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Visual inspection is not a substitute for anthropometry in screening for nutritional status and growth in sick children

It is important that sick children are screened for malnutrition and growth faltering to ensure that those in need of intervention receive optimal healthcare. Paediatric malnutrition screening tools and the acquisition and plotting of anthropometric measurements are not routinely used and this means that, at best, there is substantial reliance placed on visual inspection when it comes to screening for nutritional problems (1). The extent to which healthcare professionals can visually identify children whose physique deviates from norms, and how valid this approach would be for routine screening on hospital admission, has not been studied thoroughly, particularly in sick children.