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)

Patricia J. Becker, Liesje Nieman Carney, Mark Corkins, Jessica Monczka, Elizabeth Smith, Susan Elizabeth Smith, Bonnie A. Spear, Jane White

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

The Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition, utilizing an evidence-informed, consensus-derived process, recommend that a standardized set of diagnostic indicators be used to identify and document pediatric malnutrition (undernutrition) in routine clinical practice. The recommended indicators include z scores for weight for height/length, body mass index for age, length/height for age, or mid-upper arm circumference when a single data point is available. When two or more data points are available, indicators may also include weight-gain velocity (younger than 2 years of age), weight loss (2 to 20 years of age), deceleration in weight for length/height z score, and inadequate nutrient intake. The purpose of this consensus statement is to identify a basic set of indicators that can be used to diagnose and document undernutrition in the pediatric population (ages 1 month to 18 years). The indicators are intended for use in multiple settings, such as acute, ambulatory care/outpatient, residential care, etc. Several screening tools have been developed for use in hospitalized children. However, identifying criteria for use in screening for nutritional risk is not the purpose of this paper. Clinicians should use as many data points as available to identify and document the presence of malnutrition. The universal use of a single set of diagnostic parameters will expedite the recognition of pediatric undernutrition, lead to the development of more accurate estimates of its prevalence and incidence, direct interventions, and promote improved outcomes. A standardized diagnostic approach will also inform the prediction of the human and financial responsibilities and costs associated with the prevention and treatment of undernutrition in this vulnerable population, and help to further ensure the provision of high-quality, cost-effective, nutrition care.

Original languageEnglish (US)
Pages (from-to)1988-2000
Number of pages13
JournalJournal of the Academy of Nutrition and Dietetics
Volume114
Issue number12
DOIs
StatePublished - Dec 1 2014

Fingerprint

Dietetics
Parenteral Nutrition
enteral feeding
Enteral Nutrition
parenteral feeding
dietetics
Malnutrition
Documentation
malnutrition
Pediatrics
nutrition
Ambulatory Care
screening
Weights and Measures
Costs and Cost Analysis
arm circumference
Hospitalized Child
Deceleration
Vulnerable Populations
nutrient intake

All Science Journal Classification (ASJC) codes

  • Food Science
  • Nutrition and Dietetics

Cite this

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). / Becker, Patricia J.; Nieman Carney, Liesje; Corkins, Mark; Monczka, Jessica; Smith, Elizabeth; Smith, Susan Elizabeth; Spear, Bonnie A.; White, Jane.

In: Journal of the Academy of Nutrition and Dietetics, Vol. 114, No. 12, 01.12.2014, p. 1988-2000.

Research output: Contribution to journalArticle

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