Clinical malnutrition

Person in charge:

From April 2012: Jessie Hulst, MD, PhD, pediatric gastroenterologist, Erasmus MC, Sophia Children’s Hospital, Rotterdam, the Netherlands

Description:

The Working Group Clinical Malnutrition is a Nutrition working group that is concerned with different aspects of the care for children with illness-related malnutrition (e.g. defining malnutrition, screening for malnutrition, nutritional assessment, nutritional intervention). The working group meets at the Annual meeting of ESPGHAN.

The goals of this working group are:

  1. to create an international network among professionals interested and involved in clinical malnutrition among children
  2. to write position statements or clinical guidelines together involving the Committee on Nutrition
  3. to perform clinical studies together 

Projects:

2012: European multicenter study on Malnutrition and Screening for Malnutrition among Hospitalized Children. The study was initiated by the Working group and was led by Professor Berthold Koletzko from Munich (Dr. Von Hauner Children’s Hospital), funded by a grant from ESPEN. Fourteen centers from 12 countries were involved, and since many collaborators were also member of the Working group, this study was the focus of the Working group during the last years.. The major goals of this project were (1) to study the prevalence of malnutrition at hospital admission, (2) to study the effect of malnutrition on outcome, (3) to compare different diagnostic criteria for malnutrition and their predictive value on outcome, and (4) to compare proposed paediatric screening tools.

The data of this study have all been collected and extensive analyses have taken place. It has resulted in a publication (see below) and other reports are on their way.

2014: International survey among pediatric gastroenterologists and pediatric dieticians/nutritionists on definition and measurement of undernutrition in paediatric patients. Survey initiated by dr K. Gerasimidis (Lecturer in Clinical Nutrition, University of Glasgow Royal Hospital for Sick Children, Glasgow, UK) and Jessie Hulst with involvement of various professionals joined in the working group. Results to be published. 

Reports:

Hecht C, Weber M, Grote V, Daskalou E, Dell'Era L, Flynn D, Gerasimidis K, Gottrand F, Hartman C, Hulst J, Joosten K, Karagiozoglou-Lampoudi T, Koetse HA, Kolaček S, Ksiazyk J, Niseteo T, Olszewska K, Pavesi P, Piwowarczyk A, Rousseaux J, Shamir R, Sullivan PB, Szajewska H, Vernon-Roberts A, Koletzko B. Disease associated malnutrition correlates with length of hospital stay in children. Clinical Nutrition. 2015;34(1):53-9.