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Slovenska pediatrija 2023; 30: 110-123

https://doi.org/10.38031/slovpediatr-2023-3-01en

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Review article

NUTRITIONAL MANAGEMENT OF A CHILD WITH CHRONIC ILLNESS

Andreja Širca Čampa
Služba za dietoterapijo in bolniško prehrano, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Nataša Fidler Mis
Klinični oddelek za gastroenterologijo, hepatologijo in nutricionistiko, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Manca Čot
Služba za dietoterapijo in bolniško prehrano, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Anija Orel
Služba za dietoterapijo in bolniško prehrano, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Neža Lipovec
Služba za dietoterapijo in bolniško prehrano, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Tomaž Poredoš
Služba za dietoterapijo in bolniško prehrano, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Ajda Mezek Novak
Služba za dietoterapijo in bolniško prehrano, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Evgen Benedik
Klinični oddelek za gastroenterologijo, hepatologijo in nutricionistiko, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Abstract

This paper provides recommendations for the nutritional management of children with chronic illnesses. Chronic diseases last for a long time and often substantially decrease the quality of life. They can increase the risk of stunting and affect the physical, mental and social life of children and adolescents and the whole family. Multidisciplinary team should treat this group of children in which the clinical dietitian plays an important role. Early identification of paediatric patients at risk, appropriate nutritional care and regular follow-up can have a significant impact on their health and the quality of life. This article presents some of the most common chronic diseases in the paediatric population for which nutritional management is of utmost importance. These include inflammatory bowel disease, food allergies, inborn errors of metabolism, autism spectrum disorders, cystic fibrosis, cancer and cerebral palsy.

Key words: chronic diseases, paediatric patients, multidisciplinary approach, clinical dietician, nutritional management, monitoring