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• W2009420975 abstract "La dénutrition protéino-énergétique est l’état pathologique résultant d’une inadéquation entre les besoins et les apports protéino-énergétiques. Elle est délétère par ses conséquences fonctionnelles et structurelles (perte tissulaire) et peut entraîner une augmentation de la morbidité voire de la mortalité d’une éventuelle pathologie sous-jacente. Le Comité de nutrition de la Société française de pédiatrie (SFP) recommande de peser et de mesurer tout enfant quel que soit le contexte de visite ou d’hospitalisation. En l’absence d’information sur la cinétique de la croissance, l’indice de masse corporelle (IMC) doit être calculé et interprété en fonction des courbes de référence figurant dans le carnet de santé. Pour tout IMC inférieur au 3e percentile pour l’âge et le sexe, il est recommandé : (1) d’examiner l’enfant à la recherche de signes cliniques de dénutrition ou de signes orientant vers son origine ; (2) de tracer l’évolution de la croissance staturopondérale (IMC et taille). Toute dénutrition, qu’elle soit identifiée en pédiatrie communautaire ou en milieu hospitalier, nécessite d’établir une stratégie nutritionnelle intégrée à la prise en charge globale de l’enfant. Elle suppose de définir le poids cible et d’adapter les apports protéino-énergétiques en termes de niveaux, de composition et de modalités d’administration (orale, entérale, parentérale). Dans tous les cas, cette attitude sera évaluée et adaptée selon l’effet obtenu. Protein energy malnutrition (PEM) occurs when energy and protein intakes do not meet requirements. It has functional and structural impact and increases both morbidity and mortality of a given disease. The Nutrition Committee of the French Pediatric Society recommands to weigh and measure any child when hospitalized or seen in consultation. Body mass index (BMI) must be calculated and analysed according to references anytime growth kinetics cannot be analysed. Any child with a BMI below the third centile or −2 standard deviations for age and sex (1) needs to be examined looking for clinical signs of malnutrition and signs orienting toward an etiology, (2) requires to have his BMI and height dynamics ploted on a chart. PEM warrants to draw a nutritional strategy along with the global care plan. A target weight needs to be determined as well as the quantitative, qualitative and modality of nutritional care. This plan must be evaluated afterwards in order to adapt nutritional therapy." @default.
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• W2009420975 date "2013-09-01" @default.
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• W2009420975 title "Dépister la dénutrition de l’enfant en pratique courante" @default.
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