Clinical Phenotypes of Malnutrition in Young Children: Differential Nutritional Correction

Author:

Belyaeva Irina A.1ORCID,Bombardirova Elena P.2ORCID,Prihodko Evgeniia A.3ORCID,Kruglyakov Andrey Yu.3ORCID,Mikheeva Anna A.4ORCID,Larina Arina R.3ORCID

Affiliation:

1. Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University; Morozovskaya Children’s City Hospital

2. Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery

3. Morozovskaya Children’s City Hospital

4. Research Institute for Healthcare Organization and Medical Management

Abstract

This review article summarizes current data on malnutrition etiology and pathogenesis in infants. Topical requirements for revealing this condition, its diagnosis and severity assessment via centile metrics are presented. The characteristics of the most common clinical phenotypes of postnatal growth insufficiency in infants (premature infants with different degree of maturation, including patients with bronchopulmonary dysplasia) are described. Differential approaches for malnutrition nutritional correction in these children are presented. The final section of the article describes special nutritional needs for children with congenital heart defects in terms of hemodynamic disorders nature and severity. Modern nutritional strategies for preparation of these patients to surgery and for their postoperative period are presented. The use of high-calorie/high-protein product for malnutrition correction in the most vulnerable patients with described in this review phenotypes is worth noticing.

Publisher

Paediatrician Publishers LLC

Subject

Pediatrics, Perinatology and Child Health

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