Concordância dos referenciais de crescimento propostos pelo Center of Disease Control e Organização Mundial de Saúde

Abstract

The objective this study was to verify the agreement of the guidelines recommended by CDC and WHO to evaluate the nutritional state. This is a cross-sectional study, which counted with the participation of 254 children of ages 3 to 11 months and 29 days from São Paulo and Ribeirão Preto, performed from June 2005 to July 2006. The anthropometric indexes were obtained using the software available on the CDC and WHO websites. The Kappa Test was used for nominal variables (length/age) and weighted-Kappa for ordinal variables (weight/length). It was found that there are differences between the CDC and WHO guidelines regarding the evaluation of child nutrition, with greater differences in the results for children of ages 3 to 6 months.

Growth of infants assisted in nursing appointments in childcare

“…The growth of human beings, a dynamic and continuous process, occurs in rapidly progressing stages, such as in the intrauterine period, in the fi rst two years of life and puberty (1) . Evidence from epidemiological studies, animal models and clinical trials show the vulnerability of the early stages of life to nutritional and metabolic factors, which may determine changes in health and well-being of the individual (2) .…”

Fatores relacionados ao sobrepeso de bebês aos seis meses de vida: estudo da coorte ROC, São Paulo - Brasil

“…O crescimento é um processo dinâmico e contínuo expresso pelo aumento de tamanho corporal que termina ao final da adolescência, constituindo um dos indicadores da saúde da criança sendo influenciado por fatores intrínsecos e extrínsecos 11 . Apesar de existirem outras técnicas para a avaliação do crescimento e estado nutricional, as medidas antropométricas, principalmente peso e estatura, por sua simplicidade e facilidade de mensuração, são as mais comumente utilizadas 12,13 . O ganho de peso e estatura devem ser acompanhados durante toda infância para a identificação precoce de indivíduos com maior risco de morbidades, sobrepeso e obesidade 11 .…”