{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:10:20Z","timestamp":1791828620775,"version":"4.3.4"},"reference-count":84,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,10,20]],"date-time":"2016-10-20T00:00:00Z","timestamp":1476921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,10,20]],"date-time":"2016-10-20T00:00:00Z","timestamp":1476921600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>\n                    The publication of the landmark paper \u201cDefining Pediatric Malnutrition: A Paradigm Shift Toward Etiology\u2010Related Definitions\u201d launched a new era in diagnosing pediatric malnutrition. This work introduced the paradigm shift of etiology\u2010related definitions\u2014nonillness and illness related\u2014and the use of anthropometric\n                    <jats:italic>z<\/jats:italic>\n                    scores to help identify and describe children with malnutrition (undernutrition) in the developed world. Putting the new definition into practice resulted in some interesting observations: (1) Etiology\u2010related definitions result in etiology\u2010related interventions. (2) Illness\u2010related malnutrition cannot always be immediately \u201cfixed.\u201d (3) Using\n                    <jats:italic>z<\/jats:italic>\n                    scores in clinical practice often puts the burden of proof on the clinician to show that a child is not malnourished, rather than the other way around. (4) Children with growth failure severe enough to be admitted with \u201cfailure to thrive\u201d should always be assessed for malnutrition, and when they meet the criteria, malnutrition should be documented and coded. The publication of the consensus statement came next, announcing the evidence\u2010informed, consensus\u2010derived pediatric malnutrition indicators. Since the indicators are a work in progress, clinicians are encouraged to use them and give feedback through an iterative process. This review attempts to respond to the consensus statement's call to action by thoughtfully appraising the indicators and making recommendations for future review. Coming together as a healthcare community to identify pediatric malnutrition will ensure that this vulnerable population is not overlooked. Outcomes research will validate the indicators and result in new discoveries of effective ways to prevent and treat pediatric malnutrition.\n                  <\/jats:p>","DOI":"10.1177\/0884533616671861","type":"journal-article","created":{"date-parts":[[2016,10,20]],"date-time":"2016-10-20T22:50:24Z","timestamp":1477003824000},"page":"52-67","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":124,"title":["Diagnosing Pediatric Malnutrition"],"prefix":"10.1002","volume":"32","author":[{"given":"Sandra","family":"Bouma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607113479972"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607116633800"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1553-7250(15)41061-X"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607113512154"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph8020514"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.08.026"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2012.03.012"},{"key":"e_1_2_5_9_1","unstructured":"American Society for Parenteral and Enteral Nutrition.Pediatric malnutrition frequently asked questions.http:\/\/www.nutritioncare.org\/Guidelines_and_Clinical_Resources\/Toolkits\/Malnutrition_Toolkit\/Related_Publications\/. 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