ESPEN 2013 - Late breaking abstract submission

Late Breaking Abstract

ESPEN13-1841

PAEDIATRIC NUTRITION WEEK: THE 2013 EDITION

A. De Luca ^1,*M. Frasquet-Darrieux ²H. Piloquet ³V. Colomb ⁴M. Fischbach ⁵D. Guimber ⁶N. Peretti ⁷R. Hankard ¹ and The Pediatric Nutritional Assessment Network (http://82.239.89.108/epinut)

¹Inserm CIC0802, ²Paediatrics and Child Nutrition, CHU, Poitiers, ³Scientific Committee, CHU, Nantes, ⁴Scientific Committee, CHU, Paris, ⁵Scientific Committee, CHU, Strasbourg, ⁶Scientific Committee, CHU, Lille, ⁷Scientific Committee, CHU, Lyon, France

Rationale: For the fourth consecutive year, we conducted a systematic nutritional assessment survey in paediatric wards. Five countries participated in this cross-sectional survey using a web-based tool: e-Pinut.

Methods: All participating centres conformed to the 2012 French guidelines for systematic nutritional assessment. Children admitted the same week were measured, weighed and their diagnoses recorded. Diagnostic procedure (clinical examination) was conducted only for children below the third centile of BMI for age and sex (French reference).

Results: Sixty-two centres (131 wards) participated in this survey. On 4848 observations collected, 4735 were analysed, totalizing 1829 patients (52% boys, median age: 3.4 years). Weight for height (WFH) <-2SD (acute malnutrition) was found in 13.6% of the whole population: 50% in Congo (DRC), 23.8% in Colombia (Co), 13.0% in Belgium (Be), 11.6% in France (F) and 7.7% in Tunisia (Tu). Fourteen percent of children had a height for age <-2SD (DRC: 33.3%, Co: 24.9%, Be:15.7%, F:11.3%, Tu:15.4%). Eight percent of children were obese. Chronic diseases were present in 41.3% of the children with a higher rate of malnutrition (15.9% vs. 12.0%, p=0.01). Seventy-eight percent of the participating centres claimed to use e-Pinut as a tool to develop the awareness of malnutrition within their staff. Thirty-two percent had written procedure for systematic nutritional assessment.

Conclusion: e-Pinut succeeded in mobilizing a growing number of paediatric wards in France, Europe, Africa and the Americas and contributed to standardize malnutrition diagnostic procedure. Frequency of malnutrition varied with countries and are in accordance with previous survey we made. Next steps for 2014 are to widen the initiative as a European awareness week and to extend the initiative toward paramedical health professionals.

Disclosure of Interest: A. De Luca Grant / Research Support from: Nutricia, Advanced Medical Nutrition-France M. Frasquet-Darrieux: None DeclaredH. Piloquet: None DeclaredV. Colomb: None DeclaredM. Fischbach: None DeclaredD. Guimber: None DeclaredN. Peretti: None DeclaredR. Hankard: None Declared

Keywords: Nutrition AssessmentPaediatrics