@article{fdi:010057305, title = {{D}{\'e}pister la d{\'e}nutrition de l'enfant en pratique courante = {M}alnutrition screening in clinical practice}, author = {{H}ankard, {R}. and {C}olomb, {V}. and {P}iloquet, {H}. and {B}ocquet, {A}. and {B}resson, {J}. {L}. and {B}riend, {A}ndr{\'e} and {C}houraqui, {J}. {P}. and {D}armaun, {D}. and {D}upont, {C}. and {F}relut, {M}. {L}. and {G}irardet, {J}. {P}. and {G}oulet, {O}. and {R}ieu, {D}. and {S}imeoni, {U}. and {T}urck, {D}. and {V}idailhet, {M}.}, editor = {}, language = {{FRE}}, abstract = {{L}a d{\'e}nutrition prot{\'e}ino-{\'e}nerg{\'e}tique ({DPE}) est l'{\'e}tat pathologique r{\'e}sultant d'une inad{\'e}quation entre les besoins et les apports prot{\'e}ino-{\'e}nerg{\'e}tiques. {E}lle est d{\'e}l{\'e}t{\`e}re par ses cons{\'e}quences fonctionnelles et structurelles (perte tissulaire) et peut entra{\^i}ner une augmentation de la morbidit{\'e}, voire de la mortalit{\'e} d_une {\'e}ventuelle pathologie sous-jacente. {L}e {C}omit{\'e} de nutrition de la {S}oci{\'e}t{\'e} fran{\c{c}}aise de p{\'e}diatrie ({SFP}) recommande de peser et de mesurer tout enfant quel que soit le contexte de visite ou d_hospitalisation. {E}n l'absence d_information sur la cin{\'e}tique de la croissance, l'indice de masse corporelle ({IMC}) doit {\^e}tre calcul{\'e} et interpr{\'e}t{\'e} en fonction des courbes de r{\'e}f{\'e}rence figurant dans le carnet de sant{\'e}. {P}our tout {IMC} < 3e percentile pour l'âge et le sexe, il est recommand{\'e} d'examiner l'enfant {\`a} la recherche de signes cliniques de d{\'e}nutrition ou de signes orientant vers son origine et de tracer l'{\'e}volution de la croissance staturopond{\'e}rale ({IMC} et taille). {T}oute d{\'e}nutrition, qu'elle soit identifi{\'e}e en p{\'e}diatrie communautaire ou en milieu hospitalier, n{\'e}cessite d'{\'e}tablir une strat{\'e}gie nutritionnelle int{\'e}gr{\'e}e {\`a} la prise en charge globale de l'enfant. {E}lle suppose de d{\'e}finir le poids cible et d'adapter les apports prot{\'e}ino-{\'e}nerg{\'e}tiques en termes de niveaux, de composition et de modalit{\'e}s d'administration (orale, ent{\'e}rale, parent{\'e}rale). {D}ans tous les cas cette attitude sera {\'e}valu{\'e}e et adapt{\'e}e selon l'effet obtenu. {P}rotein energy malnutrition ({PEM}) occurs when energy and protein intake do not meet requirements. {I}t has a functional and structural impact and increases both morbidity and mortality of a given disease. {T}he {N}utrition {C}ommittee of the {F}rench {P}ediatric {S}ociety recommends weighing and measuring any child when hospitalized or seen in consultation. {T}he body mass index ({BMI}) must be calculated and analyzed according to references any time growth kinetics cannot be analyzed. {A}ny child with a {BMI} below the third centile or -2 standard deviations for age and sex needs to be examined looking for clinical signs of malnutrition and signs orienting toward an etiology and requires having his {BMI} and height dynamics plotted on a chart. {PEM} warrants drawing up a nutritional strategy along with the overall care plan. {A} target weight needs to be determined as well as the quantitative and qualitative nutritional care including its implementation. {T}his plan must be evaluated afterwards in order to adapt the nutritional therapy.}, keywords = {}, booktitle = {}, journal = {{A}rchives de {P}{\'e}diatrie}, volume = {19}, numero = {10}, pages = {1110--1117}, ISSN = {0929-693{X}}, year = {2012}, DOI = {10.1016/j.arcped.2012.07.024}, URL = {https://www.documentation.ird.fr/hor/fdi:010057305}, }