PEDIATRIC MALNUTRITION INDICATORS MALNUTRITION CHARACTERISTICS Academy/ASPEN Clinical Characteristics
that the RDN Can Obtain and Document to Support a Diagnosis of Malnutrition
Clinical Characteristic
Malnutrition in the Context of Acute Illness or Injury
MODERATE
Energy Intake Malnutrition is the result of inade- quate food and nutrient intake or assimilation, thus recent intake com- pared to estimated requirements is a primary criterion defining malnutri- tion. The RDN obtains or reviews the food and nutrition history, estimates optimum energy needs, compares them with estimates of energy con- sumed, and reports inadequate intake as a percentage of estimated energy requirements over time.
Interpretation of Weight Loss The RDN evaluates weight in light of other clinical findings, including the presence of under- or over-hydra- tion. The RDN assesses weight change over time reported as a percentage of weight lost from baseline.
MALNUTRITION <75% of
estimated energy requirement for >7 days
SEVERE
MALNUTRITION ≤50% of
estimated energy requirement for ≥5 days
Malnutrition in the Context of Chronic Illness
MODERATE
MALNUTRITION <75% of
estimated energy requirement for ≥1 month
SEVERE
MALNUTRITION ≤75% of
estimated energy requirement for ≥1 month
Malnutrition in the Context of Social or Environmental Circumstances
MODERATE
MALNUTRITION <75% of
estimated energy requirement for ≥3 months
SEVERE
MALNUTRITION ≤50% of
estimated energy requirement for ≥1 month
1
% time 1-2 1 week 5 1 month 7.5 3 months
% time >2 1 week >5 1 month >7.5 3 months
% time 5 1 month 7.5 3 months 10 6 months
20 1 year
% time >5 1 month >7.5 3 months >10 6 months
>20 1 year
% time 5 1 month 7.5 3 months 10 6 months
20 1 year
% time >5 1 month >7.5 3 months >10 6 months
>20 1 year
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