儿科营养不良：将新的定义与标准应用于实践

　　近年来，许多努力针对儿科人群重新定义营养不良，除了传统急诊人群，还包括急性临床人群。2013年，一个专家小组开会对现有的文献进行了系统回顾，起草了一个新的营养不良诊断方案。不久之后，美国营养与饮食学会和美国肠外肠内营养学会发布了儿科营养不良识别和描述的推荐指标。本文旨在综述儿科营养不良新定义的主要内容，描述临床实践中哪些人群的营养不良识别和管理建议存在问题，给出适用新定义的病例研究，最后描述在一个大型三级儿童医院营养不良识别方案的执行情况。

Nutr Clin Pract. 2015;30(5):609-24.

Pediatric Malnutrition: Putting the New Definition and Standards Into Practice.

Beer SS, Juarez MD, Vega MW, Canada NL.

Texas Children's Hospital, Houston, Texas.

In recent years, much effort has been directed at redefining malnutrition in the pediatric population to include the acute clinical population in addition to the more traditional ambulatory populations. In 2013, an expert panel convened to perform a critical review of available literature to craft a new approach to malnutrition. Closely thereafter, the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition published recommended indicators for the identification and documentation of malnutrition in pediatric populations. The purpose of this article is to review the domains within the new definition of malnutrition in pediatric practice, describe populations in which the recommended indicators for identification and management are problematic in clinical practice, give case studies that apply the new definition, and finally describe the implementation of a malnutrition identification program within a large tertiary care children's hospital.

KEYWORDS: child nutrition disorders; malnutrition; nutrition assessment; pediatrics

PMID: 26330113

DOI: 10.1177/0884533615600423

翻译：天津市第三中心医院营养科肖慧娟