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Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta

Assessment A 5-year-11-month-old Malay girl with Osteogenesis Imperfecta (01) type I, presented with recurrent fractures, blue sclera, and deformed teeth, was referred for personalised individual nutrition counselling as part of a multidisciplinary treatment plan. Staying with her family, she is car...

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Main Authors: Ing, C.L.T., Ying, C.Y., Amira Nadiah, A.B.
Format: Conference or Workshop Item
Language:English
English
Published: 2021
Subjects:
R Medicine (General)
RJ101 Child Health. Child health services
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spelling my-unisza-ir.43982022-01-10T08:13:36Z http://eprints.unisza.edu.my/4398/ Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta Ing, C.L.T. Ying, C.Y. Amira Nadiah, A.B. R Medicine (General) RJ101 Child Health. Child health services Assessment A 5-year-11-month-old Malay girl with Osteogenesis Imperfecta (01) type I, presented with recurrent fractures, blue sclera, and deformed teeth, was referred for personalised individual nutrition counselling as part of a multidisciplinary treatment plan. Staying with her family, she is cared for full-time by her mother. Being the 4th child among 5 siblings, she has no family history of chronic diseases or bony deformities. Born following a full-term pregnancy by spontaneous vaginal delivery with a normal birth weight (3.6kg), the patient experienced failure to thrive (FTT). During the consultation, height (102cm) and weight (14.9kg) showed a slight improvement but were still under the 3rd percentile based on the WHO growth chart. No latest biochemical and clinical data were available. The dietary assessment shows compliances towards previous recommendations with an estimated intake of energy (1663kca1/day), protein (50g/day), and calcium (1053mg/day) all meeting at least 80% of requirements. Diagnosis Her diagnoses include increased nutrient needs (energy and protein) (NI-5.1) related to increased demand due to FTT and 01 as evidence by energy and protein requirement of 100kcal/kg and 3.0g/kg respectively and growth rate below expectation (NC-3.5) related to the physical impetus for increased nutrient needs (FTT and 01) and decreased ability to consume sufficient energy due to deformed teeth as evidence by length and weight-for-age below 3rd percentile of WHO growth chart. Intervention The patient was re-emphasized on high caloric, high protein diet with adequate calcium and Vitamin D intake to achieve adequate energy protein intake while promoting healthy height and weight gain. Monitoring & Evaluation A follow-up 2 weeks post-consultation shows improvement where all requirements were met (100%). She was encouraged to continue with high caloric, protein, and calcium meals. Lifelong good nutrition is important for a patient with a genetic disorder to grow and develop normally while preventing health complications and improving life qualities. 2021 Conference or Workshop Item PeerReviewed image en http://eprints.unisza.edu.my/4398/1/FH03-FSK-21-54438.jpeg image en http://eprints.unisza.edu.my/4398/2/FH03-FSK-21-54439.png Ing, C.L.T. and Ying, C.Y. and Amira Nadiah, A.B. (2021) Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta. In: 26th Malaysian Dietitians' Association, 20-21 Jun 2021, Virtual Conference.
institution Universiti Sultan Zainal Abidin
building UNISZA Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sultan Zainal Abidin
content_source UNISZA Institutional Repository
url_provider https://eprints.unisza.edu.my/
language English
English
topic R Medicine (General)
RJ101 Child Health. Child health services
spellingShingle R Medicine (General)
RJ101 Child Health. Child health services
Ing, C.L.T.
Ying, C.Y.
Amira Nadiah, A.B.
Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta
description Assessment A 5-year-11-month-old Malay girl with Osteogenesis Imperfecta (01) type I, presented with recurrent fractures, blue sclera, and deformed teeth, was referred for personalised individual nutrition counselling as part of a multidisciplinary treatment plan. Staying with her family, she is cared for full-time by her mother. Being the 4th child among 5 siblings, she has no family history of chronic diseases or bony deformities. Born following a full-term pregnancy by spontaneous vaginal delivery with a normal birth weight (3.6kg), the patient experienced failure to thrive (FTT). During the consultation, height (102cm) and weight (14.9kg) showed a slight improvement but were still under the 3rd percentile based on the WHO growth chart. No latest biochemical and clinical data were available. The dietary assessment shows compliances towards previous recommendations with an estimated intake of energy (1663kca1/day), protein (50g/day), and calcium (1053mg/day) all meeting at least 80% of requirements. Diagnosis Her diagnoses include increased nutrient needs (energy and protein) (NI-5.1) related to increased demand due to FTT and 01 as evidence by energy and protein requirement of 100kcal/kg and 3.0g/kg respectively and growth rate below expectation (NC-3.5) related to the physical impetus for increased nutrient needs (FTT and 01) and decreased ability to consume sufficient energy due to deformed teeth as evidence by length and weight-for-age below 3rd percentile of WHO growth chart. Intervention The patient was re-emphasized on high caloric, high protein diet with adequate calcium and Vitamin D intake to achieve adequate energy protein intake while promoting healthy height and weight gain. Monitoring & Evaluation A follow-up 2 weeks post-consultation shows improvement where all requirements were met (100%). She was encouraged to continue with high caloric, protein, and calcium meals. Lifelong good nutrition is important for a patient with a genetic disorder to grow and develop normally while preventing health complications and improving life qualities.
format Conference or Workshop Item
author Ing, C.L.T.
Ying, C.Y.
Amira Nadiah, A.B.
author_facet Ing, C.L.T.
Ying, C.Y.
Amira Nadiah, A.B.
author_sort Ing, C.L.T.
title Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta
title_short Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta
title_full Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta
title_fullStr Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta
title_full_unstemmed Nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta
title_sort nutritional management for failure to thrive in patient with underlying osteogenesis imperfecta
publishDate 2021
url http://eprints.unisza.edu.my/4398/1/FH03-FSK-21-54438.jpeg
http://eprints.unisza.edu.my/4398/2/FH03-FSK-21-54439.png
http://eprints.unisza.edu.my/4398/
_version_ 1724079334689341440
score 13.211869

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