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Journal of Parenteral and Enteral Nutrition
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Malnutrition in Critically III Infants and Children

Murray M. Pollack, M.D.

Departments of Anesthesiology and Child Health and Development, Children's Hospital National Medical Center and George Washington University School of Medicine, Washington, D.C.

Jeannette S. Wiley, R.D.

Departments of Anesthesiology and Child Health and Development, Children's Hospital National Medical Center and George Washington University School of Medicine, Washington, D.C.

Robert Kanter, M.D.

Departments of Anesthesiology and Child Health and Development, Children's Hospital National Medical Center and George Washington University School of Medicine, Washington, D.C.

Peter R. Holbrook, M.D.

Departments of Anesthesiology and Child Health and Development, Children's Hospital National Medical Center and George Washington University School of Medicine, Washington, D.C.

The prevalences of acute and chronic protein-energy malnutrition (PEM) and deficiencies in stores of fat and somatic protein have not been previously examined in a pediatric intensive care unit. One hundred eight nutritional assessments were performed using anthropometric techniques on infants and children in a multidisciplinary intensive care unit. Overall, the prevalence of acute PEM was 19% and chronic PEM was 18%. The prevalence of fat store depletion was 14% and somatic protein store depletion was 21%. In general, children <2 years had poorer nutritional status compared to children ≥2 years. There was not a statistically significant difference between medical and surgical patients. It is concluded that PEM and deficiencies in the macronutrient stores of fat and somatic protein are common in critically ill infants and children.

Journal of Parenteral and Enteral Nutrition, Vol. 6, No. 1, 20-24 (1982)
DOI: 10.1177/014860718200600120
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