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Factors associated with not meeting the recommendations for micronutrient intake in critically ill children.
Nutrition. 2016 Nov-Dec; 32(11-12):1217-22.N

Abstract

OBJECTIVE

Children admitted to the intensive care unit (ICU) are at risk of not meeting their nutritional requirements. This study aimed to identify factors associated with failure to meet the dietary recommended intake (DRI) of zinc, selenium, cholecalciferol, and thiamine in critically ill children receiving enteral tube feeding during their stay in the ICU.

METHODS

We analyzed prospectively 260 cases, corresponding to 206 patients who received enteral tube feeding for a minimum of 3 days up to 10 days during the first 10 d of ICU stay. Individual intake was compared to estimated average requirement (EAR) and adequate intake (AI) values during the first 10 d of ICU stay. The outcome variable was defined as not meeting the recommended intake of the micronutrients studied. Potential explanatory variables for the outcome were age <1 year, malnutrition (WHO), clinical severity scores, heart disease, severe sepsis or septic shock, use of alpha-adrenergic drugs, and renal replacement therapy (RRT). The effect of the explanatory variables on the outcome was analyzed by logistic regression analysis.

RESULTS

The majority of patients did not meet the recommendations for micronutrients. After adjusting for covariates, age <1 year, malnutrition, heart disease, use of alpha-adrenergic drugs, and renal replacement therapy were associated with failure to meet the recommendations for at least one of the micronutrients studied.

CONCLUSIONS

Factors associated with failure to meet the recommendations for micronutrient intake in children receiving enteral tube feeding during their ICU stay are linked to patients' low weight, restriction in fluid intake, and clinical severity of the disease.

Authors+Show Affiliations

Discipline of Nutrition and Metabolism, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil.Discipline of Nutrition and Metabolism, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil. Electronic address: heitorpons@gmail.com.Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil.Department of Surgery, Federal University of São Paulo, São Paulo, Brazil.Pediatric Intensive Care Unit, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27262979

Citation

Dos Reis Santos, Marcella, et al. "Factors Associated With Not Meeting the Recommendations for Micronutrient Intake in Critically Ill Children." Nutrition (Burbank, Los Angeles County, Calif.), vol. 32, no. 11-12, 2016, pp. 1217-22.
Dos Reis Santos M, Leite HP, Luiz Pereira AM, et al. Factors associated with not meeting the recommendations for micronutrient intake in critically ill children. Nutrition. 2016;32(11-12):1217-22.
Dos Reis Santos, M., Leite, H. P., Luiz Pereira, A. M., Dell'Acqua Cassão, B., & de Oliveira Iglesias, S. B. (2016). Factors associated with not meeting the recommendations for micronutrient intake in critically ill children. Nutrition (Burbank, Los Angeles County, Calif.), 32(11-12), 1217-22. https://doi.org/10.1016/j.nut.2016.03.019
Dos Reis Santos M, et al. Factors Associated With Not Meeting the Recommendations for Micronutrient Intake in Critically Ill Children. Nutrition. 2016;32(11-12):1217-22. PubMed PMID: 27262979.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with not meeting the recommendations for micronutrient intake in critically ill children. AU - Dos Reis Santos,Marcella, AU - Leite,Heitor Pons, AU - Luiz Pereira,Aline Maria, AU - Dell'Acqua Cassão,Bruna, AU - de Oliveira Iglesias,Simone Brasil, Y1 - 2016/03/31/ PY - 2015/12/17/received PY - 2016/03/12/revised PY - 2016/03/17/accepted PY - 2016/6/6/entrez PY - 2016/6/6/pubmed PY - 2017/3/23/medline KW - Dietary reference intakes KW - Enteral nutrition KW - Intensive care unit KW - Micronutrients KW - Nutrition support KW - Pediatric SP - 1217 EP - 22 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 32 IS - 11-12 N2 - OBJECTIVE: Children admitted to the intensive care unit (ICU) are at risk of not meeting their nutritional requirements. This study aimed to identify factors associated with failure to meet the dietary recommended intake (DRI) of zinc, selenium, cholecalciferol, and thiamine in critically ill children receiving enteral tube feeding during their stay in the ICU. METHODS: We analyzed prospectively 260 cases, corresponding to 206 patients who received enteral tube feeding for a minimum of 3 days up to 10 days during the first 10 d of ICU stay. Individual intake was compared to estimated average requirement (EAR) and adequate intake (AI) values during the first 10 d of ICU stay. The outcome variable was defined as not meeting the recommended intake of the micronutrients studied. Potential explanatory variables for the outcome were age <1 year, malnutrition (WHO), clinical severity scores, heart disease, severe sepsis or septic shock, use of alpha-adrenergic drugs, and renal replacement therapy (RRT). The effect of the explanatory variables on the outcome was analyzed by logistic regression analysis. RESULTS: The majority of patients did not meet the recommendations for micronutrients. After adjusting for covariates, age <1 year, malnutrition, heart disease, use of alpha-adrenergic drugs, and renal replacement therapy were associated with failure to meet the recommendations for at least one of the micronutrients studied. CONCLUSIONS: Factors associated with failure to meet the recommendations for micronutrient intake in children receiving enteral tube feeding during their ICU stay are linked to patients' low weight, restriction in fluid intake, and clinical severity of the disease. SN - 1873-1244 UR - https://www.unboundmedicine.com/medline/citation/27262979/Factors_associated_with_not_meeting_the_recommendations_for_micronutrient_intake_in_critically_ill_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(16)30011-9 DB - PRIME DP - Unbound Medicine ER -