Promoting the awareness of hospital malnutrition in children: ePINUT 10th anniversary in 2020 |
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| Authors: | Arnaud De Luca Maya Patel Olivier Mantha Noël Peretti Régis Hankard |
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| Affiliation: | 1. Inserm, université François-Rabelais, UMR 1069, PEDSTART, F-CRIN, 2, boulevard Tonnellé, 37044 Tours, France;2. CHU Tours, HUGOPEREN, 2, boulevard Tonnellé, 37044 Tours, France;3. Univ Lyon, hospices civil de Lyon, Pediatric Nutrition, hôpital femme mère-enfant (HFME), 69500 Bron, France;4. Univ Lyon, CarMeN Laboratory, INRAE, UMR1397, INSERM, UMR1060, 69310 Pierre-Bénite, France;1. Institut de la nutrition, de l’alimentation et des technologies agro-alimentaires (INATAA), université Frères Mentouri-Constantine1 (UFMC1), route d’Aïn-El-Bey, 25000 Constantine, Algérie;2. Laboratoire ALimentation, NUTrition et Santé (ALNUTS), Université Salah-Boubnider-Constantine3, nouvelle ville Ali-Mendjeli, 25000 Constantine, Algérie;3. Laboratoire de nutrition et technologies alimentaires (LNTA), université Frères Mentouri-Constantine1 (UFMC1), route d’Aïn-El-Bey, 25000 Constantine, Algérie;4. Institut des sciences vétérinaires et des sciences agronomiques, université Elhadj-Lakhdar, Batna1, 5000 Batna, Algérie;1. Service de médecine interne, Centre Hospitalier Ouest Réunion, 5, impasse Plaine-Chabrier-Le-Grand-Pourpier, 97460 Saint-Paul, Réunion;2. Centre René-Labusquière, Institut de médecine tropicale, université de Bordeaux, 33076 Bordeaux, France;3. Unité de recherche UR-études pharmaco-immunologiques (EPI), Université de la Réunion, CHU Félix-Guyon, 1, allée des Topazes, 97487 Saint-Denis, Reunion |
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| Abstract: | ObjectiveThe year 2020 marks the 10th consecutive year of the ePINUT study which is used for promoting awareness of hospital malnutrition in paediatric wards. The present article describes the methods and the studied population.Materials and methodsePINUT is a cross-sectional study gathering data each year over 2 weeks in March. Any child up to 18 years old, hospitalized except in neonatal and intensive care units could be included in this study. Length of hospitalization, weight variations and height were measured. An online calculator was made available for nutritional indices (http://www.epinut.fr/), in accordance with the French Paediatric Society guidelines. A geographic grouping was done based on university inter-regions.ResultsA total of 13,332 entries in France were included from 2010 to 2019. On a geographic level, 6 of the 7 regions contributed yearly to 10 to 15% of these entries, while the western region accounted for 25% of the entries (P < 0.001). Ninety-two cities participated, with 36% participating 5 to 9 years, 39% participating 2 to 4 years, and 26% participating once. The median age was 4 years old, 10.2% of children had a Weight-for-Height z-score smaller than ?2 at admittance. These children stayed longer in the hospital (8.3 ± 11.3 vs. 6.4 ± 9.3 days, P = 0.02) and had a greater percent weight change during hospitalization (2.8 ± 4.7 vs. 0.4 ± 3.8%, P < 0.0001).ConclusionSuch a long-term promotion of awareness about hospital malnutrition is unique. The future aim is to empower young patients and their parents and to get them involved in reducing hospital malnutrition in children. |
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| Keywords: | Multidisciplinary nutritional team Survey Wasting Stunting Undernutrition Équipe nutritionnelle multidisciplinaire Enquête Émaciation Retard de croissance Dénutrition |
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