Introdução Dificuldades alimentares são queixas extremamente frequentes na faixa etária pediátrica, sendo relevante a padronização das condutas pelos profissionais envolvidos no tratamento. Uma das ferramentas que pode ser utilizada é a suplementação nutricional.
Objetivos Estabelecer as recomendações da Associação Brasileira de Nutrologia sobre a utilização de suplementos para a criança com dificuldade alimentar.
Metodologia Revisão da literatura científica dos últimos cinquenta anos em relação ao tema proposto.
Conclusões São feitas recomendações sobre a utilização de suplementos para a criança com dificuldade alimentar.
Introduction:
Obesity shows a multifactorial disease and presents a serious public health problem, with an alarming epidemic character. According to NHANES (National Health and Nutrition Examination Survey) from 2015 to 2016, 39.6% of American adults and 18.5% of young people were obese and 7.7% of adults and 5.6% of young people had severe obesity. Brazil ranks fifth in the world ranking, with about 18 million people reaching up to 70 million overweight individuals. Despite short-term weight loss with diet and exercise, weight regain continues to be a concern. Anti-obesity drugs such as Sibutramine (SIB), Phentermine (PHEN), Fenproporex (FEN), Mazindol (MAZ), Amfepramone (AMFE) and Orlistat (ORL) may play a role in weight reduction in patients whose condition is refractory to non- and maintenance of weight loss.
Objective:
A systematic review followed by a meta-analyses of randomized clinical trials over the past five years to explore the efficacy and safety of anorexigenic drugs for weight reduction and consequent treatment of obesity.
Methods:
The search strategy in MEDLINE / Pubmed, Web of Science, ScienceDirect Journals (Elsevier), Scopus (Elsevier), OneFile (Gale) followed the following steps: - search for mesh terms (Sibutramine, Phentermine, Fenproporex, Mazindol, Amfepramone , Orlistat, Weight loss, Safety), and the use of booleans "and" between mesh terms and "or" among historical findings.
Results:
It was observed that in the last five years of randomized studies no significant general complications were found, with only 5.7%. The mean overall weight loss was 6.18 (± 2.8) kg in the mean time of 12 months. The overall success rate among these drugs was 80.18%. The p-value values did not present a significant statistical difference, being p <0.05 within each drug group analyzed, for both weight and success rates.
Conclusion:
The scientific findings of randomized studies on the use of anorexigenic drugs to treat obesity have shown safety and efficiency in the last five years, with a reasonable weight loss and no significant complications.
Objective To publish a consensus on the milky feeding of children aged between 1 and 5 years old, in the face of the nonuniformity of indication and the lack of standardization, in Brazil, on the nomenclature and classification of milky products produced for this stage.
Methods Literature review and members discussion.
Results The review showed the nutrition deficiencies among Brazilian children and the position of different medical societies.
Conclusions Recommendations of milky feeding are proposed for government area, industry and health care professionals.
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