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- MakaleAçık Erişim2026Scopus SJRQ1Assessment of malnutrition in hospitalized children: Comparison of stamp, PYMS and strong-kids screening tools
Mutlu, Elif; Köktürk, Seda Nur; Ersoy Söke, Nursena; Yardımcı, Hülya
Aim Early identification of malnutrition risk in hospitalized children is essential for timely nutritional intervention. This study aims diagnostic performance of three pediatric malnutrition screening tools validated in Turkish: STAMP, PYMS, and STRONG-Kids. Methods In this cross-sectional study, 148 hospitalized children were included. Nutritional risk was evaluated using STAMP, PYMS, and STRONG-Kids screening tools. Anthropometric measurements were performed, and height-for-age, Body Mass Index (BMI)-for-age, and Middle Upper Arm Circumference (MUAC)-for-age z-scores were calculated. The sensitivity and specificity of each tool were assessed in identifying chronic and acute malnutrition. Receiver operating characteristic (ROC) curve analysis was used to assess the discriminative ability of the screening tools. Results Chronic malnutrition was identified in 12.8% of patients and acute malnutrition in 15.5%. STAMP and STRONG-Kids showed the highest sensitivity for detecting chronic malnutrition (84.2% and 84.3%), while PYMS had the highest specificity. STRONG-Kids demonstrated the greatest sensitivity for acute malnutrition and low MUAC z-scores (100.0%). ROC analysis showed that PYMS had the highest Area Under the Curve (AUC) for acute malnutrition, whereas STRONG-Kids had the highest AUC for chronic malnutrition, although all tools demonstrated limited discriminative ability for chronic malnutrition. Conclusion STAMP and STRONG-Kids were more sensitive in detecting malnutrition risk, whereas PYMS showed higher specificity. Tool performance varied according to anthropometric indicators. Implications to practice In clinical practice, selecting the screening tool according to the targeted malnutrition type and available anthropometric indicators may improve early detection and allow more effective prioritization of nutritional interventions in hospitalized children.
- MakaleYayıncıda açık erişim2024EVALUATION OF NUTRITIONAL PREFERENCES OF SCHOOL-AGE CHILDREN AND PARENTS ATTITUDES TOWARDS CHILD NUTRITION: A CROSS-SECTIONAL STUDY; [AVALIAÇÃO DAS PREFERÊNCIAS NUTRICIONAIS DAS CRIANÇAS EM IDADE ESCOLAR E DAS ATITUDES DOS PAIS EM RELAÇÃO À NUTRIÇÃO INFANTIL: UM ESTUDO TRANSVERSAL]; [EVALUACIÓN DE LAS PREFERENCIAS NUTRICIONALES DE LOS NIÑOS EN EDAD ESCOLAR Y ACTITUDES DE LOS PADRES HACIA LA NUTRICIÓN INFANTIL: UN ESTUDIO TRANSVERSAL]
Taşci, Seda Çelikel; Kırbaş, Zila Özlem; Erkılıç, Tuğçe Orkun; Demir, Demet
Objective: This study aimed to examine the nutrition of school-age children and the influence of their parents. Method: The study involved 259 school-age children aged 9-12 and their volunteering parents from a province in Türkiye. A questionnaire was administered to the children questioning sociodemographic data and basic nutritional information, anthropometric measurements were taken, and the Parent Mealtime Action Scale was applied to their parents. The obtained data were analyzed in SPSS 26 program. Results: It was found that the snack consumption status of children was related to the income status of the family's daily fruit and vegetable consumption (p<0.01). It has been found that animal fat restricted diet is associated with growth status in children (p<0.01). It has been determined that the children's eating situation is related to the persistent behavior of parents (p<0.05). It has been found that children who do not consume chips at all are also fed restricted animal fats in their daily diet. It was determined that bagel/cereal consumption was also excessive in children in whom rewarding was applied excessively (p<0.05). Conclusion: As a result, it was determined that school-age children's own preferences in food choices, as well as the parent's behavior and educational status, and the family's income level also have a significant impact. It is thought that it will be beneficial to provide nutrition education to parents and children in order to develop the right eating habits in school-age children and to increase the level of nutrition knowledge.
