Determinación de los valores de vitamina D y su relación con el estado nutricional en pacientes escolares con tratamiento de corticoterapia prolongado en el Hospital de Niños Roberto Gilbert Elizalde.

Abstract

In the present work, the relationship between vitamin D levels and nutritional status in paediatric patients with prolonged corticosteroids nursed at the Children's Hospital Dr. Roberto Gilbert Elizalde was determined, as well as other functions related to bone remodelling. Functions in other organs and organ systems of the human body. The deficit of this vitamin is related to a number of conditions where human growth disorders stand out, especially at early ages of life. For the present project, a descriptive, correlational and cross-sectional study was used in 117 paediatric patients with prolonged corticosteroids nursed at the Children's Hospital Dr. Roberto Gilbert Elizalde from Guayaquil, during the period between January and October 2017. The results report an average age of 8.33 years with a predominance of female patients (58.12%). The 33.33% of the patients had sufficient vitamin D blood levels, 46.15% insufficient, 18.80% deficient and 1.72% had severe deficiency. A great affectation of nutritional status is reported, since 49.57% presented some type of alteration, the overweight appeared in 31.62%, obesity in 12.82% and low weight in 5.99%. There was a positive correlation between vitamin D levels and nutritional disorders. For a better analysis in the future, it is recommended to incorporate a nutritionist, as part of a multidisciplinary team, to follow-up paediatric patients with diseases that need prolonged treatment with steroids, to give a better follow-up from the nutritional point of view and to avoid, as much as possible, alterations in the nutritional status of these children and their impact on the biopsychosocial health status.