Evaluación del estado nutricional y riesgo nutricional en pacientes pediátricos hospitalizados en el Hospital Apoyo Iquitos, mayo-julio 2024

• Autores: Escudero Rios, Katerin Alexandra, Vasquez Mora, Mercedes Priscilla
• Formato: tesis de grado
• Fecha de Publicación: 2025
• Institución: Universidad Nacional De La Amazonía Peruana
• Repositorio: UNAPIquitos-Institucional
• Lenguaje: español
• OAI Identifier: oai:repositorio.unapiquitos.edu.pe:20.500.12737/12578
• Enlace del recurso: https://hdl.handle.net/20.500.12737/12578
• Nivel de acceso: acceso abierto
• Materia: Estado nutricional; Riesgo nutricional; STRONG Kids; Pediatría hospitalaria; Región amazónica; https://purl.org/pe-repo/ocde/ford#3.03.04

Malnutrition in hospitalized pediatric populations constitutes a global public health problem with prevalences ranging from 6% to 40% across different contexts, being particularly relevant in the Peruvian Amazon region where specific socioeconomic, epidemiological, and cultural factors converge. The objective was to determine the association between nutritional status evaluated through WHO-standardized anthropometric indicators and nutritional risk assessed using the STRONG Kids tool in pediatric patients hospitalized at Hospital de Apoyo Iquitos. An observational, analytical, cross-sectional, prospective study was conducted during May-July 2024. The sample included 111 patients aged 1 month to 17 years hospitalized for more than 24 hours, selected through census sampling and evaluated using anthropometric indicators weight/age, height/age, weight/height, and BMI/age according to age groups, and the STRONG Kids tool applied within the first 24-48 hours of hospitalization. Results showed predominance of younger infants (44.14%) and respiratory diseases as the main cause of hospitalization (54.95%). Nutritional status revealed 42.34% malnutrition distributed as acute malnutrition (22.52%), chronic malnutrition (11.71%), overweight (6.31%), and obesity (1.80%). Nutritional risk assessment using STRONG Kids identified 96.4% of patients with some level of risk: high (59.5%), moderate (36.9%), and low (3.6%). Association analysis revealed absence of statistically significant correlation between both variables (Cramer's V=0.143, p=0.335). It is concluded that anthropometric nutritional status and nutritional risk according to STRONG Kids constitute independent dimensions of pediatric hospital nutritional assessment in the Amazon context, requiring complementary implementation of both tools for comprehensive nutritional evaluation in pediatric services.