{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:18:44Z","timestamp":1791400724398,"version":"4.3.3"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,10,7]],"date-time":"2018-10-07T00:00:00Z","timestamp":1538870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Underrecognition of pediatric malnutrition may affect nutrition interventions and outcomes. Pediatric malnutrition uses more specific etiology\u2010based criteria but lacks clarity in implementation guidelines. Study goals were to identify malnutrition and risk among hospitalized patients, characterize malnutrition risk factors, and assess reliability of criteria against outcome measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>All children 44 weeks postmenstrual age\u201318 years, admitted for 48 hours during a 16\u2010day period, were included (n\u00a0=\u00a0528). Trained dietitians assessed patients in physical assessments (PA), growth, energy intake, increased nutrient losses (IL), altered absorption of nutrients (AA), hypermetabolism and inflammation, laboratory information, micronutrient deficiency, and functional status. Outcome data assessed were length of stay (LOS), intensive care unit (ICU) LOS, ventilation days, nutrition support, and dietitian intervention. \n<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Malnutrition prevalence upon admission was 19.7%. Weight\/length or BMI\/age <jats:italic>z<\/jats:italic>\u2010score (ZS) had no effect on LOS. AA and IL upon admission were independently associated with malnutrition (both, <jats:italic>P<\/jats:italic>&lt;.01). Wasting and hypermetabolism were independently associated with longer LOS (<jats:italic>P<\/jats:italic>&lt;.01). Other factors associated with longer LOS included IL and inflammation (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a0.05). Those with hypermetabolism had significant ZS improvements if followed by a dietitian (<jats:italic>P<\/jats:italic> &lt; .05). Wasting via PA was the only factor associated with longer ICU LOS (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Identification of risk factors (wasting, hypermetabolism, AA, IL) beyond anthropometrics to define malnutrition and risk is important in prioritizing care in a tertiary pediatric facility. Of great significance is the ability of dietitian\u2010based PA to predict LOS and need for intervention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10200","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T02:37:23Z","timestamp":1538966243000},"page":"406-413","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Malnutrition Risk in Hospitalized Children: A Descriptive Study of Malnutrition\u2010Related Characteristics and Development of a Pilot Pediatric Risk\u2010Assessment Tool"],"prefix":"10.1002","volume":"34","author":[{"given":"Molly","family":"Wong Vega","sequence":"first","affiliation":[{"name":"Renal Section Department of Pediatrics Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"Beer","sequence":"additional","affiliation":[{"name":"Gastroenterology Hepatology and Nutrition Section Department of Pediatrics Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Juarez","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poyyapakkam R.","family":"Srivaths","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616678767"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2017.02.015"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607113479972"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e32830c6ede"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.08.026"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2012.01234.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(95)80063-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/72.1.64"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2011.01.015"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2009.07.006"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114544321"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/85.4.1083"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533615600423"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616676597"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10018"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.432"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.09.009"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.01.003"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2013.08.002"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/135.7.1824S"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00075198-200208000-00006"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31824e18a8"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2011.05.015"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001713"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/74.5.664"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2012.07.038"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322008000300012"},{"issue":"4","key":"e_1_2_8_29_1","doi-asserted-by":"crossref","first-page":"323","DOI":"10.2223\/JPED.1812","article-title":"Assessment of nutritional status in children and adolescents with post\u2010infectious bronchiolitis obliterans","volume":"84","author":"Bosa VL","year":"2008","journal-title":"J Pediatr (Rio J)"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614528985"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2016.01.005"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-016-0648-0"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000225371.10446.8F"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2013.04.025"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607112452000"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fncp.10200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ncp.10200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:01:33Z","timestamp":1760968893000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ncp.10200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,7]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1002\/ncp.10200"],"URL":"https:\/\/doi.org\/10.1002\/ncp.10200","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,7]]},"assertion":[{"value":"2018-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}