Summary 27 Nutrition and Health at schools for chronically ill children: the medical perspective Ridder, A.C. de and E.H.A. van der Heijden (PIT actief ) InnovationNetwork Report no. 10.2.237, Utrecht, The Netherlands, July 2010. A growing number of children with chronic disorders is reaching adulthood. These children are vulnerable to the risk of developing physical, social and mental impairments. A small percentage of these children attend primary education at a specific type of special needs school: schools for chronically ill children. The nature of these child disorders makes high demands on the care that the school provides, including nutritional care. Children with different disorders have very different medical dietary requirements. But these all share one common goal: to maintain and improve the child’s nutritional health in order to favourably influence the disease course, prevent short- and long-term complications and improve the child’s quality of life. The specific dietary requirements call for continuous attention to the choice and amount of food provided. Children up to the age of 12 need expert support to learn how to deal with this independently. In the Netherlands, the total annual healthcare costs arising from illnesses for children (aged 5-14) amount to almost EUR 4 billion. Good nutrition for children with chronic disorders can help to reduce these costs by favourably influencing the disease course and preventing short- and long-term complications. The government also recognizes the cost-effectiveness of nutritional intervention in the prevention of malnutrition. The treatment of malnutrition is one of the Pagina 32
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