Hospital based nutrition rehabilitation of severely undernourished children using energy dense local foods.

Abstract:

OBJECTIVE:To examine the catch up growth in severely wasted children using energy dense local foods at a hospital based nutrition rehabilitation unit. DESIGN:Retrospective cohort. SETTING:In-patient ward at a tertiary care government pediatric hospital in Hyderabad. PATIENTS:Children with severe malnutrition (n=309) admitted to nutrition ward from January 2001 to December 2005. INTERVENTION:A diet based on energy dense local foods along with multivitamin-multimineral supplements. MAIN OUTCOME MEASURES:Catch up growth (g/kg/day) during each week of hospital stay. RESULTS:Mean age of the children was 25 months (range 2-60). Their baseline weight for height (WHZ) Z score was -4.1. Mean weight gain was moderate (5g/kg/day) and baseline WHZ score had a significant negative relationship to the weight gain. The prevalence of morbidities was high and the commonest morbidity was fever. Weight gain was higher by almost 40% in the absence of morbidities in any week. CONCLUSIONS:The diet based on local energy dense foods was found to be suitable for the nutrition rehabilitation of severely malnourished children though the rate of weight gain was moderate.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Mamidi RS,Kulkarni B,Radhakrishna KV,Shatrugna V

doi

10.1007/s13312-010-0101-7

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

687-93

issue

8

eissn

0019-6061

issn

0974-7559

pii

S097475590900379-1

journal_volume

47

pub_type

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