Navegando por Palavras-chave "Protein-energy malnutrition"
Agora exibindo 1 - 7 de 7
Resultados por página
Opções de Ordenação
- ItemAcesso aberto (Open Access)Avaliação antropométrica, fatores de risco para desnutrição e medidas de apoio nutricional em crianças internadas em hospitais de ensino no Brasil(Sociedade Brasileira de Pediatria, 2009-06-01) Sarni, Roseli Oselka Saccardo [UNIFESP]; Carvalho, Maria de Fátima C. C.; Monte, Cristina M. G. do; Albuquerque, Zuleica P.; Souza, Fabíola I. S. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Faculdade de Medicina do ABC Departamento de Pediatria; Sociedade Brasileira de Pediatria Departamento Científico de Nutrologia; Universidade de Brasília; UnB Observatório de Políticas de Segurança Alimentar e Nutrição; London School of Hygiene and Tropical Medicine; Universidade Federal do Ceará Faculdade de Medicina Unidade de Pesquisas Clínicas; Organização Pan-Americana da SaúdeOBJECTIVE: To evaluate risk factors for malnutrition, nutritional status and nutritional support provided in hospitalized children. METHODS: This longitudinal study prospectively followed, for 3 consecutive months, all children under 5 years of age (n = 907) hospitalized in general pediatric medical wards of 10 Brazilian university-based hospitals. For data collection, a standard questionnaire was used and nutritional condition was evaluated at hospital admission and discharge: weight-for-height, weight-for-age and height-for-age z score. RESULTS: Only 56.7% of the children had their nutritional classification documented in the medical record. At hospital admission, 16.3 and 30.0% of the children had moderate/severe malnutrition and low stature, respectively. Risk of malnutrition was associated with low birth weight and younger age. A high percentage of nutritional deficiencies was observed in the children analyzed, although child's nutritional condition and the adoption of appropriate nutritional therapy were not documented in the medical records of the malnourished children. CONCLUSION: These data underscore the importance of developing qualified hospital medical wards regarding diagnosis and therapeutic approach to malnutrition, based on the conduct guidelines already available in Brazil.
- ItemSomente MetadadadosAvaliação antropométrica, padrão de morbidade, alterações metabólicas, composição corporal e ingestão de alimentos de crianças em processo de recuperação nutricional atendidas no centro de recuperação e educação nutricional(CREN)(Universidade Federal de São Paulo (UNIFESP), 2001) Vieira, Maria de Fátima Alves [UNIFESP]; Sawaya, Ana Lydia [UNIFESP]Este estudo teve como objetivo avaliar a recuperação nutricional (alterações metabólicas, composição corporal, padrão de morbidade e consumo alimentar) de crianças desnutridas atendidas pelo Centro de Recuperação e Educação Nutricional (CREN) durante o período de Setembro de 1995 a Julho de 1999. Foram avaliadas 106 crianças agrupadas em dois clusters de acordo com o estado nutricional no momento da internação, sendo 65 com desnutrição leve 41 com desnutrição moderada e/ou grave. O tempo médio de internação foi de 16,3 meses e a média de idade no ingresso foi de 23,7 meses. A média de peso ao nascer do grupo foi de 2.563g. Houve associação positiva e significante entre o tempo de tratamento e os ganhos de peso/idade e de estatura/idade para o conjunto das crianças. O ganho de estatura/idade foi significantemente maior entre os desnutridos graves e entre as crianças nascidas com baixo peso. Observou-se ganho de gordura corporal significativamente maior entre os desnutridos graves. Houve associação significante e negativa entre os níveis de cortisol salivar e os ganhos de estatura/idade e de peso/idade, O percentual de crianças com valores de glicemia abaixo da faixa de normalidade foi de 26 por cento e de insulinemia foi de 72 por cento. O consumo de calorias e proteínas por kg de peso corporal efetuado no CREN foi significantemente maior entre os desnutridos graves. Foram observados valores elevados de VLDL colesterol (l4 por cento) e de triglicerídeos (40 por cento), e reduzidos de HDL colesterol (76 por cento). Os resultados da análise multivariada mostraram que o déficit inicial de estatura/idade foi a principal variável associada com o ganho de estatura/idade durante o tratamento.
- ItemSomente MetadadadosAvaliação da recuperação nutricional de crianças desnutridas atendidas pelo centro de recuperação e educação nutricional (CREN)(Universidade Federal de São Paulo (UNIFESP), 1996) Vieira, Maria de Fátima Alves [UNIFESP]; Sawaya, Ana Lydia [UNIFESP]
- ItemAcesso aberto (Open Access)Avaliação do padrão de recuperação nutricional de crianças desnutridas atendidas no centro de recuperação e educação nutricional(Associação Médica Brasileira, 1998-12-01) Vieira, M. De F. A. [UNIFESP]; Solymos, G.m.b. [UNIFESP]; Souza, M. H. Do N. [UNIFESP]; Ferrari, A.a. [UNIFESP]; Unegbu, H. [UNIFESP]; Sawaya, Ana Lydia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To assess the pattern of nutritional recovery in malnourished children. This prospective analysis was conducted between September 1995 and November 1996 at the Center for Recovery and Nutrition Education (CREN) in São Paulo, Brazil. Of the thirty-eight children studied, 47.4% were infants (nine girls and nine boys) and 52.6% preschool children (twelve boys and eight girls). METHOD: Thirty eight children were studed by velocity of W/A and H/A gain in standard deviation or Z score, according to weight and height median of NCHS. RESULTS: There was a statistically significant increase in the weight-for-age (W/A)(p=0.012), height-for-age (H/A) ( p=0.001) from the time of admission.The difference in the velocity of W/A gain between infants (0.299-Z/year) and preschool children (0.684-Z/year) with more than six months of treatment, was found to be statistically significant (p=0.038). The difference in the velocity of H/A gain for infants (0.794-Z/year) and for preschool chidren (0.506-Z/year), was not statistically significant (p=0.166). In regards to gender, there was not a statistically significant difference between boys and girls in the velocity of W/A gain (0.540 and 0.524-Z/year, respectively). The difference in velocity of H/A gain was statisically significant, 0.485-Z/year for boys and 0.856-Z/year for girls (p=0.043). CONCLUSION: These findings show that there are differences in the nutritional recovery patterns between gender and age groups.
- ItemSomente MetadadadosEstado nutricional de crianças índias do Alto Xingu e avaliaçao do perímetro braquial no diagnóstico da desnutricão protéico-calórica(Universidade Federal de São Paulo (UNIFESP), 1985) Morais, Mauro Batista de [UNIFESP]; Fagundes Neto, Ulysses [UNIFESP]
- ItemSomente MetadadadosFood and nutrition safety of children under two years of age in families of landless rural workers(Abrasco, 2011-07-01) Lang, Regina Maria Ferreira [UNIFESP]; Almeida, Claudia Choma Bettega; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]; Univ Fed Parana; Universidade Federal de São Paulo (UNIFESP)To date little is known of health, nutrition and food safety conditions of children living in rural camps and settlements. The present cross-sectional descriptive study seeks to present and discuss such conditions for children under two years of age in families of landless rural workers in the Central Western region of the State of Parana. The study was conducted with a total of 337 children under two years of age in families living in two rural settlements and two rural camps. The main variables related with protein-energy malnutrition were assessed. Results indicated that the prevalence of protein-energy malnutrition was 4.7% in settlements and 10% in camps. Home location, home type and the possibility of producing food for private consumption were the distal variables that influenced most the nutritional status of the pediatric population analyzed. This study established that the search for nutritional and food safety must consider the right of accessing resources and proper means to produce safe and healthy foods in order to enable adequate feeding compatible with the habits and practices of the region.
- ItemAcesso aberto (Open Access)Risk factors for protein-energy malnutrition in pre-school shantytown children in São Paulo, Brazil(Associação Paulista de Medicina - APM, 1998-03-01) Ferrari, Alexandre Archanjo [UNIFESP]; Solymos, Gisela Maria Bernardes [UNIFESP]; Castillo, Rosa Mercedez [UNIFESP]; Sigulem, Dirce Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To investigate the health and nutritional conditions of people living in a shantytown in the city of São Paulo in order to identify risk factors for infant malnutrition. DESIGN: A retrospective cohort study. PARTICIPANTSs: Children living in a shantytown was conducted among children less than 72 months of age. METHODS: Home visits were made and information was collected regarding the risk factors for malnutrition. RESULTS: The prevalence of chronic malnutrition was 41.6% according to Gomez, 36.6% according to Waterlow, and 17.6% according to WHO. Risk factors for malnutrition, according to the weight-for-age index, included birthweight, presence of upper respiratory tract infections, number of pregnancies, number of births, maternal body mass index, birthplace of father, and home building material; according to the weight-for-height index, they included birthweight and maternal age at the time of birth; and according to the height-for-age index, they included the number of pre-natal medical visits, birthweight, maternal height, maternal body mass index, father's employment being unregistered, and maternal birthplace. An instrument for identifying children at risk of malnutrition was devised from these major risk factors for future malnutrition, which may then be applied to newly-born children.