OBJETIVO: Avaliar a concordância entre dois programas computacionais de análise do consumo alimentar de crianças de 6 a 30 meses. MATERIAIS E MÉTODOS: Foram selecionadas 100 crianças de 6 a 30 meses de idade entre 407 crianças cujas mães responderam o recordatório de 24 horas em visitas domiciliares. Foram comparados: 1) as gramaturas das medidas caseiras dos 10 alimentos mais consumidos entre os dois programas e em relação a uma tabela de pesos e medidas nacional; 2) os valores médios do consumo de consumo de energia e nutrientes. A análise estatística foi feita através do coeficiente de correlação de Spearman e metodologia descrita por Bland & Altman. RESULTADOS: Foram observadas diferenças entre as gramaturas em relação à medida caseira correspondente para quase todos os alimentos selecionados. Comparando as médias de consumo entre os dois programas, observamos maior correlação entre o consumo de carboidratos (r=0,81) e menor correlação para o consumo de zinco (r=0,52). As médias de consumo de energia e de macronutrientes pelo programa Virtual Nutri foram superiores aos valores obtidos pelo NutWin, enquanto que para o consumo de micronutrientes observamos valores superiores na análise pelo program NutWin. O consumo de vitamina C e retinol revelou diferença reduzida entre os programas. CONCLUSÃO: Os programas selecionados para análise do consumo dietético infantil apresentam diferenças quanto às gramaturas utilizadas, que se refletem através das diferenças na estimava de energia e nutrientes consumidos.
week of life. Identification of causes of lactation failure can help to find susceptible neonates and to find suitable ways for reducing the incidence of this complication. The aim of this study was to determine causes of insufficiency of breast milk in neonates with hypernatremic dehydration. Methods In a case control study possible maternal risk factors of lactation failure in 25 term infants who were admitted to the hospital for hypernatremic dehydration compared with a control group, 50 healthy full term neonates were selected. They were matched through data collection with interview, examination and filling questionnaire methods. Results In this study the mean age of mothers with dehydrated cases in comparison with control group was less and the difference was statistically significant. Mean while mothers of dehydrated group had a high level of education, with high first experience of pregnancy, and had an unusual modes of delivery. In this group mothers had a low level knowledge in lactation and also anatomical problems of breast. Conclusion Hypernatremic dehydration is a common preventable threat to exclusively breastfed neonates. Because of existence of multiple causes for occurrence of this event. The best way for prevention is meticulous observation of breastfeeding in the first few days of life. Until with advent of breastfeeding problem.
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