Assessment of Japanese healthy children’s nutritional status using Waterlow classification英文文献资料.docVIP

Vol.4, No.11, 1036-1040 (2012) Health /10.4236/health.2012.411158 Assessment of Japanese healthy children’s nutritional status using Waterlow classification* Yukie Higashiyama, Masaru Kubota , Satoko Oshima, Marie Mibu, Yuka Yasui, Ayako Nagai # Department of Human Life and Environment, Nara Women’s University, Nara, Japan; Corresponding Author: masaru_kubota@chime.ocn.ne.jp # Received 14 September 2012; revised 17 October 2012; accepted 22 October 2012 ABSTRACT of nutrients may increase morbidity or mortality. Several investigators have reported on malnutrition and a risk of under-nutrition such as wasted or stunted condition or overweight in both hospitalized general patients [1-3] and those with specific disorders [4,5]. Since under- nutrition and disease interact with each other adversely, adequate and prompt nutritional supports are required. There are several methods for evaluating a patient’s nutritional status, including anthropometric measure- ments, dietary intake, biochemical parameters, and resting energy expenditure [6-8]. In hospitalized children, there is a good chance to use all of these measures; however, in healthy children, especially as a large cohort, it is difficult to perform these methods, except for anthropometric measures. Among several anthropometric measures, height-for-age (H/A) and weight-for-height (W/H) have been widely used in various clinical settings. H/A and W/H were first presented by Gomez et al. in 1956 [9] and by Waterlow in 1972 [10], respectively. Later, Waterlow put the two measures together and defined H/A as an indicator for chronic nutritional status and W/H as an indicator for acute nutritional status [11]. Therefore, both measures are often called “Waterlow classification” in the literature. Waterlow classification has been widely used in hospitalized children for evaluating nutr