Abstract
More than one-half of children with chronic liver disease suffer from malnutrition, which leads not only to a poor quality of life and even possibly catastrophic complications, but also to poor outcomes after a liver transplantation. These children have increased metabolic demands but often decreased intake with malabsorption and altered nutrient utilization, all of which make it difficult to keep up with nutritional demands. Assessment of a patient’s nutritional status should be timely, and it should be performed routinely and proactively. When specific nutritional needs are identified, these should be addressed with a multidisciplinary team approach and with the close guidance of an experienced pediatric dietician. The assessment includes anthropometric and laboratory assessments, in addition to a careful physical examination and a detailed patient history. The specific nutritional needs vary, but generally dietary intervention focuses on increasing caloric intake, supplementation with medium-chain triglycerides, and prevention of essential fatty acid and fat-soluble vitamin deficiencies.
| Original language | English (US) |
|---|---|
| Pages (from-to) | e445-e451 |
| Journal | Pediatric annals |
| Volume | 47 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 2018 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Nutrition in pediatric chronic liver disease. / Normatov, Inessa; Kaplan, Shiran; Azzam, Ruba K.
In: Pediatric annals, Vol. 47, No. 11, 11.2018, p. e445-e451.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Nutrition in pediatric chronic liver disease
AU - Normatov, Inessa
AU - Kaplan, Shiran
AU - Azzam, Ruba K.
PY - 2018/11
Y1 - 2018/11
N2 - More than one-half of children with chronic liver disease suffer from malnutrition, which leads not only to a poor quality of life and even possibly catastrophic complications, but also to poor outcomes after a liver transplantation. These children have increased metabolic demands but often decreased intake with malabsorption and altered nutrient utilization, all of which make it difficult to keep up with nutritional demands. Assessment of a patient’s nutritional status should be timely, and it should be performed routinely and proactively. When specific nutritional needs are identified, these should be addressed with a multidisciplinary team approach and with the close guidance of an experienced pediatric dietician. The assessment includes anthropometric and laboratory assessments, in addition to a careful physical examination and a detailed patient history. The specific nutritional needs vary, but generally dietary intervention focuses on increasing caloric intake, supplementation with medium-chain triglycerides, and prevention of essential fatty acid and fat-soluble vitamin deficiencies.
AB - More than one-half of children with chronic liver disease suffer from malnutrition, which leads not only to a poor quality of life and even possibly catastrophic complications, but also to poor outcomes after a liver transplantation. These children have increased metabolic demands but often decreased intake with malabsorption and altered nutrient utilization, all of which make it difficult to keep up with nutritional demands. Assessment of a patient’s nutritional status should be timely, and it should be performed routinely and proactively. When specific nutritional needs are identified, these should be addressed with a multidisciplinary team approach and with the close guidance of an experienced pediatric dietician. The assessment includes anthropometric and laboratory assessments, in addition to a careful physical examination and a detailed patient history. The specific nutritional needs vary, but generally dietary intervention focuses on increasing caloric intake, supplementation with medium-chain triglycerides, and prevention of essential fatty acid and fat-soluble vitamin deficiencies.
UR - http://www.scopus.com/inward/record.url?scp=85056538873&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056538873&partnerID=8YFLogxK
U2 - 10.3928/19382359-20181022-03
DO - 10.3928/19382359-20181022-03
M3 - Article
C2 - 30423187
AN - SCOPUS:85056538873
VL - 47
SP - e445-e451
JO - Pediatric Annals
JF - Pediatric Annals
SN - 0090-4481
IS - 11
ER -