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Thirty\u2010six percent (10) were found to have PEM (\u22656 of 11 parameters abnormal as defined for this study), 36% (10) had no abnormal parameters, and 28% (8) had one\u2010five abnormal parameters. Seventy percent (7 of 10) of the patients referred to a dietitian had PEM: 17% (3 of 18) of the nonreferred JRA patients had PEM. PEM was found in all onset types of JRA. In the ten patients with PEM, 80% had weight &lt;5th percentile, 30% had heights &lt;5th percentile, 50% had subnormal visceral proteins, 90% had subnormal somatic proteins, and none showed depletion of subcutaneous fat reserves. The high prevalence of PEM supports the need for greater involvement of pediatric dietitians in the evaluation and treatment of JRA patients.<\/jats:p>","DOI":"10.1002\/anr.1790020404","type":"journal-article","created":{"date-parts":[[2007,2,14]],"date-time":"2007-02-14T22:47:24Z","timestamp":1171493244000},"page":"108-113","source":"Crossref","is-referenced-by-count":12,"title":["Assessment of protein\u2010energy malnutrition in children and adolescents with juvenile rheumatoid arthritis"],"prefix":"10.1002","volume":"2","author":[{"given":"Carol J.","family":"Henderson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Lovell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,12,14]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"47","article-title":"On a form of chronic joint disease in children","volume":"62","author":"Still GF","year":"1997","journal-title":"Trans Roy Med Chir Soc"},{"key":"e_1_2_1_3_2","first-page":"345","article-title":"Adenopathies in chronic infectious rheumatism","volume":"16","author":"Chauffard A","year":"1997","journal-title":"Rev Med"},{"issue":"52","key":"e_1_2_1_4_2","first-page":"212","article-title":"Growth retardation in juvenile rheumatoid arthritis","volume":"20","author":"Bernstein BH","year":"1977","journal-title":"Arthritis Rheum"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.3255.841"},{"key":"e_1_2_1_6_2","first-page":"1118","article-title":"Disturbances in growth in chronic arthritis in children","volume":"43","author":"Kuhns JG","year":"1932","journal-title":"Am J Dis Child"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(46)80102-1"},{"key":"e_1_2_1_8_2","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1542\/peds.2.6.694","article-title":"Juvenile rheumatoid arthritis","volume":"2","author":"Lockie LM","year":"1948","journal-title":"Pediatrics"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.15.4.295"},{"key":"e_1_2_1_10_2","first-page":"57","article-title":"Nutritional status in girls with juvenile chronic arthritis","volume":"40","author":"Johansson V","year":"1986","journal-title":"Hum Nutr Clin Nutr"},{"key":"e_1_2_1_11_2","first-page":"S67","article-title":"Nutritional status in juvenile rheumatoid arthritis: an interim report","volume":"29","author":"Lovell DJ","year":"1986","journal-title":"Arthritis Rheum"},{"key":"e_1_2_1_12_2","first-page":"195","article-title":"Current proposed revision of JRA criteria","volume":"20","author":"Brewer EJ","year":"1977","journal-title":"Arthrtis Rheum"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780290216"},{"key":"e_1_2_1_14_2","first-page":"60","article-title":"The development and use of a serial nutritional assessment form","volume":"6","author":"Hess LV","year":"1986","journal-title":"Nutritional Support Services"},{"key":"e_1_2_1_15_2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1093\/ajcn\/32.3.607","article-title":"Physical growth: National Center for Health Statistics Percentiles","volume":"32","author":"Hamil PV","year":"1979","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_1_16_2","first-page":"23","article-title":"Nutritional assessment of pediatric patients","volume":"3","author":"Queen PM","year":"1983","journal-title":"Nutritional Support Services"},{"key":"e_1_2_1_17_2","volume-title":"Textbook of Pediatric Nutrition","author":"Merritt RJ","year":"1981"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.3109\/00365517509095782"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a114213"},{"key":"e_1_2_1_20_2","volume-title":"Textbook of Rheumatology","author":"Masciola EA","year":"1985"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/014860717700100101"},{"key":"e_1_2_1_22_2","first-page":"S35","article-title":"Health care services, school performance and needs in pediatric rheumatology: results of a nationwide survey","volume":"30","author":"Lovell DJ","year":"1987","journal-title":"Arthritis Rheum"}],"container-title":["Arthritis &amp; 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