Crianças menores de 5 anos ainda morrem por desnutrição?

Rissi, Gabrieli Patricio; Shibukawa, Bianca Machado Cruz; Góes, Herbert Leopoldo de Freitas; Oliveira, Rosana Rosseto de

doi:10.5205/1981-8963.2019.239889

Cited by 7 publications

(8 citation statements)

References 11 publications

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“…In contrast, longitudinal analysis of the data shows a concentration of higher average mortality rates due to malnutrition in the Northern, Northeastern and Midwestern regions and due to diarrhea in the Northern region. The results are consistent with the study performed in 2018 by Risse et al [ 52 ].…”

Section: Discussionsupporting

confidence: 94%

Combination of conditional cash transfer program and environmental health interventions reduces child mortality: an ecological study of Brazilian municipalities

et al. 2021

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Background This study aims to assess the interactive effects of Brazilian public interventions, environmental health programs (access to water, sanitation and solid waste collection) and a Conditional Cash Transfer Program (PBF), on the mortality reduction due to diarrhea and malnutrition among children under 5 years old. Methods The study design is ecological, with longitudinal analysis in a balanced panel. The period covered is 2006 to 2016, including 3467 municipalities from all regions of the country, which resulted in 38,137 observations. The generalized linear models were adjusted considering the Negative Binomial (NB) distribution for the number of deaths due to malnutrition and diarrhea, with fixed effects. NB models with and without zero-inflation were assessed. Subsequent interaction models were applied to assess the combined effects of the two public policies. Results In relation to the decline of mortality rates due to diarrhea in the municipalities, positive effect modification were observed in the presence of: high coverage of the target population by the PBF and access to water, 0.54 (0.28–1.04) / 0.55 (0.29–1.04); high coverage by the total population by the PBF and access to water, 0.97 (0.95–1.00) and high coverage by the total population by the PBF and access to sanitation, 0.98 (0.97–1.00). Decline on diarrhea mortality was also observed in the joint presence of high coverage of solid waste collection and access to water, categories 1 (> 60% ≤85%): 0.98 (0.96–1.00), 0.98 (0.97–1, 00) and 2 (> 85% ≤ 100%): 0.97 (0.95–0.98), 0.97 (0.95–0.99). Negative effect modification were observed for mortality due to malnutrition in the presence of simultaneous high coverage of the total population by the PBF and access to sanitation categories 1 (≥ 20 < 50%): 1.0061 (0.9991–1.0132) and 2 (≥ 50 < 100%): 1.0073 (1.0002–1.0145) and high coverage of the total population by the PBF and solid waste collection, 1.0004 (1.0002–1.0005), resulting in malnutrition mortality rates increase. Conclusion Implementation of environmental health services and the coverage expansion by the PBF may enhance the prevention of early deaths in children under 5 years old due to diarrhea, a poverty related disease.

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Section: Discussionsupporting

confidence: 94%

Combination of conditional cash transfer program and environmental health interventions reduces child mortality: an ecological study of Brazilian municipalities

et al. 2021

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“…O Brasil passa atualmente por uma incontestável transição alimentar, onde se observa o aumento na obesidade em regiões desenvolvidas, mas, em paralelo, a desnutrição continua presente nas regiões Norte e Nordeste. Segundo Rissi et al (2019) as regiões Norte e Nordeste apresentaram as maiores taxas de mortalidade em menores de cinco anos decorrentes da desnutrição quando comparadas às demais regiões do país. Embora tenha havido importantes avanços com a redução de déficits nutricionais no panorama nacional, ainda há presença de intensas desigualdades no Brasil e no mundo que se manifestam de forma injusta em grupos vulneráveis (SOUZA et al, 2017).…”

Section: Introductionunclassified

Chemical Composition and Microbiological Aspects of Enriched Breads With Integral Pulp of Dehydrated Pupunha

2020

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O fruto da pupunheira é utilizado como alimento em várias receitas culinárias pela população da região Amazônica. A casca e a polpa do fruto apresentam alto valor nutricional, em função das concentrações de minerais, fibra alimentar e quantidade significativas de carotenóides biodisponíveis. Em função disso, este trabalho teve por objetivo melhorar a composição centesimal do pão comum que é fonte predominante de carboidratos através da adição da polpa de pupunha desidratada integral, por conter carotenóides e óleos essenciais, bem como, a fibra alimentar. As formulações dos pães foram definidas através de ensaios preliminares, sendo escolhidas as formulações contendo 100 e 150 g de polpa de pupunha desidratada integral. As amostras foram submetidas às analises microbiológicas de coliformes termotolerantes a 45°C, Staphylococus aureus e Salmonella spp e de composição centesimal de proteína, cinzas, lipídios, umidade, fibras, carboidrato, valor calórico total, além dos carotenóides totais. Os resultados indicam composição química superior em cinzas (4,51 e 4,73 g/100g), lipídios (0,94 e 1,07 g/100g) e fibra alimentar (0,53 e 0,95 g/100g) para os pães com 100 e 150 g de polpa de pupunha desidratada integral, respectivamente, quando comparados ao pão controle. Porém, apresentaram menores concentrações de carboidratos e valor calórico, além de boas quantidades de fibra alimentar e carotenóides totais, quando comparado ao pão comum, o que credencia o mesmo a ser utilizado como alimento funcional e saudável, e assim, propiciar benefícios à saúde do consumidor.

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“…Estudo de 2011 revelou que 45% das mortes de crianças no Brasil estavam relacionadas a subnutrição 2 . A desnutrição infantil tem impacto na vida de uma criança em vários aspectos, afetando o seu desenvolvimento físico e mental e o seu futuro desempenho escolar.…”

Section: Introductionunclassified

Hunger in Brazil: Impact of Protein-Energy Malnutrition According to GBD Compare Tool

Silva

Gontijo²,

Elias³

et al. 2021

Braz. Jour. Global Health

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OBJECTIVE: Food and nutritional security is the realization of everyone’s right to regular and permanent access to quality food. In 2011 45% of children deaths in Brazil were related to malnutrition, which contributes to the maintenance of poverty and inequality. METHODS: Data were collected from GBD Compare tool, between 1990 and 2019. The theoretical foundation was carried out through research on database platforms. RESULTS: Reduction of the rates of protein-energy malnutrition through the years was evidenced, on average a reduction of 6,2% every 10 years in all ages. The period of significant drop in food insecurity coincides with the implementation of specific policies for this purpose, and income redistribution policies, such as the Bolsa Família. CONCLUSIONS: The data showed that the situation of malnutrition in Brazil has decreased over the years, however the structural cause of food insecurity has not been removed.

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Crianças menores de 5 anos ainda morrem por desnutrição?

Cited by 7 publications

References 11 publications

Combination of conditional cash transfer program and environmental health interventions reduces child mortality: an ecological study of Brazilian municipalities

Combination of conditional cash transfer program and environmental health interventions reduces child mortality: an ecological study of Brazilian municipalities

Chemical Composition and Microbiological Aspects of Enriched Breads With Integral Pulp of Dehydrated Pupunha

Hunger in Brazil: Impact of Protein-Energy Malnutrition According to GBD Compare Tool

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