Journal article
Early identification and treatment necessary to prevent malnutrition in children and adolescents with severe disabilities
Journal of the American Dietetic Association, Vol.94(8), pp.880-883
1994
DOI: 10.1016/0002-8223(94)92368-X
PMID: 7519203
Abstract
Children with severe developmental disabilities frequently have nutrition and growth problems that range from moderate to severe. Because of notable continuing medical concerns and lowered growth expectations, parents and physicians may fail to recognize gradual deterioration in nutritional status before severe medical complications occur. The two cases reported in this article illustrate the need for early identification and treatment to prevent the development of notable morbidity secondary to malnutrition. Children and adolescents who have growth parameters consistently below age norms require assessment and monitoring by a registered dietitian to detect feeding problems and intake changes and to provide early intervention to help prevent negative consequences (eg, dehydration, protein-energy malnutrition, decubitus ulcers, increased rate and duration of infections, and altered bowel motility). An initial assessment should consist of measurement of length or height, weight, triceps, and subscapular skinfolds; dietary and feeding history and a review of medical history; and biochemical testing as indicated by the medical and dietary histories. Monitoring frequency, which is determined by age, severity of condition, and response to treatment, may vary from weekly to bimonthly.
Details
- Title: Subtitle
- Early identification and treatment necessary to prevent malnutrition in children and adolescents with severe disabilities
- Creators
- Judith A Amundson - J. A. Amundson is assistant director for community support services, Iowa Child Health Specialty Clinics, Iowa City, Iowa, USAAndrea Sherbondy - A. Sherbondy is a fellow associate, Department of Pediatrics, Division of Developmental Disabilities, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USADon C Van Dyke - D. C. Van Dyke is an associate professor, Department of Pediatrics, Division of Developmental Disabilities, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USARandell Alexander - R. Alexander is an associate professor in the Department of Pediatrics, Division of Developmental Disabilities, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Journal of the American Dietetic Association, Vol.94(8), pp.880-883
- Publisher
- Elsevier Inc
- DOI
- 10.1016/0002-8223(94)92368-X
- PMID
- 7519203
- ISSN
- 0002-8223
- eISSN
- 1878-3570
- Language
- English
- Date published
- 1994
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology; Developmental and Behavioral Pediatrics
- Record Identifier
- 9984093492202771
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