Recuperação nutricional de crianças desnutridas e em risco nutricional em programa de suplementação alimentar no Município de Mogi das Cruzes, São Paulo, Brasil

Goulart, Rita Maria Monteiro; França, Ivan; Souza, Maria de Fátima Marinho de

doi:10.1590/s0102-311x2007000100016

Cited by 11 publications

(13 citation statements)

References 16 publications

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“…On the other hand, the increments in stature and weight of the severely undernourished children were superior to those of children presenting milder forms of undernutrition. These results are in agreement with the findings of Goulart et al (26) who studied the effects of a food supplementation programme on the recovery of undernourished children and of those at nutritional risk, and found that recovery levels were higher when the initial deficit was greater.…”

Section: Recovery Patternssupporting

confidence: 93%

A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil

Fernandes

Lopez

Albuquerque

et al. 2011

Public Health Nutr.

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Objective: To build a life table and determine the factors related to the time of treatment of undernourished children at a nutrition rehabilitation centre (CREN), São Paulo, Brazil. Design: Nutritional status was assessed from weight-for-age, height-for-age and BMI-for-age Z-scores, while neuropsychomotor development was classified according to the milestones of childhood development. Life tables, Kaplan-Meier survival curves and Cox multiple regression models were employed in data analysis. Setting: CREN (Centre of Nutritional Recovery and Education), São Paulo, Brazil. Subjects: Undernourished children (n 228) from the southern slums of São Paulo who had received treatment at CREN under a day-hospital regime between the years 1994 and 2009. Results: The Kaplan-Meier curves of survival analysis showed statistically significant differences in the periods of treatment at CREN between children presenting different degrees of neuropsychomotor development (log-rank 5 6?621; P 5 0?037). Estimates based on the multivariate Cox model revealed that children aged $24 months at the time of admission exhibited a lower probability of nutritional rehabilitation (hazard ratio (HR) 5 0?49; P 5 0?046) at the end of the period compared with infants aged up 12 months. Children presenting slow development were better rehabilitated in comparison with those exhibiting adequate evolution (HR 5 4?48; P 5 0?023). No significant effects of sex, degree of undernutrition or birth weight on the probability of nutritional rehabilitation were found. Conclusions: Age and neuropsychomotor developmental status at the time of admission to CREN are critical factors in determining the duration of treatment.Undernutrition is characterised by a complex combination of factors including inadequate or insufficient ingestion of food, deficient intake of essential nutrients, unsatisfactory socio-economic conditions, unhealthy living environment, high frequency of infection and poor health care (1,2) . Evidently, the longer the exposure to such harmful factors the more damaging the consequences to the nutritional status of the individual. The height-for-age indicator reflects linear growth, and is related to long-term changes in nutritional status and overall health (3) . A deficit in this index is associated with cumulative growth retardation indicating chronic undernutrition. The problem of undernutrition is of global concern since, according to the latest FAO estimates, 925 million people ingest insufficient food to meet their minimum energy requirements, of whom 53 million live in Latin America and the Caribbean (4) . In developing countries, approximately 112 million children aged 5 years or less are affected by weight-for-age deficit and 32 % of children in this age group worldwide have been diagnosed with height-for-age deficit (2) . Indeed, height-for-age deficit is currently considered the most important nutritional problem faced by developing countries.In Brazil, 6 % of children aged less than 5 years suffer from height-for-age deficit,...

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Section: Recovery Patternssupporting

confidence: 93%

A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil

Fernandes

Lopez

Albuquerque

et al. 2011

Public Health Nutr.

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“…The results of the present investigation are in agreement with other studies that evaluate supplementary feeding programs 2,5,7,8,10,16,f and verify the positive impact of such programs on the growth of participating children. Although these other programs have characteristics that are different from those of the Vivaleite Project and the evaluations involved other methods of analysis, including the use of distinct anthropometric indicators and reference growth standards, the results converge to the conclusion that participation in supplementary feeding programs leads to an improvement in anthropometric indicators of participating children.…”

Section: Discussionsupporting

confidence: 92%

Efetividade de programa de suplementação alimentar no ganho ponderal de crianças

Augusto

Souza

2010

Rev. Saúde Pública

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OBJECTIVE:To evaluate the effectiveness of a governmental supplementary feeding program in child weight gain. METHODS:A cohort study including secondary data on 25,433 low-income children aged between six and 24 months, participating in a fortifi ed milk distribution program known as Projeto Vivaleite, was performed in the state of São Paulo, Southeastern Brazil, between 2003 and 2008. Weight gain was measured using weight-for-age z-score values, calculated according to the World Health Organization standards (2007). These values were obtained in the program routine, when a child started it and every four months during their stay. Children were divided into three z-score groups when starting the program: weight gain not compromised (z>-1); risk of low weight (-2≤z<-1); and low weight (z<-2). Multilevel linear regression (mixed model) was used, enabling the comparison, at each age, of adjusted mean z-scores between children starting the program and those who had been participating for at least four months, adjusted for correlation between repeated measurements. RESULTS:The program had a positive effect on child weight gain, varying according to child nutritional status when starting this program; among those who started it with weight gain not compromised, the mean adjusted gain z-score was 0.183; among those with risk of low weight, 0.566; and among those with low weight, 1.005. CONCLUSIONS:The program is effective for weight gain in children younger than two years, with a more pronounced effect on children who start the program under less favorable weight conditions.

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“…In developing countries, it is estimated that the prevalence of malnutrition in children aged up to 60 months is 8% for weight-for-height, 32% for height/age, and 27% for weight-for-age (18) . A study carried out by Burlandy (19) with school children between 7 and 10 years of age identified a total of 13.2% who presented with malnutrition seen by height deficit (13.8 and 12.5% of the boys and girls, respectively).…”

Section: Discussionmentioning

confidence: 99%

Malnutrition in school children in an urban-rural region of the extreme South of São Paulo city

Pandolfi

Sandrini

Oliveira

et al. 2011

Einstein (São Paulo)

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Objective: To evaluate the persistence of nutritional deficit in a sample of schoolchildren. Methods: A cross-sectional study of 1,761 schoolchildren between 6 and 10 years from 3 schools. They were assessed by Z scores of weight for height and height for age, according to the World Health Organization. The variables studied were gender, age, grade and school year. The χ² test was used to relate the nutritional deficit with the variables. Results: Of all children 8.5% were malnourished according to the weight for height Z score, 21.6%, according to height for age. The analysis of the weight for height Z score revealed that 59.7% were male and 40.3% female. The mean age was 8.9 years. As to the Z score of height for age, 53.9% were males and 46.1% females. The risk of malnutrition was higher among boys: 59.7% for the weight for height index and 53.9% for height for age. There was no statistical difference between schools, gender and school year. As to nutritional status, school period (p < 0.0001) and students' grade (p = 0.0105), we observed statistical significance. Conclusion: Malnutrition still persists among the low-income population and males had a higher percentage of malnutrition. Nutritional evaluation of students is an extremely important tool for understanding the dynamics of child nutrition and development.Keywords: Protein-energy malnutrition; Nutritional status; Nutritional assessment; Child nutrition RESUMO Objetivo: Verificar a persistência do déficit nutricional em amostra de escolares. Métodos: Estudo transversal com 1.761 escolares de 6 a 10 anos provenientes de 3 escolas de ensino fundamental. Foram avaliados pelos escores Z de peso/estatura e estatura/idade, segundo a Organização Mundial da Saúde. As variáveis estudadas foram: gênero, idade, série e período escolar. O teste do χ² relacionou o déficit nutricional com as variáveis. Resultados: Segundo o escore Z de peso/estatura 8,5% eram desnutridas; 21,6% de acordo com estatura/idade. A análise do escore Z de peso/estatura revelou que 59,7% eram meninos e 40,3% meninas. A média de idade foi de 8,9 anos. Quanto ao escore Z de estatura/idade 53,9% eram do gênero masculino e 46,1% do gênero feminino. O risco de desnutrição foi maior entre os meninos: 59,7% para o índice peso/estatura e 53,9% para o estatura/idade. Não houve diferença estatística na comparação entre as escolas, o gênero e o período escolar. Já entre estado nutricional, período (p < 0,0001) e série dos escolares (p = 0,0105), observamos significância. Conclusão: A desnutrição ainda é persistente entre a população de baixa renda e o gênero masculino apresentou maior prevalência. Pode-se considerar que a avaliação nutricional é uma ferramenta de extrema importância para compreensão da dinâmica nutricional de crianças e seu desenvolvimento.

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Recuperação nutricional de crianças desnutridas e em risco nutricional em programa de suplementação alimentar no Município de Mogi das Cruzes, São Paulo, Brasil

Cited by 11 publications

References 16 publications

A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil

A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil

Efetividade de programa de suplementação alimentar no ganho ponderal de crianças

Malnutrition in school children in an urban-rural region of the extreme South of São Paulo city

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