Nutritional Management of Children With Neurological Impairment in China: Current Status and Future Directions.
children
dysphagia
enteral nutrition
gastroesophageal reflux disease
neurological impairment
survey
Journal
JPGN reports
ISSN: 2691-171X
Titre abrégé: JPGN Rep
Pays: United States
ID NLM: 101773885
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
06
10
2021
accepted:
17
11
2021
medline:
10
12
2021
pubmed:
10
12
2021
entrez:
11
5
2023
Statut:
epublish
Résumé
The aim of this study is to assess the awareness of Chinese physicians on gastrointestinal and nutritional management of children with neurological impairment (NI) and to assess the practical application of the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines on the management of nutritional and gastrointestinal problems in children with NI in Asian countries, particularly in several major medical centers in China. A web-based questionnaire was distributed between November 2020 and January 2021 among Chinese healthcare professionals involved in the clinical management of children with NI. Fifteen questions covering the most relevant aspects of nutritional management and gastrointestinal issues of children with NI were surveyed. A descriptive analysis of responses was performed. A total of 577 healthcare professionals from over 28 provinces in China answered the questionnaire. Anthropometrics were the most used parameters (n = 539) to assess nutritional status. Most respondents (n = 455) indicated weight faltering and/or failure to thrive as definition of undernutrition. Direct observation of meals was considered the recommended method for diagnosing oropharyngeal dysfunction by 542 professionals. Fundoplication was indicated at the time of gastrostomy placement in patients with uncontrolled gastroesophageal reflux disease by 437 respondents. The clinical practice of Chinese healthcare professionals does not completely match the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines, probably due to the medical system and the economic, social, and cultural differences. Further studies are needed to improve clinical practice and knowledge. Multidisciplinary approach is crucial to optimize the overall medical care and quality of life for children with NI.
Identifiants
pubmed: 37168742
doi: 10.1097/PG9.0000000000000164
pmc: PMC10158340
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e164Informations de copyright
Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Nutrients. 2015 Nov 13;7(11):9400-15
pubmed: 26580646
Digestion. 2020;101(1):66-79
pubmed: 31801133
J Pediatr Gastroenterol Nutr. 2021 Apr 1;72(4):e97-e101
pubmed: 33346573
Pediatr Clin North Am. 2013 Aug;60(4):969-77
pubmed: 23905831
Arch Pediatr. 2020 Feb;27(2):95-103
pubmed: 31791829
Eur J Paediatr Neurol. 2016 Nov;20(6):810-815
pubmed: 27397730
JAMA Pediatr. 2013 Oct;167(10):911-8
pubmed: 23921627
Nutrients. 2019 Dec 05;11(12):
pubmed: 31817352
J Pediatr Gastroenterol Nutr. 2017 Aug;65(2):242-264
pubmed: 28737572
J Clin Med. 2020 Oct 14;9(10):
pubmed: 33066538
Baillieres Clin Gastroenterol. 1997 Sep;11(3):529-46
pubmed: 9448914
Clin Nutr. 2018 Feb;37(1):354-396
pubmed: 29274834
J Family Reprod Health. 2017 Dec;11(4):197-201
pubmed: 30288166
Eur J Clin Nutr. 2013 Dec;67 Suppl 2:S9-12
pubmed: 24301008
Zhonghua Er Ke Za Zhi. 2020 Jul 2;58(7):553-558
pubmed: 32605338
J Pediatr Gastroenterol Nutr. 2006 Jul;43(1):123-35
pubmed: 16819391
J Pediatr Gastroenterol Nutr. 2018 Mar;66(3):516-554
pubmed: 29470322
J Acad Nutr Diet. 2020 Nov;120(11):1893-1901
pubmed: 32593667
Ital J Pediatr. 2020 Mar 27;46(1):35
pubmed: 32216797
Int J Food Sci Nutr. 2017 Sep;68(6):763-770
pubmed: 28276905
Acta Otorhinolaryngol Belg. 1994;48(2):143-55
pubmed: 8209677
Clin Exp Gastroenterol. 2018 Mar 21;11:119-134
pubmed: 29606884