{"id":1926,"date":"2023-08-09T14:55:15","date_gmt":"2023-08-09T17:55:15","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1926"},"modified":"2023-08-09T14:59:14","modified_gmt":"2023-08-09T17:59:14","slug":"terapia-nutricional-pediatrica","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/terapia-nutricional-pediatrica\/","title":{"rendered":"Por que a terapia nutricional pedi\u00e1trica \u00e9 importante e quais s\u00e3o as diretrizes b\u00e1sicas?"},"content":{"rendered":"<p><strong>\u00c9 natural que as crian\u00e7as sejam mais suscet\u00edveis a quadros de desnutri\u00e7\u00e3o, principalmente no ambiente hospitalar.<\/strong> Al\u00e9m das demandas metab\u00f3licas maiores devido ao per\u00edodo de crescimento, elas contam com menor quantidade de reservas no organismo<sup>1<\/sup>. Em tal contexto, <strong>a avalia\u00e7\u00e3o a respeito da necessidade da introdu\u00e7\u00e3o da terapia nutricional pedi\u00e1trica \u00e9 fundamental nesse perfil de paciente<\/strong>, de acordo com diretrizes espec\u00edficas<sup>2<\/sup>.<\/p>\n<p>A terapia nutricional pedi\u00e1trica diz respeito a recursos como a nutri\u00e7\u00e3o enteral ou parenteral capazes de prover os nutrientes necess\u00e1rios, transitando para o suporte via oral quando poss\u00edvel<sup>2<\/sup>. <strong>A partir disso, \u00e9 poss\u00edvel reduzir o risco de uma s\u00e9rie de complica\u00e7\u00f5es e desfechos negativos atrelados ao estado nutricional inadequado. <\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2>O impacto da desnutri\u00e7\u00e3o em pacientes pedi\u00e1tricos<\/h2>\n<p><strong>Em boa parte dos casos, a instala\u00e7\u00e3o do quadro de <\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/o-impacto-economico-da-desnutricao-relacionada-a-doenca-na-america-latina\/\"><strong>desnutri\u00e7\u00e3o<\/strong><\/a><strong> em pacientes pedi\u00e1tricos est\u00e1 associada a uma doen\u00e7a de base<\/strong>. Al\u00e9m disso, a condi\u00e7\u00e3o pode ser resultado de perda de capacidade de absor\u00e7\u00e3o de determinados nutrientes ou diante da exig\u00eancia de per\u00edodos longos de jejum diante da necessidade de determinado procedimento<sup>2<\/sup>.<\/p>\n<p>Apesar disso, <strong>em muitos casos a introdu\u00e7\u00e3o de qualquer interven\u00e7\u00e3o nutricional \u00e9 protelada, o que faz com que o paciente pedi\u00e1trico gravemente enfermo n\u00e3o receba suporte nos primeiros dias de interna\u00e7\u00e3o<\/strong><sup>3<\/sup>. Com isso, \u00e9 frequente que esses pacientes desnutridos apresentem:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>perda de funcionalidade muscular;<\/li>\n<li>altera\u00e7\u00f5es no trato digestivo;<\/li>\n<li>depress\u00e3o da fun\u00e7\u00e3o imunol\u00f3gica;<\/li>\n<li>aumento no tempo de cicatriza\u00e7\u00e3o.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Levando isso em considera\u00e7\u00e3o<strong>, a desnutri\u00e7\u00e3o em pacientes pedi\u00e1tricos tem correla\u00e7\u00e3o com morbimortalidade, tempo de interna\u00e7\u00e3o, dias em ventila\u00e7\u00e3o e custos hospitalares e \u00e9 um fator de risco isolado para desfechos piores<\/strong><sup>4<\/sup>.<\/p>\n<p>Por isso, a <strong>interven\u00e7\u00e3o de uma equipe multidisciplinar desde os primeiros momentos da admiss\u00e3o no ambiente hospitalar \u00e9 fundamental para evitar danos ao estado nutricional desse perfil de paciente<\/strong>, uma vez que as evid\u00eancias mostram como isso pode contribuir para a preven\u00e7\u00e3o de uma s\u00e9rie de complica\u00e7\u00f5es.<\/p>\n<p>&nbsp;<\/p>\n<p>Leia tamb\u00e9m: <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/lipidios-nutricao-prematuro\/\">Qual a import\u00e2ncia dos lip\u00eddios na nutri\u00e7\u00e3o dos prematuros?<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>A avalia\u00e7\u00e3o da necessidade de terapia nutricional pedi\u00e1trica<\/h2>\n<p><strong>Diante disso, \u00e9 fundamental identificar o risco e o estado nutricional de um paciente pedi\u00e1trico desde o primeiro momento<\/strong>. Dessa forma, a interven\u00e7\u00e3o necess\u00e1ria pode ser iniciada o quanto antes<sup>5<\/sup>. Para isso, a crian\u00e7a deve ser submetida a uma avalia\u00e7\u00e3o nutricional, que identifica se ela est\u00e1 desnutrida ou n\u00e3o. Dados antropom\u00e9tricos e exames laboratoriais de padr\u00f5es bioqu\u00edmicos podem ser empregados para esse fim, apontando inclusive a presen\u00e7a de obesidade<sup>5<\/sup>.<\/p>\n<p>Antes mesmo de falar o estado nutricional e de todos os m\u00e9todos necess\u00e1rios para isso, o paciente pode ser submetido a uma <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/triagem-risco-nutricional\/\">triagem de risco nutricional<\/a><strong>. Mesmo que no momento da admiss\u00e3o ele esteja saud\u00e1vel, o curso da doen\u00e7a pode fazer com ele desenvolva algum grau de desnutri\u00e7\u00e3o<sup>5<\/sup><\/strong>. Dessa forma, \u00e9 poss\u00edvel intervir com a terapia nutricional naqueles com risco mais elevado. Seja como for, existem <a href=\"https:\/\/www.spsp.org.br\/site\/asp\/recomendacoes\/Rec93_SupNutricional.pdf\">diversas ferramentas de avalia\u00e7\u00e3o e triagem nutricional para crian\u00e7as<\/a>. Entre as mais empregadas est\u00e3o<sup>5,6<\/sup>:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Sermet-Gaudelus<\/li>\n<li>PYMS (Paediatric Yorkhill Malnutrition Score)<\/li>\n<li>SGNA (Screening Tool for the Assessment of Malnutrition in Pediatrics)<\/li>\n<li>Strong Kids<\/li>\n<li>STAMP (Screening Tool for the Assesssment of Malnutrition in Pediatrics)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Identificado o risco e o estado nutricional do paciente pedi\u00e1trico \u00e9 poss\u00edvel direcionar a introdu\u00e7\u00e3o da terapia nutricional, seja ela enteral ou<\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/manuseio-nutricao-parenteral-2\/\"><strong> parenteral<\/strong><\/a><strong>.<\/strong> Isso envolve, claro, reconhecer as demandas de energia, prote\u00ednas, lip\u00eddios, eletr\u00f3litos e demais micronutrientes de cada paciente.<\/p>\n<p>Para identificar a <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/calorias-e-proteinas\/\">demanda de calorias,<\/a> por exemplo, pode ser utilizada a calorimetria indireta ou uma das s\u00e9ries de equa\u00e7\u00f5es dispon\u00edveis para esse c\u00e1lculo. Essas f\u00f3rmulas levam em conta a idade, o sexo e o peso da crian\u00e7a, mas cuidado, pois essas equa\u00e7\u00f5es podem superestimar as necessidades nutricionais do paciente<sup>7<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<h2>A introdu\u00e7\u00e3o da terapia nutricional pedi\u00e1trica<\/h2>\n<p>A partir do momento em que a crian\u00e7a \u00e9 incapaz de manter a alimenta\u00e7\u00e3o adequada por via oral no ambiente hospitalar, <strong>a terapia nutricional pode ser iniciada j\u00e1 nas primeiras 48 horas ap\u00f3s a admiss\u00e3o de pacientes graves, desde que eles estejam hemodinamicamente est\u00e1veis<\/strong><sup>2<\/sup>.<\/p>\n<p><strong>Assim como acontece com pacientes de outros perfis, a via enteral deve ser sempre considerada como a de prefer\u00eancia.<\/strong> Embora possa haver limita\u00e7\u00f5es a esse m\u00e9todo, ele tem se mostrado superior em seguran\u00e7a e efic\u00e1cia, uma vez que respeita \u00e0s fun\u00e7\u00f5es digestivas, t\u00eam menor risco de complica\u00e7\u00f5es, n\u00e3o requer assepsia complexa e \u00e9 mais barato<sup>6<\/sup>.<\/p>\n<p><strong>Por outro lado, quando o paciente apresenta o trato digestivo n\u00e3o funcionante, a terapia parenteral \u00e9 a \u00fanica via poss\u00edvel<\/strong><sup>8<\/sup>. Tal constata\u00e7\u00e3o deve levar em conta os riscos dessa alternativa e a necessidade do devido monitoramento para prevenir complica\u00e7\u00f5es. Ademais, \u00e9 recomendado fazer a transi\u00e7\u00e3o para a terapia enteral sempre que ela for capaz de suprir, ao menos, dois ter\u00e7os das necessidades nutricionais estimadas<sup>5<\/sup>.<\/p>\n<p><strong>A terapia nutricional pedi\u00e1trica deve ser encarada como um elemento de rotina em estabelecimentos de sa\u00fade habilitados a tratar pacientes desse perfil, em especial em casos graves, onde o risco de destrui\u00e7\u00e3o cl\u00ednica \u00e9 ainda maior<\/strong>. Desse modo, tal recurso pode contribuir com a evolu\u00e7\u00e3o do quadro da crian\u00e7a, garantindo melhores desfechos.<\/p>\n<p>&nbsp;<\/p>\n<p>Veja tamb\u00e9m<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/nutricao-parenteral-total-parcial\/\"> Quais as diferen\u00e7as entre nutri\u00e7\u00e3o parenteral total e parcial e quando cada uma delas \u00e9 indicada.<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancias:<\/strong><\/p>\n<ol>\n<li>JOOSTEN, Koen FM; HULST, Jessie M. Prevalence of malnutrition in pediatric hospital patients. Current opinion in pediatrics, v. 20, n. 5, p. 590-596, 2008.<\/li>\n<li>MEHTA, Nilesh M. et al. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Journal of Parenteral and Enteral Nutrition, v. 41, n. 5, p. 706-742, 2017. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1177\/0148607117711387\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/full\/10.1177\/0148607117711387<\/a>. Acesso em maio de 2023.<\/li>\n<li>SHANG, Qingjuan et al. The impact of early enteral nutrition on pediatric patients undergoing gastrointestinal anastomosis a propensity score matching analysis. Medicine, v. 97, n. 9, 2018. Dispon\u00edvel em: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5851715\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5851715\/<\/a>. Acesso em maio de 2023.<\/li>\n<li>DE NEEF, Marjorie et al. Nutritional goals, prescription and delivery in a pediatric intensive care unit. Clinical Nutrition, v. 27, n. 1, p. 65-71, 2008. Dispon\u00edvel em: <a href=\"https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(07)00193-8\/fulltext\">https:\/\/www.clinicalnutritionjournal.com\/article\/S0261-5614(07)00193-8\/fulltext<\/a>. Acesso em maio de 2023.<\/li>\n<li>Manual de Suporte Nutricional da Sociedade Brasileira de Pediatria. Org.: Rubens Feferbaum. 2ed. &#8211; Rio de Janeiro: Departamento Cient\u00edfico de Suporte Nutricional da Sociedade Brasileira de Pediatria. \u2013 2020. 243 f. Dispon\u00edvel em: <a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/2a_Edicao_-_jan2021-Manual_Suporte_Nutricional_-.pdf\">https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/2a_Edicao_-_jan2021-Manual_Suporte_Nutricional_-.pdf<\/a>. Acesso em maio de 2023.<\/li>\n<li>CIEZA-YAMUNAQU\u00c9, Liliana Paola. Soporte nutricional en el paciente pedi\u00e1trico cr\u00edtico: Nutritional support in the critical pediatric patient. Revista de la Facultad de Medicina Humana, v. 18, n. 4, p. 1-1, 2018. Dispon\u00edvel em: <a href=\"https:\/\/revistas.urp.edu.pe\/index.php\/RFMH\/article\/view\/1737\">https:\/\/revistas.urp.edu.pe\/index.php\/RFMH\/article\/view\/1737<\/a>. Acesso em maio de 2023.<\/li>\n<li>COPPINI, L. Z., SAMPAIO, H., &amp; MARCO, D. Recomenda\u00e7\u00f5es nutricionais para crian\u00e7as em terapia nutricional enteral e parenteral. Associa\u00e7\u00e3o M\u00e9dica Brasileira e Conselho Federal de Medicina. Projeto Diretrizes, 9, 35-50. Dispon\u00edvel em: <a href=\"https:\/\/amb.org.br\/files\/_BibliotecaAntiga\/recomendacoes_nutricionais_para_criancas_em_terapia_nutricional_enteral_e_parenteral.pdf\">https:\/\/amb.org.br\/files\/_BibliotecaAntiga\/recomendacoes_nutricionais_para_criancas_em_terapia_nutricional_enteral_e_parenteral.pdf<\/a>. Acesso em maio de 2023.<\/li>\n<li>BAPEN. Parenteral Nutrition Formulation. Dispon\u00edvel em: <a href=\"https:\/\/www.bapen.org.uk\/85-nutrition-support\/parenteral-nutrition\">https:\/\/www.bapen.org.uk\/85-nutrition-support\/parenteral-nutrition<\/a>. Acesso em maio de 2023.&nbsp;\n<p>&nbsp;<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9 natural que as crian\u00e7as sejam mais suscet\u00edveis a quadros de desnutri\u00e7\u00e3o, principalmente no ambiente hospitalar. Al\u00e9m das demandas metab\u00f3licas maiores devido ao per\u00edodo de crescimento, elas contam com menor quantidade de reservas no organismo1. Em tal contexto, a avalia\u00e7\u00e3o a respeito da necessidade da introdu\u00e7\u00e3o da terapia nutricional pedi\u00e1trica \u00e9 fundamental nesse perfil de [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":1927,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[47],"tags":[200,76,67,236,143],"class_list":["post-1926","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-4","tag-desnutricao-clinica","tag-nutricao-enteral","tag-nutricao-parenteral","tag-paciente-pediatrico","tag-terapia-nutricional"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A terapia nutricional pedi\u00e1trica pode ser fundamental em pacientes graves<\/title>\n<meta name=\"description\" content=\"Entender e manejar os riscos da desnutri\u00e7\u00e3o cl\u00ednica \u00e9 fundamental tamb\u00e9m em crian\u00e7as. 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