Your browser doesn't support javascript.
loading
Effects of a hospital-based food security programme for children with complex diseases in an upper-middle-income country: a before-and-after study.
Gómez-Casas, Ángela María; Gempeler, Andrés; Montoya, Diana; González, Luisa Fernanda; Prada, Sergio I; Escobar, Luis Alberto; Madriñán, Jorge Mario; Granados, Marcela.
Afiliação
  • Gómez-Casas ÁM; Unidad de Apoyo y Responsabilidad Civil, Fundación Valle del Lili, Cali, Colombia.
  • Gempeler A; Centro de Investigaciones Clínicas, Fundacion Valle del Lili, Cali, Colombia.
  • Montoya D; Nutrición Médica, Fundacion Valle del Lili, Cali, Colombia.
  • González LF; Unidad de Apoyo y Responsabilidad Civil, Fundación Valle del Lili, Cali, Colombia.
  • Prada SI; Subdirector de Investigación e Innovación, Fundacion Valle del Lili, Cali, Colombia sergio.prada@fvl.org.co.
  • Escobar LA; Centro PROESA, Universidad Icesi, Cali, Colombia.
  • Madriñán JM; Subdirector de Educación, Fundacion Valle del Lili, Cali, Colombia.
  • Granados M; Subdirector Médico, Fundacion Valle del Lili, Cali, Colombia.
BMJ Paediatr Open ; 8(1)2024 Sep 05.
Article em En | MEDLINE | ID: mdl-39242119
ABSTRACT

BACKGROUND:

To reduce health inequities in paediatric patients with complex diseases, our hospital developed a food security programme in 2022. The programme aims to mitigate food insecurity (FI) in paediatric patients with oncological, transplantation and congenital cardiovascular diagnoses, by providing a monthly nutritious food supply that covers up to 50% of the patient's family food intake, accompanied by social and nutritional follow-up. In this study, we aimed to assess the effect of the programme on FI and nutritional status and describe its implementation.

METHOD:

We conducted a before-and-after study of patients who entered the programme in a 14-month period. We used the Escala Latinoamericana y Caribeña de Seguridad Alimentaria (ELCSA) scale score, FI level and nutritional status measures to assess the effect of the programme. We used the Wilcoxon and McNemar tests to assess changes in scores and proportions of patients with moderate and severe FI, respectively, 31.5%-14.4% (p=0.0008) and of moderate FI from 68.5% to 36.9%.

RESULTS:

111 patients were included. They had a baseline median (IQR) ELCSA score=8 (7-11) that changed to 6 (4-9) (p<0.0001). Severe FI according to ELCSA changed from 31.5% to 14.4% (p<0.001) and moderate from 68.5% to 36.9% (p<0.001). We found no differences in nutritional status regarding height for age (49.5% vs 51.3%, p=0.76), weight for height (42.5% vs 59.1%, p=0.75) or body mass index for age (38% vs 46%, p=0.42)

CONCLUSION:

The programme reduced FI in families by improving its level to mild or moderate. Children who entered the programme maintained an appropriate nutritional status despite the considerable risk of malnutrition described for oncological paediatric patients and paediatric solid organ transplantation receptors.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Segurança Alimentar Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: BMJ Paediatr Open Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Segurança Alimentar Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: BMJ Paediatr Open Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Reino Unido