Micronutrient adequacy of pediatric patients on enteral nutritional therapy during hospitalization
DOI:
https://doi.org/10.55892/jrg.v8i18.1794Palavras-chave:
pediatrics, child nutrition, enteral nutrition, infant formulas, micronutrientsResumo
Background: Childhood is a critical step in developing and growing, not yet physically but mentally and immunologically. In the hospitalization context, a correct, adequate, and complete nutritional apport is extremely important for optimization of treatment. In this context, this research aims to evaluate the nutritional adequacy of patients admitted to the Maternal and Child Hospital of Brasília who are on full enteral exclusive nutritional therapy. Methods: That’s a quantitative research in which the participants were patients between 0 and 14 years of age during the medical hospitalization and that were using an exclusive enteral feeding tube with the diet equal to the final nutritional goal planned. The data were taken from the electronic medical record and the prevalence of each micronutrient was calculated and for adequation was considered a percentage between 90% to 110%. This research was approved by the research ethics committee. Results: 117 patients were chosen, most are male, between 0 to 6 months, and have the principal hospitalization diagnostic of a respiratory disease. The prevalence of adequacy of micronutrients shows that sodium and potassium are nutrients with lower adequacy, vitamin A is the most adequate, and the upper limit recommended for some nutrients was surpassed. Conclusion: This research showed that dietary recommendations for micronutrients are not completely respected for pediatric patients who are on full enteral exclusive nutritional therapy with the diet equal to the final nutritional goal planned. This intake out of references to micronutrients may be posing health risks for this group and this demonstrates the need to investigate the cause and the consequence of this intaking profile. To transform this, a law revision is necessary, supported by more studies and researches about the micronutrients adequation in the pediatric context, finding to establish the Brazilian child’s micronutrients recommendations.
Downloads
Referências
Beluska-Turkan K, Korczak R, Hartell B, Moskal K, Maukonen J, Alexander DE, et al. Nutritional Gaps and Supplementation in the First 1000 Days. Nutrients. 27 de novembro de 2019;11(12):2891.
Clark DC, Cifelli CJ, Pikosky MA. Growth and Development of Preschool Children (12-60 Months): A Review of the Effect of Dairy Intake. Nutrients. 20 de novembro de 2020;12(11):3556.
FAO, IFAD, UNICEF, WFP, WHO. The State of Food Security and Nutrition in the World 2022: Repurposing food and agricultural policies to make healthy diets more affordable [Internet]. Rome, Italy: FAO, IFAD, UNICEF, WFP, WHO; 2022 [citado 22 de outubro de 2023]. 260 p. (The State of Food Security and Nutrition in the World (SOFI)). Disponível em: https://www.fao.org/documents/card/en/c/cc0639en
Levy B. Agência Fiocruz de Notícias. 2023 [citado 22 de outubro de 2023]. Observa Infância: Bahia concentra internações de bebês por desnutrição. Disponível em: https://agencia.fiocruz.br/observa-infancia-bahia-concentra-internacoes-de-bebes-por-desnutricao
Institute of Medicine. Office of Dietary Supplements - Nutrient Recommendations and Databases [Internet]. [citado 22 de outubro de 2023]. Disponível em: https://ods.od.nih.gov/HealthInformation/nutrientrecommendations.aspx
Kratochvíl M, Klučka J, Klabusayová E, Musilová T, Vafek V, Skříšovská T, et al. Nutrition in Pediatric Intensive Care: A Narrative Review. Children (Basel). 11 de julho de 2022;9(7):1031.
Deng J, Zhong Y. [Research advances in nutritional support for critically ill children]. Zhongguo Dang Dai Er Ke Za Zhi. dezembro de 2018;20(12):1075–8.
FAO - Food and Agriculture Organization of the United Nations. Human energy requirements: Report of a Joint FAO/WHO/UNU Expert Consultation [Internet]. 2001 [citado 16 de novembro de 2024]. Disponível em: https://www.fao.org/4/y5686e/y5686e00.htm#Contents
Virginia Resende Silva Weffort, Joel Alves Lamounier. Nutrição em pediatria: da neonatologia à adolescência. 1o ed. Barueri: Manole; 2010.
Sociedade Brasileira de Nutrição Parenteral e Enteral, Associação Brasileira de Nutrologia, Sociedade Brasileira de Patologia. Terapia Nutricional no Paciente Pediátrico com Desnutrição Energético-Proteica. DITEN Projeto Diretrizes; 2013.
Berthold Koletzko, Brenda Poindexter, Ricardo Uauy. Nutritional Care of Preterm Infants: Scientific Basis and Practical Guidelines [Internet]. [citado 16 de novembro de 2024]. Disponível em: https://karger.com/books/book/109/Nutritional-Care-of-Preterm-InfantsScientific
Lima VL, De MCL, Da RP. CAUSAS DE INTERNAÇÃO HOSPITALAR DAS CRIANÇAS DE 0 A 9 ANOS NO ESTADO DO PIAUÍ: ANÁLISE DESCRITIVA. 2019;
Jaqueline Santos da Silva, Alessandra Bombarda Müller. FATORES ASSOCIADOS À INTERNAÇÃO NO PRIMEIRO ANO DE VIDA DE CRIANÇAS ASSISTIDAS EM UNIDADES BÁSICAS DE SAÚDE DE GRAVATAÍ. Boletim da Saúde. 2017;26:103–12.
Caetano J do R de M, Bordin IAS, Puccini RF, Peres C de A. Fatores associados à internação hospitalar de crianças menores de cinco anos, São Paulo, SP. Rev Saúde Pública. junho de 2002;36:285–91.
Prado SI, Novais MAPD. Pediatric hospitalizations for bronchiolitis in Brazil: longitudinal characterization and hospital costs. Acta paul enferm. 2024;37:eAPE00876.
Pereira EQ, Santos MLA dos, Uchimura TT, Menezes E. Temporal-spatial analysis of hospitalizations for bronchiolitis in Brazil: prediction of epidemic regions and periods for immunization against the Respiratory Syncytial Virus. Rev paul pediatr. 13 de março de 2023;41:e2021304.
Boccalini S, Bonito B, Salvati C, Riccio MD, Stancanelli E, Bruschi M, et al. Human Respiratory Syncytial Virus Epidemiological Burden in Pediatric Outpatients in Italy: A Systematic Review. Vaccines. 14 de setembro de 2023;11(9):1484.
Wang X, Li Y, Shi T, Bont LJ, Chu HY, Zar HJ, et al. Global disease burden of and risk factors for acute lower respiratory infections caused by respiratory syncytial virus in preterm infants and young children in 2019: a systematic review and meta-analysis of aggregated and individual participant data. The Lancet. 30 de março de 2024;403(10433):1241–53.
Pediatria DC de SN da SB de. Manual de Suporte Nutricional da Sociedade Brasileira de Pediatria. Sociedade Brasileira de Pediatria; 2020.
NAN® COMFOR® HMO 0 a 6 meses | Nestle para Especialistas [Internet]. [citado 17 de novembro de 2024]. Disponível em: https://www.nestleparaespecialistas.com.br/produtos/nanr-comforr-hmo-0-6-meses
Fórmula Infantil: Aptamil Premium 1 800g | Mundo Danone [Internet]. [citado 17 de novembro de 2024]. Disponível em: https://www.mundodanone.com.br/aptamil-premium-1-800g/p
Fórmula Infantil: Pregomin Pepti 400g | Mundo Danone [Internet]. [citado 21 de outubro de 2024]. Disponível em: https://www.mundodanone.com.br/pregomin-pepti-400-gramas/p
Faria DPB de, Cortez APB, Speridião P da GL, Morais MB de. Knowledge and practice of pediatricians and nutritionists regarding treatment of cow’s milk protein allergy in infants. Rev Nutr. dezembro de 2018;31:535–46.
Mehta NM, Compher C, Directors ASPENB of. A.S.P.E.N. Clinical Guidelines: Nutrition Support of the Critically Ill Child. Journal of Parenteral and Enteral Nutrition. 2009;33(3):260–76.
Agência Nacional de Vigilância Sanitária - ANVISA. RESOLUÇÃO RESOLUÇÃO DE DIRETORIA COLEGIADA - RDC No 42, DE 19 DE SETEMBRO DE 2011 [Internet]. set 19, 2011. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2011/res0042_19_09_2011.html
Agência Nacional de Vigilância Sanitária - ANVISA. RESOLUÇÃO DE DIRETORIA COLEGIADA – RDC No 43, DE 19 DE SETEMBRO DE 2011 [Internet]. set 19, 2011. Disponível em: https://antigo.anvisa.gov.br/documents/10181/2968724/%281%29RDC_43_2011_COMP.pdf/c3ef745f-fc46-4c6e-a23d-fc4ae697b624
Agência Nacional de Vigilância Sanitária - ANVISA. RESOLUÇÃO RESOLUÇÃO DE DIRETORIA COLEGIADA - RDC No 44, DE 19 DE SETEMBRO DE 2011 [Internet]. set 19, 2011. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2011/res0044_19_09_2011.html
Agência Nacional de Vigilância Sanitária - ANVISA. RESOLUÇÃO DE DIRETORIA COLEGIADA - RDC no 360, de 23 de dezembro de 2003 [Internet]. dez 23, 2003. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2003/res0360_23_12_2003.html
Agência Nacional de Vigilância Sanitária – ANVISA. RESOLUÇÃO DA DIRETORIA COLEGIADA - RDC No 429, DE 8 DE OUTUBRO DE 2020 [Internet]. Disponível em: https://antigo.anvisa.gov.br/documents/10181/3882585/RDC_429_2020_.pdf/9dc15f3a-db4c-4d3f-90d8-ef4b80537380
Reyes SM, Brockway M (Merilee), McDermid JM, Chan D, Granger M, Refvik R, et al. Human Milk Micronutrients and Child Growth and Body Composition in the First 2 years: A Systematic Review. Advances in Nutrition. 13 de junho de 2023;15(1):100082.
Petersohn I, Hellinga AH, Lee L van, Keukens N, Bont L, Hettinga KA, et al. Maternal diet and human milk composition: an updated systematic review. Frontiers in Nutrition. 23 de janeiro de 2024;10:1320560.
Italianer MF, Naninck EFG, Roelants JA, Horst GTJ van der, Reiss IKM, Goudoever JB van, et al. Circadian Variation in Human Milk Composition, a Systematic Review. Nutrients. 4 de agosto de 2020;12(8):2328.
Janice L. Raymond, Kelly Morrow. Krause and Mahan’s Food & The Nutrition Care Process. 15a. Elsevier; 2021.
Voultsos P, Bazmpani MA, Papanastasiou CA, Papadopoulos CE, Efthimiadis G, Karvounis H, et al. Magnesium Disorders and Prognosis in Heart Failure: A Systematic Review. Cardiology in Review. dezembro de 2022;30(6):281.
Francisquini J d’Almeida, Nunes L, Martins E, Stephani R, Perrone ÍT, Carvalho AF de. How the heat treatment affects the constituents of infant formulas: a review. Braz J Food Technol. 7 de dezembro de 2020;23:e2019272.
Downloads
Publicado
Como Citar
Edição
Seção
ARK
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.