Determinantes dos déficits ponderal e de crescimento linear de crianças menores de dois anos

Abstract

OBJECTIVE:To identify determinants of protein-energy malnutrition resulting in weight and linear growth deficits in children. METHODS:A cross-sectional study was carried out among 1,041 children (under two years of age) from 10 municipalities in Bahia, Northeastern Brazil, during 1999-2000. Both logistic regression and a hierarchical approach were used to identify factors associated with the anthropometric measures. RESULTS:The basic determinant found in the final model for linear growth retardation was having up to two household appliances (OR=2.9; 95% CI: 1.74-4.90); as an underlying determinant, not attending prenatal visits (OR=2.7; 95% CI: 1.47-4.97); and, among immediate determinants were low birth weight (OR=3.6; 95% CI: 1.72-7.70) and reported hospitalization within 12 months before the interview (OR=2.4; 95% CI: 1.42-4.10). Determinants of weight deficit at the basic, underlying and immediate levels were: per capita monthly income of less than one-fourth of the minimum wage (OR=3.4; 95% CI: 1.41-8.16), not attending prenatal visits (OR=2.1; 95% CI: 1.03-4.35) and low birth weight (OR=4.8; 95% CI: 2.00-11.48) respectively. CONCLUSIONS:Children's weight and linear deficits were accounted for the overlapping of poor material living conditions, limited access to health care and disease burden. Interventions aimed at improving living conditions and better access to health care programs are strategies towards equity in children's health and nutrition.

Desnutrição em crianças menores de 60 meses em dois municípios no Estado do Acre: prevalência e fatores associados

“…The great difference between high-income and low-income families in the cities analyzed, with regard to the prevalence of height-for-age deficit of children, was consistent with national studies 1,18 . Monteiro et al 1 , while analyzing data from the 1996 and 2006-2007 PNDS, observed that the strata with lower per capita household income had a higher prevalence of height-for-age deficit and that an increase in maternal level of education ("proportion of mothers with complete primary education" indicator) and in the purchasing power of poorer families explained 25.7% and 21.7% of the decrease in the prevalence of height-for-age deficit in the country, respectively.…”

Fatores associados à interrupção precoce do aleitamento materno: um estudo de coorte de nascimento em dois municípios do Recôncavo da Bahia, Brasil

“…As condições de moradia foram avaliadas por meio do índice ambiental, o qual foi construído a partir de oito situações indicativas das condições físicas e ambientais do domicílio e de seu entorno, adaptado de Oliveira et al 13 .…”

Estado nutricional relativo ao zinco de crianças que frequentam creches do estado da Paraíba

“…Não obstante, cabe ressaltar que a falta de poder aquisitivo e de satisfação das necessidades materiais de vida, que restringe as condições de higiene do ambiente familiar e o acesso a bens e serviços, atua como fator adverso ao adequado estado de saúde e nutrição na infância 38,39 .…”