Height and weight gains in a nutrition rehabilitation day-care service

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dc.contributor.authorAlves Vieira, Maria de Fatima
dc.contributor.authorFerraro, Alexandre Arcanjo
dc.contributor.authorNascimento Souza, Maria Helena do
dc.contributor.authorFernandes, Maria Tereza B.
dc.contributor.authorSawaya, Ana Lydia [UNIFESP]
dc.contributor.institutionUniv Fed Pelotas
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade Federal do Rio de Janeiro (UFRJ)
dc.contributor.institutionCREN
dc.date.accessioned2016-01-24T14:05:32Z
dc.date.available2016-01-24T14:05:32Z
dc.date.issued2010-10-01
dc.description.abstractObjective: To evaluate nutritional recovery patterns in 106 undernourished children assisted by the Center of Nutritional Recovery and Education (CREN, in Portuguese) between January 1995 and December 1999.Design: CREN assists undernourished children aged 0 to 72 months living in the southern regions of São Paulo, in an outpatient setting. Nutritional status was assessed by Z-scores of weight-for-age, height-for-age and weight-for-height. Nutritional recovery evaluation considered Z-score gains in weight-for-age and height-for-age, grouping into four categories (Z-score increment of 0.50 between groups). Children with birth weight less than 2500 g were classified as low birth weight (LBW), while those born at term and with LBW were classified as small for gestational age.Setting: CREN (Center of Nutritional Recovery and Education in Portuguese), São Paulo, Brazil.Subjects: One hundred and six children from CREN.Results: Among the 106 evaluated children, ninety-eight (92.5%)recovered their weight or height and seventy-two (67.9%) recovered both. Nearly half of studied children presented a nutritional recovery (increase in Z-score) of more than 0.50 in height-for-age (46.2%) and about 40% in weight-for-age (38.7%). Multivariate analysis showed that treatment duration and initial weight-for-age contributed to weight-for-age Z-score increment, explaining 25% of the variation; and treatment duration, initial height-for-age and weight-for-age Z-score increment contributed to height-for-age Z-score increment, explaining 62% of the variation.Conclusions: Our findings show that nutritional recovery among children who attended CREN was influenced primarily by the degree of nutritional deficit at admission. It has also been shown that biological variables are more important than socio-economic status in determining the rate of nutritional recovery.en
dc.description.affiliationUniv Fed Pelotas, Fac Nutr, Pelotas, RS, Brazil
dc.description.affiliationUniv São Paulo, Fac Med, Dept Pediat, São Paulo, Brazil
dc.description.affiliationUniv Fed Rio de Janeiro, Dept Enfermagem & Saude Publ, Rio de Janeiro, Brazil
dc.description.affiliationCREN, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Fisiol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Fisiol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent1505-1510
dc.identifierhttp://dx.doi.org/10.1017/S1368980010000273
dc.identifier.citationPublic Health Nutrition. Cambridge: Cambridge Univ Press, v. 13, n. 10, p. 1505-1510, 2010.
dc.identifier.doi10.1017/S1368980010000273
dc.identifier.issn1368-9800
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/32962
dc.identifier.wosWOS:000282247000005
dc.language.isoeng
dc.publisherCambridge Univ Press
dc.relation.ispartofPublic Health Nutrition
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://journals.cambridge.org/action/displaySpecialPage?pageId=4676
dc.subjectUndernutritionen
dc.subjectNutritional recoveryen
dc.subjectRecovery centreen
dc.subjectNutrition educationen
dc.titleHeight and weight gains in a nutrition rehabilitation day-care serviceen
dc.typeinfo:eu-repo/semantics/article
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