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Improvements in body mass index of children with cystic fibrosis following implementation of a standardized nutritional algorithm: A quality improvement project

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dc.contributor.authorGÖKDEMİR, YASEMİN
dc.contributor.authorERDEM ERALP, ELA
dc.contributor.authorERGENEKON, ALMALA PINAR
dc.contributor.authorYILMAZ YEĞİT, CANSU
dc.contributor.authorKARADAĞ, BÜLENT TANER
dc.contributor.authorsGÖKDEMİR Y., ERDEM ERALP E., ERGENEKON A. P., YILMAZ YEĞİT C., Yanaz M., Mursaloglu H., Uzunoglu B., Kocamaz D., Tastan G., Filbrun A., et al.
dc.date.accessioned2023-04-17T08:14:17Z
dc.date.available2023-04-17T08:14:17Z
dc.date.issued2023-03-01
dc.description.abstractBackgroundA collaboration between the University of Michigan (UM) Cystic Fibrosis Center (CFC) and Marmara University (MU) CFC was initiated in MU through conducting Quality Improvement projects (QIP). The global aim was to improve nutritional status of children with CF (cwCF), with a specific aim to increase the mean BMI percentile (BMIp) for cwCF by 10 percentile points in 12 months. MethodsBody mass index (BMI) percentiles of cwCF were categorized as: nutritionally adequate (BMIp >= 50%); at risk (BMIp 25%-49%); urgently at risk (BMIp 10%-25%); critically at risk (BMIp < 10%). Appropriate interventions were made according to BMIp category every three months. Forced expiratory volume in one-second percent predicted (FEV1pp), and health-related quality of life (HRQoL) were evaluated. ResultsOne hundred and eight-two cwCF with a mean age of 9.1 +/- 4.3 years were included in the project. Baseline BMIp increased from 25.6 to 37.2 at the 12th month (p < 0.001). In the critically at-risk group BMIp increased from 3.6 to 20.5 (p < 0.001), in the urgently at risk group from 15.9 to 30.8 (p < 0.001), in the at risk group from 37.0 to 44.2 (p < 0.079) and in the nutritionally adequate group the increase was from 66.8 to 69.5 (p < 0.301). FEV1pp also improved significantly, from 81.3 +/- 20.6 to 85.9 +/- 20.8 (p < 0.001). Physical functioning, eating problems, and respiratory symptoms domains of the HRQoL evaluation improved (p < 0.05). ConclusionThis project has led to significant improvements in BMIp, FEV1pp and HRQoL of cwCF; similar projects could easily be implemented by centers in other developing countries.
dc.identifier.citationGÖKDEMİR Y., ERDEM ERALP E., ERGENEKON A. P., YILMAZ YEĞİT C., Yanaz M., Mursaloglu H., Uzunoglu B., Kocamaz D., Tastan G., Filbrun A., et al., "Improvements in body mass index of children with cystic fibrosis following implementation of a standardized nutritional algorithm: A quality improvement project", PEDIATRIC PULMONOLOGY, 2023
dc.identifier.doi10.1002/ppul.26344
dc.identifier.issn8755-6863
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/36747482/
dc.identifier.urihttps://hdl.handle.net/11424/288723
dc.language.isoeng
dc.relation.ispartofPEDIATRIC PULMONOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectÇocuk Sağlığı ve Hastalıkları
dc.subjectGöğüs Hastalıkları ve Allerji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectChild Health and Diseases
dc.subjectChest Diseases and Allergy
dc.subjectHealth Sciences
dc.subjectPEDİATRİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectSOLUNUM SİSTEMİ
dc.subjectPEDIATRICS
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectRESPIRATORY SYSTEM
dc.subjectSolunum Bakımı
dc.subjectPediatri
dc.subjectAkciğer ve Solunum Tıbbı
dc.subjectPediatri, Perinatoloji ve Çocuk Sağlığı
dc.subjectRespiratory Care
dc.subjectPediatrics
dc.subjectPulmonary and Respiratory Medicine
dc.subjectPediatrics, Perinatology and Child Health
dc.subjectbody mass index
dc.subjectchildren
dc.subjectcystic fibrosis
dc.subjectnutrition
dc.subjectOF-LIFE
dc.subjectMEDICAL-PRACTICE
dc.subjectHEALTH-CARE
dc.subjectPATTERNS
dc.subjectOUTCOMES
dc.subjectbody mass index
dc.subjectchildren
dc.subjectcystic fibrosis
dc.subjectnutrition
dc.titleImprovements in body mass index of children with cystic fibrosis following implementation of a standardized nutritional algorithm: A quality improvement project
dc.typearticle
dspace.entity.typePublication
local.avesis.id906aa130-4547-4192-9505-ce1c44698674
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
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relation.isAuthorOfPublication.latestForDiscovery33d10238-6955-4a99-8e91-79975cc5200e

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