Pediatric Disease Related Malnutrition
Cath and Frankie’s story
“Frankie has a heart condition that he was born with. He was tube fed straight away. We have to get extra calories added into his milk as Frankie is very slow at putting on weight – and keeping the weight on because he’s very active, very active! It is a bit of a battle.
His feeds have been his main source of food and fluid, for him to grow up, and he’s done fantastic with them. We treat him like every other child, he can run, jump, play. We don’t let anything stop him.”
Inadequate growth as a consequence of disease related malnutrition
Optimal growth and development in childhood are essential for long-term health and well-being. However, there are a number of reasons why some children can have difficulties growing optimally. Inadequate growth may occur in children who have an underlying disease or condition such as cerebral palsy, a congenital heart disease (CHD), cystic fibrosis, liver disease or cancer; poor growth can have a detrimental effect on both short and long-term health outcomes.
For example, infants and children with CHD who have low weight pre-surgery are known to have poorer surgical outcomes or even have their essential surgery delayed1-3. Whether disease-related or not, chronic poor weight gain during early life is associated with long-term consequences, including stunting and permanent alterations in brain growth and function, leading to cognitive and behavioral impairment4-7, providing a strong rationale for specialized nutritional support.
The role of nutrition
Whatever the cause of the growth challenge, provision of adequate nutrition is essential. Problems such as gastrointestinal issues, poor recovery from illness, increased risk of infections and more lengthy hospital stays have been associated with inadequate nutrition9,10.
Nutritional screening and growth monitoring are therefore important to ensure children are identified as early as possible and receive the appropriate nutritional therapy, tailored to their specific needs, that will enable optimal growth and development9,10.
Feeding difficulties in children with cerebral palsy: why they matter and how to recognize them
Children with cerebral palsy often have difficulties with feeding and swallowing. These can cause children to become underweight and undernourished, with consequences for growth and development11,12. The Feeding and Nutrition Screening Tool13 can help parents screen for risk of feeding/swallowing difficulties and undernutrition quickly and easily, so they know when to seek medical help.
Nutricia’s role in pediatric disease related malnutrition
We believe every child should have the opportunity to grow and thrive in order to reach their full potential, which is why we’ve been developing products designed for children with challenged growth for over 30 years. The Nutricia range of foods for special medical purposes cover patients through from infancy to adolescence and beyond. We partner with healthcare professionals and other experts to help manage children with a wide range of medical conditions, to ensure optimal growth and development. Our aim is to improve long-term health outcomes by offering a range and variety of medical nutrition products and enteral tube feeding options, as well as tubes/pumps.
Infatrini product range
Infatrini is a food for special medical purposes for the dietary management of infants with faltering growth or who have increased nutritional requirements and/or require fluid restriction. For use under medical supervision only, Infatrini is a range of nutritionally complete, energy-nutrient dense, ready-to-use feeds. It is for use from birth to 9kg in body weight (or 18 months of age). Infatrini is suitable for use as a sole source of nutrition. It is tailored for a broad range of needs, through a variety of formats.
Nutrini product range
Nutrini is a food for special medical purposes for the dietary management of infants with or at risk of faltering growth or who have increased nutritional requirements and/or require fluid restriction. For use under medical supervision only, Nutrini is a range of nutritionally complete, ready-to-use tube-feeds. Nutrini is suitable for use as a sole source of nutrition. It is tailored for a broad range of needs, through a variety of formats It is for use from, 1-6 years of age (~9kg–20kg). Nutrini is also available for older children with NutriniMax which is suitable for children ~7-12 years of age and 21kg-45kg body weight
NutriniDrink product range
NutriniDrink (also known as Fortini) is a food for special medical purposes for the dietary management of children with or at risk of faltering growth or who have increased nutritional requirements. For use under medical supervision only, NutriniDrink is a range of nutritionally complete, ready-to-use oral nutritional supplements. It is for use from, 1-6 years of age (~9kg–20kg). It is tailored for a broad range of needs, through a variety of formats, flavours and textures.
- Curzon et al 2008;
- Kogon et al 2008;
- Wallace et al 2011;
- Chang et al 2016;
- El-Sherif et al 2012;
- Galler et al 2012;
- https://www.who.int/nutrition Jan 2020;
- Beer et al. Nutr Clin Practice 2015;30:609-624;
- Hecht et at. Clin Nutr 2013:34:53-59;
- Huysentruyt et al. Nutrition 2013;29 1356-1361.
- Fung EB, Samson Fang L, Stallings VA, et al. J Am Diet Assoc 2002; 102: 361–73.
- Samson-Fang L, Fung E, Stallings VA, et al. J Pediatr 2002; 141: 637–43.
- Bell KL, Benfer KA, Ware RS, et al. Dev Med Child Neurol. 2019;61(10):1175-81.