Impact of Nutrition Care Process Documentation in Obese Children and Adolescents with Metabolic Syndrome and/or Non-Alcoholic Fatty Liver Disease

Mujlli, Gadah; Aldisi, Dara; Aljuraiban, Ghadeer S.; Abulmeaty, Mahmoud M. A.

doi:10.3390/healthcare9020188

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Impact of Nutrition Care Process Documentation in Obese Children and Adolescents with Metabolic Syndrome and/or Non-Alcoholic Fatty Liver Disease

¹

Clinical Nutrition Program, Community Health Department, King Saud University, Riyadh 11362, Saudi Arabia

²

Education, Simulation and Skills Development Center, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia

³

Obesity Management and Research Unit, Medical Physiology Department, Zagazig University, Zagazig 44519, Egypt

^*

Author to whom correspondence should be addressed.

Healthcare 2021, 9(2), 188; https://doi.org/10.3390/healthcare9020188

Submission received: 6 December 2020 / Revised: 29 January 2021 / Accepted: 2 February 2021 / Published: 9 February 2021

(This article belongs to the Special Issue Hospital Care and Outcomes for Obese Patients)

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Abstract

This study evaluated the Nutrition Care Process documentation used by dietitians for obese pediatric patients diagnosed with metabolic syndrome (MetS) and/or non-alcoholic fatty liver disease (NAFLD) and its impact on the achievement of nutritional goals. This retrospective cohort study utilized data retrieved from three tertiary care hospitals in Riyadh. A total of 142 obese pediatric patients aged 8–18 years diagnosed with NAFLD and/or MetS were evaluated. Data on weight, height, blood pressure (BP), lipid profile, and liver enzymes were collected. A validated audit was used to assess the documentation quality. Twenty-seven (46.6%) dietitian notes received a high score, 21 (36.2%) received a medium score, and 10 (17.2%) received a low score. There was no significant effect of dietitian audit scores on nutritional outcomes, however, the change in body mass index from 6 to 12 months follow-up period was inversely correlated with the audit score (r = −0.761, p = 0.007), and alkaline phosphatase was inversely correlated with the audit score (r = −0.819, p = 0.013). In conclusion, there was a clear variation in the quality of dietitians’ documentation and the impact of documentation scores on nutritional outcomes.

Keywords: nutrition care process; dietitian documentation; non-alcoholic fatty liver disease; metabolic syndrome

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MDPI and ACS Style

Mujlli, G.; Aldisi, D.; Aljuraiban, G.S.; Abulmeaty, M.M.A. Impact of Nutrition Care Process Documentation in Obese Children and Adolescents with Metabolic Syndrome and/or Non-Alcoholic Fatty Liver Disease. Healthcare 2021, 9, 188. https://doi.org/10.3390/healthcare9020188

AMA Style

Mujlli G, Aldisi D, Aljuraiban GS, Abulmeaty MMA. Impact of Nutrition Care Process Documentation in Obese Children and Adolescents with Metabolic Syndrome and/or Non-Alcoholic Fatty Liver Disease. Healthcare. 2021; 9(2):188. https://doi.org/10.3390/healthcare9020188

Chicago/Turabian Style

Mujlli, Gadah, Dara Aldisi, Ghadeer S. Aljuraiban, and Mahmoud M. A. Abulmeaty. 2021. "Impact of Nutrition Care Process Documentation in Obese Children and Adolescents with Metabolic Syndrome and/or Non-Alcoholic Fatty Liver Disease" Healthcare 9, no. 2: 188. https://doi.org/10.3390/healthcare9020188

APA Style

Mujlli, G., Aldisi, D., Aljuraiban, G. S., & Abulmeaty, M. M. A. (2021). Impact of Nutrition Care Process Documentation in Obese Children and Adolescents with Metabolic Syndrome and/or Non-Alcoholic Fatty Liver Disease. Healthcare, 9(2), 188. https://doi.org/10.3390/healthcare9020188

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Impact of Nutrition Care Process Documentation in Obese Children and Adolescents with Metabolic Syndrome and/or Non-Alcoholic Fatty Liver Disease

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