Nutritional Evaluation Of Children With Chronic Cholestatic Disease

dc.creatorDa Silva F.V.
dc.creatorFerri P.M.
dc.creatorNascentes Queiroz T.C.
dc.creatorDe Souza Haueisen Barbosa P.
dc.creatorCassiano De Oliveira M.C.
dc.creatorDe Melo Pereira L.J.
dc.creatorSimões E Silva A.C.
dc.creatorPenna F.J.
dc.creatorDruve Tavares Fagundes E.
dc.creatorFerreira A.R.
dc.date2016
dc.date2017-08-17T19:14:44Z
dc.date2017-08-17T19:14:44Z
dc.date.accessioned2018-03-29T05:21:05Z
dc.date.available2018-03-29T05:21:05Z
dc.identifierJornal De Pediatria. Elsevier Editora Ltda, v. 92, n. 2, p. 197 - 205, 2016.
dc.identifier0021-7557
dc.identifier10.1016/j.jped.2015.07.006
dc.identifierhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84956671195&doi=10.1016%2fj.jped.2015.07.006&partnerID=40&md5=314b161fbd972ae41919e4f744fc1dc9
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/323550
dc.identifier2-s2.0-84956671195
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1357713
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionTo evaluate the nutritional status of children with persistent cholestasis and to compare the anthropometric indices between children with and without liver cirrhosis and children with and without jaundice. Methods Children with persistent cholestasis, i.e. increased direct bilirrubin or changes in the canalicular enzyme gamma-glutamyl transferase (GGT), were included. The anthropometric measures were weight (W), height or length (H), arm circumference (AC), triceps skinfold thickness (TST), arm muscle circumference (AMC), and body mass index (BMI). Results Ninety-one children with cholestasis, with current median age of 12 months, were evaluated. W/age (A) and H/A indices below -2 Z-scores were observed in 33% and 30.8% of patients, respectively. Concerning the W/H index and BMI, only 12% and 16% of patients, respectively, were below -2 Z-scores. Regarding AC, 43.8% of 89 evaluated patients had some depletion. Observing the TST, 64% of patients had depletion, and 71.1% of the 45 evaluated patients had some degree of depletion regarding the ACM index. Conclusion Evaluation using weight in patients with chronic liver diseases may overestimate the nutritional status due to visceromegaly, subclinical edema, or ascites. Indices that correlate weight and height, such as W/H and BMI, may also not show depletion because of the chronic condition in which there are depletion of both weight and height. TST, AC, and ACM are parameters that better estimate nutritional status and should be part of the management of patients with liver diseases and cholestasis. © 2015 Sociedade Brasileira de Pediatria.
dc.description92
dc.description2
dc.description197
dc.description205
dc.descriptionCNPq, Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.languageEnglish
dc.publisherElsevier Editora Ltda
dc.relationJornal de Pediatria
dc.rightsaberto
dc.sourceScopus
dc.subjectAnthropometry
dc.subjectChronic Liver Disease
dc.subjectNeonatal Cholestasis
dc.subjectNutrition
dc.titleNutritional Evaluation Of Children With Chronic Cholestatic Disease
dc.typeArtículos de revistas


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