Protein-energy malnutrition in children. Principles of nutritional support

Learn to recognize protein-energy malnutrition in a child at an early stage and to build nutritional support that restores normal growth and development.

48academic hours

Advancedlevel

Distance learningmode of study

Course curriculum

Definition of protein-energy malnutrition (PEM). Types of protein-energy malnutrition
Malnutrition in childhood
Consequences of growth retardation and weight deficiency
Malnutrition
Classification according to ICD-10
Clinical classification of protein-energy malnutrition. Factors predisposing to protein-energy malnutrition. Main links of pathogenesis
Types of PEM classes: prenatal, postnatal, IUGR
Severity degrees
Etiology
Causes of PEM development
Criteria for adequacy and sufficiency of nutrition. Clinical presentation of protein-energy malnutrition
Assessment methods: main criteria
Syndromes in protein-energy malnutrition (PEM)
Severity degrees of protein-energy malnutrition
Clinical presentation at various degrees of PEM
Nutritional screening. Calculation of nutritional requirements
What is nutritional screening?
Anthropometry
WHO analyzer: anthropometric calculator for assessing children's growth and development
Calculation of Z-scores
Calculation of body length with pathological positions and deformities of the musculoskeletal system based on the length of limb segments
Laboratory and instrumental studies
How to perform the calculation correctly and what data are needed
Coefficients for calculation
Diet therapy in protein-energy malnutrition. Pharmacological correction in protein-energy malnutrition
Stages of diet therapy
Characteristics of the stages
Enteral nutrition
Organization of enteral nutrition
Methods of administration
Therapeutic formulas and classification
Criteria for diet therapy
Drug correction: types of tests, types of medications
Calculation of nutritional requirements
Analysis of a clinical case using a calculator to assess children's growth and development, nutrition analysis, calculation of calories/proteins/fats/carbohydrates and fluids at various age periods

Hypotrophy in a child is often masked as "just skinny" — and lost time turns into growth retardation, immunodeficiency and prolonged recovery after illness. In the course you will examine the diagnosis of protein-energy malnutrition by modern criteria and master a step-by-step algorithm for calculating nutritional support tailored to the specific patient.

The material is built on clinical case analyses and current guidelines, so after the training you will confidently select formulas, dosages and monitor the dynamics, without fearing refeeding syndrome and other complications.

Maloletnikova Irina Mikhailovna

Pediatrician, member of the Union of Pediatricians

Pediatrician of the first qualification category, member of the Union of Pediatricians of Russia, combining clinical practice with research and teaching. Author of more than 65 educational, methodological and scientific works, which makes her a valuable mentor for learners in the field of pediatrics.

Maloletnikova Irina Mikhailovna — pediatrician of the first qualification category in the qualification "Physician". Member of the Union of Pediatricians of Russia.

Education

2003–2009 — EI "Gomel State Medical University", specialty "General Medicine"
2009–2010 — internship in pediatrics at HCI "Gomel Regional Children's Clinical Hospital"
2012–2015 — clinical residency, Department of Pediatrics, EI "Gomel State Medical University"

Scientific activity

Author of more than 65 published works of an educational-methodical and scientific nature, of which 6 are in peer-reviewed journals
Supervisor of more than 5 student scientific publications

Awards

2017 — Letter of Gratitude from the educational institution "Gomel State Medical University"
2023 — Certificate of Honor from the educational institution "Gomel State Medical University"

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