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Quality of Life Research

, Volume 25, Issue 4, pp 969–977

First Online: 11 September 2015Accepted: 02 September 2015DOI: 10.1007-s11136-015-1130-4

Cite this article as: Joosten, K., van der Velde, K., Joosten, P. et al. Qual Life Res 2016 25: 969. doi:10.1007-s11136-015-1130-4

Abstract

PurposeIn hospitalized children with a chronic disease, malnutrition was associated with a lower subjective health status. In outpatient children with a chronic disease attending special schools, this association has never been studied. The aim of this study was to assess the association between nutritional status and subjective health status in chronically ill children attending special schools.

MethodsOverall, 642 children, median age 9.8 years IQR 7.7–11.5, 60 % male, 72 % Caucasian, were included in this prospective study in nine special schools for chronically ill children in the Netherlands. Overall malnutrition was assessed as: acute malnutrition <−2 SDS for weight for height WFH and chronic malnutrition <−2 SDS for height for age. The malnutrition risk was assessed with the nutritional risk-screening tool STRONGkids. Subjective health status was assessed with EQ-5D.

ResultsOverall, 16 % of the children had overall malnutrition: 3 % acute and 13 % chronic malnutrition. Nurses reported ‘some-severe problems’ on the health status dimensions mobility 15 %, self-care 17 %, usual activities 19 %, pain-discomfort 22 %, and anxiety-depression 22 % in chronically ill children. Their mean visual analogue scale score VAS was 73.0 SD 11.1. Malnutrition, medication usage, and younger age explained 38 % of the variance of the VAS score.

ConclusionsThe presence of overall malnutrition in chronically ill children attending special schools was associated with lower subjective health status, especially in younger children and in those with chronic medication usage. Therefore, it is important to develop and use profile-screening tools to identify these children.

KeywordsPrevalence malnutrition Chronic disease Subjective health status Paediatrics Quality of life Nutritional status Electronic supplementary materialThe online version of this article doi:10.1007-s11136-015-1130-4 contains supplementary material, which is available to authorized users.

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Autor: Koen Joosten - Kelly van der Velde - Pieter Joosten - Hans Rutten - Jessie Hulst - Karolijn Dulfer

Fuente: https://link.springer.com/







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