Nutritional evaluation of children with chronic cholestatic disease
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000200197 |
Resumo: | Abstract Objective: To evaluate the nutritional status of children with persistent cholestasis and to compare the anthropometric indices between children with and without liver cirrhosis and children with and without jaundice. Methods: Children with persistent cholestasis, i.e. increased direct bilirrubin or changes in the canalicular enzyme gamma-glutamyl transferase (GGT), were included. The anthropometric measures were weight (W), height or length (H), arm circumference (AC), triceps skinfold thickness (TST), arm muscle circumference (AMC), and body mass index (BMI). Results: Ninety-one children with cholestasis, with current median age of 12 months, were evaluated. W/age (A) and H/A indices below −2 Z-scores were observed in 33% and 30.8% of patients, respectively. Concerning the W/H index and BMI, only 12% and 16% of patients, respectively, were below −2 Z-scores. Regarding AC, 43.8% of 89 evaluated patients had some depletion. Observing the TST, 64% of patients had depletion, and 71.1% of the 45 evaluated patients had some degree of depletion regarding the ACM index. Conclusion: Evaluation using weight in patients with chronic liver diseases may overestimate the nutritional status due to visceromegaly, subclinical edema, or ascites. Indices that correlate weight and height, such as W/H and BMI, may also not show depletion because of the chronic condition in which there are depletion of both weight and height. TST, AC, and ACM are parameters that better estimate nutritional status and should be part of the management of patients with liver diseases and cholestasis. |
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Nutritional evaluation of children with chronic cholestatic diseaseNeonatal cholestasisNutritionChronic liver diseaseAnthropometryAbstract Objective: To evaluate the nutritional status of children with persistent cholestasis and to compare the anthropometric indices between children with and without liver cirrhosis and children with and without jaundice. Methods: Children with persistent cholestasis, i.e. increased direct bilirrubin or changes in the canalicular enzyme gamma-glutamyl transferase (GGT), were included. The anthropometric measures were weight (W), height or length (H), arm circumference (AC), triceps skinfold thickness (TST), arm muscle circumference (AMC), and body mass index (BMI). Results: Ninety-one children with cholestasis, with current median age of 12 months, were evaluated. W/age (A) and H/A indices below −2 Z-scores were observed in 33% and 30.8% of patients, respectively. Concerning the W/H index and BMI, only 12% and 16% of patients, respectively, were below −2 Z-scores. Regarding AC, 43.8% of 89 evaluated patients had some depletion. Observing the TST, 64% of patients had depletion, and 71.1% of the 45 evaluated patients had some degree of depletion regarding the ACM index. Conclusion: Evaluation using weight in patients with chronic liver diseases may overestimate the nutritional status due to visceromegaly, subclinical edema, or ascites. Indices that correlate weight and height, such as W/H and BMI, may also not show depletion because of the chronic condition in which there are depletion of both weight and height. TST, AC, and ACM are parameters that better estimate nutritional status and should be part of the management of patients with liver diseases and cholestasis.Sociedade Brasileira de Pediatria2016-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000200197Jornal de Pediatria v.92 n.2 2016reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2015.07.006info:eu-repo/semantics/openAccessSilva,Francislaine Veiga daFerri,Priscila MenezesQueiroz,Thaís Costa NascentesBarbosa,Pamela de Souza HaueisenOliveira,Maria Cristina Cassiano dePereira,Laura Jácome de MeloSimões e Silva,Ana CristinaPenna,Francisco JoséFagundes,Eleonora Druve TavaresFerreira,Alexandre Rodrigueseng2016-04-19T00:00:00Zoai:scielo:S0021-75572016000200197Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2016-04-19T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
Nutritional evaluation of children with chronic cholestatic disease |
title |
Nutritional evaluation of children with chronic cholestatic disease |
spellingShingle |
Nutritional evaluation of children with chronic cholestatic disease Silva,Francislaine Veiga da Neonatal cholestasis Nutrition Chronic liver disease Anthropometry |
title_short |
Nutritional evaluation of children with chronic cholestatic disease |
title_full |
Nutritional evaluation of children with chronic cholestatic disease |
title_fullStr |
Nutritional evaluation of children with chronic cholestatic disease |
title_full_unstemmed |
Nutritional evaluation of children with chronic cholestatic disease |
title_sort |
Nutritional evaluation of children with chronic cholestatic disease |
author |
Silva,Francislaine Veiga da |
author_facet |
Silva,Francislaine Veiga da Ferri,Priscila Menezes Queiroz,Thaís Costa Nascentes Barbosa,Pamela de Souza Haueisen Oliveira,Maria Cristina Cassiano de Pereira,Laura Jácome de Melo Simões e Silva,Ana Cristina Penna,Francisco José Fagundes,Eleonora Druve Tavares Ferreira,Alexandre Rodrigues |
author_role |
author |
author2 |
Ferri,Priscila Menezes Queiroz,Thaís Costa Nascentes Barbosa,Pamela de Souza Haueisen Oliveira,Maria Cristina Cassiano de Pereira,Laura Jácome de Melo Simões e Silva,Ana Cristina Penna,Francisco José Fagundes,Eleonora Druve Tavares Ferreira,Alexandre Rodrigues |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Francislaine Veiga da Ferri,Priscila Menezes Queiroz,Thaís Costa Nascentes Barbosa,Pamela de Souza Haueisen Oliveira,Maria Cristina Cassiano de Pereira,Laura Jácome de Melo Simões e Silva,Ana Cristina Penna,Francisco José Fagundes,Eleonora Druve Tavares Ferreira,Alexandre Rodrigues |
dc.subject.por.fl_str_mv |
Neonatal cholestasis Nutrition Chronic liver disease Anthropometry |
topic |
Neonatal cholestasis Nutrition Chronic liver disease Anthropometry |
description |
Abstract Objective: To evaluate the nutritional status of children with persistent cholestasis and to compare the anthropometric indices between children with and without liver cirrhosis and children with and without jaundice. Methods: Children with persistent cholestasis, i.e. increased direct bilirrubin or changes in the canalicular enzyme gamma-glutamyl transferase (GGT), were included. The anthropometric measures were weight (W), height or length (H), arm circumference (AC), triceps skinfold thickness (TST), arm muscle circumference (AMC), and body mass index (BMI). Results: Ninety-one children with cholestasis, with current median age of 12 months, were evaluated. W/age (A) and H/A indices below −2 Z-scores were observed in 33% and 30.8% of patients, respectively. Concerning the W/H index and BMI, only 12% and 16% of patients, respectively, were below −2 Z-scores. Regarding AC, 43.8% of 89 evaluated patients had some depletion. Observing the TST, 64% of patients had depletion, and 71.1% of the 45 evaluated patients had some degree of depletion regarding the ACM index. Conclusion: Evaluation using weight in patients with chronic liver diseases may overestimate the nutritional status due to visceromegaly, subclinical edema, or ascites. Indices that correlate weight and height, such as W/H and BMI, may also not show depletion because of the chronic condition in which there are depletion of both weight and height. TST, AC, and ACM are parameters that better estimate nutritional status and should be part of the management of patients with liver diseases and cholestasis. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000200197 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000200197 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2015.07.006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.92 n.2 2016 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
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1752122320514711552 |