Improving nutritional status of children with cystic fibrosis at Red Cross War Memorial Children's Hospital
dc.contributor.author | Van Der Spuy D.A. | |
dc.contributor.author | Cader S. | |
dc.contributor.author | Van Der Spuy G.D. | |
dc.contributor.author | Westwood A.T. | |
dc.date.accessioned | 2011-10-13T16:58:54Z | |
dc.date.available | 2011-10-13T16:58:54Z | |
dc.date.issued | 2011 | |
dc.description.abstract | Aim: To determine the nutritional status of children attending a cystic fibrosis clinic in a tertiary hospital in South Africa and compare it to previously reported 10-year rates. Methods: Weights and heights were measured of 69 (37 male and 32 female) children aged between 1 year and 18 years. Expected weight-for-age, expected height-for-age, expected weight-for-height and body mass index (BMI) were compared with international standards for underweight, stunting, wasting and BMI goal. Results: The nutritional status of the patients has improved over the last 10 years, most significantly for wasting, which decreased from 58.3% in 1996 to 15.9% in 2006 (95% confidence interval (CI), 1.315-14.09, P < 0.05). Fifty-two percent of the children were underweight in 2006, compared with 66.7% in 1996 (95% CI, 0.044-13.96, P < 0.05). Stunting was found in 31.9% of the current sample. Females over 15 years had expected weight-for-age 25.9% lower than those between 10 years and 15 years, while no difference was found between the male age groups. Female height-for-age was 7.06 percentage points greater than males between 10 years and 15 years (95% CI, 2.16-11.96, P < 0.01). Males between 10 years and 15 years had significantly lower BMIs than the corresponding female group. Coloured patients had significantly lower BMIs than white patients in all age groups. Conclusions: These children demonstrated continuing improvement in nutritional status, although deficits remain. The normalisation of mean weight-for-age and weight-for-height with far fewer wasted patients is encouraging. Interventions are needed in some areas to ensure that all children show progress. © 2011 Paediatrics and Child Health Division (Royal Australasian College of Physicians). | |
dc.description.version | Article | |
dc.identifier.citation | Journal of Paediatrics and Child Health | |
dc.identifier.citation | 47 | |
dc.identifier.citation | 5 | |
dc.identifier.citation | http://www.scopus.com/inward/record.url?eid=2-s2.0-79957601570&partnerID=40&md5=0bba40a4f084babaa94d13c11791fdee | |
dc.identifier.issn | 10344810 | |
dc.identifier.other | 10.1111/j.1440-1754.2010.01954.x | |
dc.identifier.uri | http://hdl.handle.net/10019.1/16900 | |
dc.subject | children | |
dc.subject | cystic fibrosis | |
dc.subject | nutrition | |
dc.subject | adolescent | |
dc.subject | adult | |
dc.subject | article | |
dc.subject | body mass | |
dc.subject | body weight | |
dc.subject | child | |
dc.subject | controlled study | |
dc.subject | cross-sectional study | |
dc.subject | cystic fibrosis | |
dc.subject | ethnic difference | |
dc.subject | female | |
dc.subject | height | |
dc.subject | human | |
dc.subject | infant | |
dc.subject | major clinical study | |
dc.subject | male | |
dc.subject | nutritional status | |
dc.subject | preschool child | |
dc.subject | priority journal | |
dc.subject | risk factor | |
dc.subject | school child | |
dc.subject | sex difference | |
dc.subject | South Africa | |
dc.subject | stunting | |
dc.subject | underweight | |
dc.subject | wasting syndrome | |
dc.title | Improving nutritional status of children with cystic fibrosis at Red Cross War Memorial Children's Hospital | |
dc.type | Article |