Clinical Paediatric Dietetics

Vanessa Shaw, Vanessa Shaw

• Publisher: Wiley-Blackwell
• Year: 2020
• ISBN:
  9781119467281
• Edition: 5
• Topic: Medicine
• Subtopic: Nutrition, Dietics & Bariatrics

Clinical Paediatric Dietetics, Fifth Edition continues to provide a very practical approach to dietary management of children with an extensive range of disorders. Thoroughly revised to reflect the most recent scientific and medical literature, this new edition proves to be an indispensable guide for both acute and community-based healthcare professionals.

New and expanded content covering a range of disorders, treatments and guidelines has been introduced to the fifth edition, from diabetes technology and the ketogenic diet, to renal tubular disorders, refeeding syndrome, and blended diets in enteral nutrition. This authoritative volume:

• Supports contemporary evidence-based clinical practice
• Covers inherited metabolic disorders and diseases of all major organ systems
• Provides contributions from practising paediatric dietitians, academic research dietitians and a paediatric psychiatrist
• Includes worked examples, real-world case studies and easy-to-use tables

Produced in collaboration with the British Dietetic Association (BDA) and the BDA Paediatric Specialist Group, Clinical Paediatric Dietetics is an invaluable resource for all healthcare practitioners caring for children.

1
Principles of Paediatric Dietetics: Nutritional Assessment, Dietary Requirements and Feed Supplementation

Vanessa Shaw and Helen McCarthy

Introduction

This text provides a practical approach to the dietary management of a range of paediatric disorders. The principles outlined in this chapter are relevant to all infants, children and young people and provide the basis for many of the therapies described later in the text. Chapter 2 describes healthy eating throughout childhood and adolescence to support normal growth and development and may inform dietetic interventions; special considerations for children from minority ethnic groups are addressed in Chapter 26. The remaining text focuses on nutritional requirements and management in the clinical setting, illustrating how normal dietary constituents are used alongside special dietetic products to allow for the continued growth of the child while controlling the progression and symptoms of disease.

Assessment of nutritional status

Assessment and monitoring of nutritional status should be included in any dietary regimen, audit procedure or research project where a modified diet has a role. Although the terms are used interchangeably in the literature, nutrition screening is a simple and rapid means of identifying individuals at nutritional risk, which can be undertaken by a range of healthcare professionals, whereas nutrition assessment is a more detailed and lengthy means for nutrition experts, i.e. dietitians, to quantify nutritional status.

Nutrition screening

While nutrition screening tools can be used to identify all aspects of malnutrition (excess, deficiency or imbalance in macro‐ and micronutrients), they are generally used to identify protein–energy undernutrition [1]. Despite the recommendations from benchmark standards and national and international guidelines that screening for nutrition risk be an integral component of clinical care for all [2–5], the development of nutrition screening tools for use with children has lagged behind work ...