# Evaluation of malnutrition risk screening in hospitalized children with digestive system diseases—a single-center cross-sectional study

**Authors:** Xiaoyu Li, Yu Zou, Jing Zuo, Tian Xu, Huilin Zeng, Ruiju Ou, Dongling Dai

PMC · DOI: 10.3389/fped.2025.1598962 · Frontiers in Pediatrics · 2025-07-17

## TL;DR

This study evaluates malnutrition risk in hospitalized children with digestive diseases and finds that over half are at risk, emphasizing the need for early nutritional support.

## Contribution

The study provides empirical evidence on malnutrition risk prevalence and its association with clinical outcomes in children with digestive diseases.

## Key findings

- 53.17% of hospitalized children with digestive diseases were at malnutrition risk.
- 13.67% were classified as high malnutrition risk.
- High malnutrition risk was significantly associated with disease type, nutritional support rates, and clinical outcomes.

## Abstract

This study aimed to assess the malnutrition risk of hospitalized children with digestive system diseases and provide evidence for clinical nutritional support.

In this single-enter cross-sectional study, the modified pediatric malnutrition risk screening tool was used to assess the malnutrition risk of pediatric patients hospitalized for digestive system diseases from January 2024 to June 2024. The screening was carried out within 24 h after admission, and scores ≥4 and <4 were considered as high risk of malnutrition and non-high risk of malnutrition, respectively. We collected the data from all children, including age, gender, malnutrition risk, nutritional support, and clinical outcomes. SPSS software package (version 23.0) was used for data processing.

A total of 1,200 children aged 1 month to 18 years were included in this study. The incidence of malnutrition risk in all hospitalized children was 53.17%, and the percentage of high malnutrition risk was 13.67%. There was a significant difference in the incidence of high malnutrition risk between different diseases (P < 0.01). The difference in nutritional support rate (P < 0.05) and outcomes (P < 0.05) was also significant in patients with different degrees of malnutrition risk.

Timely, standardized, and comprehensive nutritional assessment is of crucial importance for reasonable nutritional interventions to improve clinical outcomes in children with high malnutrition risk.

## Full-text entities

- **Diseases:** infection (MESH:D007239), infectious diseases (MESH:D003141), digestive diseases (MESH:D004066), esophageal stenosis (MESH:D004940), edema (MESH:D004487), inflammatory bowel disease (MESH:D015212), ascites (MESH:D001201), Anorexia nervosa (MESH:D000856), deaths (MESH:D003643), chronic gastritis (MESH:D005756), weight loss (MESH:D015431), pleural effusion (MESH:D010996), nutritional disorders (MESH:D009748), autoimmune function (MESH:D020275), chronic gastroenteritis (MESH:D005759), gastrointestinal dysfunction (MESH:D005767), wasting diseases (MESH:D019282), Malnutrition (MESH:D044342)
- **Chemicals:** amino acid (MESH:D000596), glucose (MESH:D005947)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

27 references — full list in the complete paper: https://tomesphere.com/paper/PMC12310567/full.md

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Source: https://tomesphere.com/paper/PMC12310567