![Pediatric Nutrition Handbook](https://img.perlego.com/books/RM_Books/wiley_hlvwyirv/9781118697184_300_450.webp)
eBook - ePub
Pediatric Nutrition Handbook
An Algorithmic Approach
David Suskind, Polly Lenssen, David Suskind, Polly Lenssen
This is a test
- English
- ePUB (disponibile sull'app)
- Disponibile su iOS e Android
eBook - ePub
Pediatric Nutrition Handbook
An Algorithmic Approach
David Suskind, Polly Lenssen, David Suskind, Polly Lenssen
Dettagli del libro
Anteprima del libro
Indice dei contenuti
Citazioni
Informazioni sul libro
The last decade has seen an explosion of medical information in regards to the nutrition care and management of children. While nutritional therapies have expanded, the treatment choices have become increasingly complex.
This exciting title addresses the extensive amount of information available to practitioners in a concise, accessible fashion via a series of algorithms. It focuses on the normal growing healthy child from birth through adolescence, covering common pediatric diseases and disorders through a series of flows charts which outline step-by-step nutritional processes for pediatric patients. The highly visual format of the book allows the practitioner to make rapid, evidence based choices.
Features:
- Unique algorithm approach to the largest dietetic specialism
- Highly visual approach allows quick decision making
- All algorithms and text built on evidence-based research
- Covers the pediatric phase from birth to adolescence
- Includes common childhood diseases and disorders
Domande frequenti
Come faccio ad annullare l'abbonamento?
È semplicissimo: basta accedere alla sezione Account nelle Impostazioni e cliccare su "Annulla abbonamento". Dopo la cancellazione, l'abbonamento rimarrà attivo per il periodo rimanente già pagato. Per maggiori informazioni, clicca qui
È possibile scaricare libri? Se sì, come?
Al momento è possibile scaricare tramite l'app tutti i nostri libri ePub mobile-friendly. Anche la maggior parte dei nostri PDF è scaricabile e stiamo lavorando per rendere disponibile quanto prima il download di tutti gli altri file. Per maggiori informazioni, clicca qui
Che differenza c'è tra i piani?
Entrambi i piani ti danno accesso illimitato alla libreria e a tutte le funzionalità di Perlego. Le uniche differenze sono il prezzo e il periodo di abbonamento: con il piano annuale risparmierai circa il 30% rispetto a 12 rate con quello mensile.
Cos'è Perlego?
Perlego è un servizio di abbonamento a testi accademici, che ti permette di accedere a un'intera libreria online a un prezzo inferiore rispetto a quello che pagheresti per acquistare un singolo libro al mese. Con oltre 1 milione di testi suddivisi in più di 1.000 categorie, troverai sicuramente ciò che fa per te! Per maggiori informazioni, clicca qui.
Perlego supporta la sintesi vocale?
Cerca l'icona Sintesi vocale nel prossimo libro che leggerai per verificare se è possibile riprodurre l'audio. Questo strumento permette di leggere il testo a voce alta, evidenziandolo man mano che la lettura procede. Puoi aumentare o diminuire la velocità della sintesi vocale, oppure sospendere la riproduzione. Per maggiori informazioni, clicca qui.
Pediatric Nutrition Handbook è disponibile online in formato PDF/ePub?
Sì, puoi accedere a Pediatric Nutrition Handbook di David Suskind, Polly Lenssen, David Suskind, Polly Lenssen in formato PDF e/o ePub, così come ad altri libri molto apprezzati nelle sezioni relative a Medizin e Ernährung, Diätetik & Bariatrie. Scopri oltre 1 milione di libri disponibili nel nostro catalogo.
Informazioni
Chapter 1
General Nutrition
1.1 General Pediatric Nutrition Assessment
The authors of the nutrition assessment chapters would like to acknowledge the contributions of the clinical nutrition staff over many years in developing standard guidelines.
1.1.1 Weight
1. Weigh on digital or calibrated scale (infant scale: 0–36 months; standing scale >3 years).
2. Plot on age- and sex-appropriate World Health Organization (WHO) growth chart.
3. Weight-for-age: A measure for acute malnutrition.
4. Interpretation: Gómez classification (Gómez et al., 1956 ).
First-degree malnutrition | 76–90% of theoretical weight for age |
Second-degree malnutrition | 61–75% theoretical weight for age |
Third-degree malnutrition | ≤60% theoretical weight for age |
1.1.2 Height or Length
1. Recumbent length (up to 36 months): Measure on length board with one person at the head and one at the feet, and plot on a 0–36-month sex-appropriate WHO growth chart. Do not use a tape measure.
2. Stature (2–20 years): Measure with a stadiometer and plot on a 2–20-year sex-appropriate WHO growth chart.
3. Height-for-age: A measure for chronic malnutrition.
4. Reference: Waterlow classification (1973): height-for-age.
Height deficit (%): (Actual height [cm] ÷ expected height at the 50th percentile for age) × 100 | |
Normal height | 95–100% |
Mildly stunted | 90–95% |
Moderately stunted | 85–90% |
Severely stunted | <85% |
1.1.3 Weight-for-Length (Up to 36 Months)
Measure for acute malnutrition as well as obesity.
1. Plot on a 0-to 36-month sex-appropriate WHO growth chart.
High risk for underweight | <5th percentile |
Moderate risk for underweight | <10th percentile |
At risk for overweight | >85th percentile |
Overweight | >95th percentile |
1.1.4 Body Mass Index (BMI) in kg/m2 (2–20 Years)
Measure for undernutrition and obesity.
1. Calculate (k/m2): (weight in kg) ÷ (height in meters) ÷ (height in meters).
2. Plot on a 2- to 20-year sex-appropriate WHO growth chart.
3. Interpretation: Barlow SE; Expert Committee, 2007.
Underweight | <5th percentile |
Healthy weight | 5–84th percentile |
Overweight | 85–94th percentile |
Obese | >95th percentile |
1.1.5 Ideal Body Weight
1. Methods:
a. Weight at which weight-for-length is 50th percentile for age (0–36 months) or BMI is 50th-percentile BMI for age (2–20 years).
b. Weight at the 50th percentile at the age that matches the height-for-age.
2. % Ideal body weight (IBW) = Actual weight/IBW.
3. Interpretation: McLaren and Read, 1972.
Normal nutrition | 90–109% |
Mild malnutrition | 85–89% |
Moderate malnutrition | 75–84% |
Severe malnutrition | <75% |
1.1.6 Growth Velocity or Incremental Growth
1. Detect abnormal rates of growth or weight gain before child is at extremes on growth chart; monitor efficacy of nutrition therapy.
2. Infants 0–24 months:
a. Calculate weight gain in g/day and compare to standards: See Appendix A.
b. Calculate linear growth in mm/day (cm/day × 100) and compare to standards. See Appendix B.
3. Children 2–10 years: Calculate weight gain in g/day and compare to standards listed here.
Expected Gain in Weight: >2 Years Old (Fomon et al., 1982 ) | ||
Age (years) | Weight (g/day) | Weight (g/day) |
Boys | Girls | |
2–3 | 5.7 | 6.0 |
3–4 | 5.5 | 5.1 |
4–5 | 5.4 | 4.7 |
5–6 | 5.5 | 5.1 |
6–7 | 5.9 | 6.4 |
7–8 | 6.7 | 8.2 |
8–9 | 7.8 | 9.9 |
9–10 | 9.1 | 11.2 |
1.1.7 Specialty Growth Charts
1. Premature: Plot for gestational age until 50 weeks; then correct for prematurity on standard WHO growth charts until 24 months.
2. Charts for achondroplasia, cerebral palsy, Down syndrome, Noonan syndrome, Prader-Willi syndrome, Turner syndrome, and Williams syndrome are available. Use in conjunction with standard WHO growth charts.
1.1.8 Occipital Frontal Circumference (0–36 months)
1. Plot on sex-appropriate WHO growth charts.
2. Interpretation:
a. Rapid increase in rate of growth may indicate hydrocephalus.
b. Decrease in rate of growth may indicate developmental delay; associated with malnutrition.
3. Note if patient has a shunt.
1.1.9 Arm Muscle and Fat Stores ( >12 months)
1. Use to detect serial changes in body composition; only valid when repeat measurements are made by the same observer and interpreted over time.
2. Measure mid-upper-arm circumference (AC) and triceps skin fold thickness (TSF) and calculate arm area (AA), arm muscle area (AMA), and arm fat area (AFA).
a. Calculations
- AA (mm2): (AC [mm])2 ÷ 4π
- AMA (mm2): (AC [mm] – πTSF)2 ÷ 4π
- AFA (mm2): AA – AMA.
3. Compare to standards (limitation: data from whites only). See Frisancho (1981).
1.1.10 Clinical Evaluation
1. Nutritional status is affected not only by the nutritional intake but also by developmental status, disease states, medications, and surgical/medical procedures.
2....
Indice dei contenuti
Stili delle citazioni per Pediatric Nutrition Handbook
APA 6 Citation
[author missing]. (2013). Pediatric Nutrition Handbook (1st ed.). Wiley. Retrieved from https://www.perlego.com/book/1014502/pediatric-nutrition-handbook-an-algorithmic-approach-pdf (Original work published 2013)
Chicago Citation
[author missing]. (2013) 2013. Pediatric Nutrition Handbook. 1st ed. Wiley. https://www.perlego.com/book/1014502/pediatric-nutrition-handbook-an-algorithmic-approach-pdf.
Harvard Citation
[author missing] (2013) Pediatric Nutrition Handbook. 1st edn. Wiley. Available at: https://www.perlego.com/book/1014502/pediatric-nutrition-handbook-an-algorithmic-approach-pdf (Accessed: 14 October 2022).
MLA 7 Citation
[author missing]. Pediatric Nutrition Handbook. 1st ed. Wiley, 2013. Web. 14 Oct. 2022.