Background: Bronchopneumonia is a leading cause of morbidity and mortality among children under five years, particularly in developing countries. Nutritional status plays a crucial role in influencing susceptibility, severity, and outcomes of the disease. Aim: To assess the nutritional status of pediatric patients with bronchopneumonia and evaluate its association with clinical profile and outcomes. Methods: This prospective observational study was conducted at Sree Mookambika Institute of Medical Sciences, Kulasekaram, from June 2025 to May 2026. A total of 256 children aged 1–96 months diagnosed with bronchopneumonia were included. Detailed clinical evaluation and anthropometric measurements were performed. Nutritional status was assessed using weight-for-height Z-scores calculated with Epi Info software based on NCHS reference standards. Data were analyzed using descriptive statistics, and associations were tested using appropriate statistical methods with p<0.05 considered significant. Results: The majority of children had normal nutritional status despite having bronchopneumonia. Children under two years (72.26%) were most commonly affected. Male predominance (52.34%) was observed. Common comorbidities included severe acute malnutrition, moderate acute malnutrition, and other systemic illnesses. Nutritional status showed an association with disease severity, with malnourished children exhibiting more complications and prolonged illness. Conclusion: Bronchopneumonia is a multifactorial disease influenced by age, gender, environmental factors, and nutritional status. While many children had normal nutrition, malnutrition increased disease severity. Early nutritional assessment and comprehensive management are essential to improve pediatric outcomes.

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