Child abuse is a serious problem that is of great concern to the medical profession. The nutritional status of 28 children with suspected abuse was determined by anthropometric measures, biochemical values, and dietary intake analysis in a hospital setting, Measurements of height, weight, head circumference, arm circumference, and triceps skinfold were performed by the authors. Hemoglobin values and the results of an erythrocyte protoporphyrin blood test for lead levels were obtained and recorded from the medical chart. Dietary intakes for a three-day period of time during hospitalization were analyzed for protein, calories, zinc, calcium, magnesium, phosphorous, iron, thiamine, riboflavin, niacin, and vitamins A, C, D. Children in this study revealed: 75% of heights and weights were below the 50th percentile, 43% of head circumferences were below the mean, and triceps skinfolds and hemoglobin values were below the mean. Lead levels were high in 36% of the children. Seven children who were sexually abused had higher heights, weights and hemoglobin values than those children who were physically abused. For all the children, the hemoglobin values and the amount of vitamin D and zinc in the diets were significantly below and protein significantly higher than normal values while in the hospital. Weights and triceps skinfolds were significantly below established standards for children who were physically abused. This study indicates that children who are physically abused may be at nutritional risk upon admission to the hospital and require a nutritional assessment by a dietitian as a member of the hospital child abuse team.
Learning Objectives: At the conclussion of the session, the participant(learner)in this session will be able to: 1. List three reasons why children who are physically abused are at nutritional risk. 2. Determine the measuring tools for nutritional assessment with this population. 3. Determine why a nutritionist should be a member of the Child Abuse Team
Keywords: Child Health, Nutrition
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.