van Poots, H. A.
(2018). Identifying Malnutrition in Preterm and Neonatal Populations: Recommended Journal of the Academy of
Nutrition and Dietetics 118 (9), 1571 1582. doi.org/10.101...
Texas Children's Hospital. (2019).
Texas Children's Hospital Pediatric Nutrition Reference Guide (12th
Thank you, Alyson! Both of your videos were great! As someone who has worked with adults for an entire career, I appreciate learning the basics for pediatrics. :)
Great job Alyson!
Thank you Alyson! I always cross compare Z-scores/percentiles from the CDC growth charts in the EMR with Peditools and have noticed that in recent weeks they have been off slightly (ex. BMI Z-score of -1.26 vs. -1.32). I was wondering which you suggest using. I primarily work with adults but do see pediatric patients ages 2+ on occasion and appreciate your expertise!
You bring up an excellent point that is often discussed amongst many pediatric RDs! I recommend picking one and being consistent with the one you choose. Most often, I will use peditools as I know I am plotting the information in a consistent way every time.
- Alyson
You don't use the WHO Set 2 growth charts for 2-19 years old?
Thank you for your question. The WHO growth charts are recommended for use for 0-2 years of age and the CDC growth charts are recommended for those 2-20 years of age. While the WHO growth charts also have charts for 2-5 years of age, the CDC allows for better continuity of assessing growth trends for beyond 5 years. In addition, the methodology used to design both the CDC and the WHO 2-5 years of age are comparable, supporting the use of the CDC growth charts.
- Alyson
😏 'promosm'