1. Improvements in body mass index of children with cystic fibrosis following implementation of a standardized nutritional algorithm: A quality improvement project
- Author
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Yasemin Gokdemir, Ela Erdem Eralp, Almala Pinar Ergenekon, Cansu Yilmaz Yegit, Muruvvet Yanaz, Hakan Mursaloglu, Burcu Uzunoglu, Damla Kocamaz, Gamze Tastan, Amy Filbrun, Catherine Enochs, Sandra Bouma, Courtney Iwanicki, Fazilet Karakoc, Samya Z. Nasr, Bulent Karadag, and GÖKDEMİR Y., ERDEM ERALP E., ERGENEKON A. P., YILMAZ YEĞİT C., Yanaz M., Mursaloglu H., Uzunoglu B., Kocamaz D., Tastan G., Filbrun A., et al.
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Pulmonary and Respiratory Medicine ,MEDICAL-PRACTICE ,body mass index ,Sağlık Bilimleri ,Pediatrics ,Clinical Medicine (MED) ,Çocuk Sağlığı ve Hastalıkları ,Child Health and Diseases ,SOLUNUM SİSTEMİ ,cystic fibrosis ,children ,Respiratory Care ,Health Sciences ,Klinik Tıp (MED) ,Chest Diseases and Allergy ,Pediatri, Perinatoloji ve Çocuk Sağlığı ,OUTCOMES ,Internal Medicine Sciences ,Klinik Tıp ,RESPIRATORY SYSTEM ,OF-LIFE ,Dahili Tıp Bilimleri ,Göğüs Hastalıkları ve Allerji ,CLINICAL MEDICINE ,Tıp ,nutrition ,Pediatri ,HEALTH-CARE ,Pediatrics, Perinatology and Child Health ,Akciğer ve Solunum Tıbbı ,PATTERNS ,Medicine ,PEDİATRİ ,Solunum Bakımı - Abstract
BackgroundA collaboration between the University of Michigan (UM) Cystic Fibrosis Center (CFC) and Marmara University (MU) CFC was initiated in MU through conducting Quality Improvement projects (QIP). The global aim was to improve nutritional status of children with CF (cwCF), with a specific aim to increase the mean BMI percentile (BMIp) for cwCF by 10 percentile points in 12 months. MethodsBody mass index (BMI) percentiles of cwCF were categorized as: nutritionally adequate (BMIp >= 50%); at risk (BMIp 25%-49%); urgently at risk (BMIp 10%-25%); critically at risk (BMIp < 10%). Appropriate interventions were made according to BMIp category every three months. Forced expiratory volume in one-second percent predicted (FEV1pp), and health-related quality of life (HRQoL) were evaluated. ResultsOne hundred and eight-two cwCF with a mean age of 9.1 +/- 4.3 years were included in the project. Baseline BMIp increased from 25.6 to 37.2 at the 12th month (p < 0.001). In the critically at-risk group BMIp increased from 3.6 to 20.5 (p < 0.001), in the urgently at risk group from 15.9 to 30.8 (p < 0.001), in the at risk group from 37.0 to 44.2 (p < 0.079) and in the nutritionally adequate group the increase was from 66.8 to 69.5 (p < 0.301). FEV1pp also improved significantly, from 81.3 +/- 20.6 to 85.9 +/- 20.8 (p < 0.001). Physical functioning, eating problems, and respiratory symptoms domains of the HRQoL evaluation improved (p < 0.05). ConclusionThis project has led to significant improvements in BMIp, FEV1pp and HRQoL of cwCF; similar projects could easily be implemented by centers in other developing countries.
- Published
- 2023
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