Food Intake, Growth and Body Composition of Children and Adolescents With Autoimmune Hepatitis

Food Intake, Growth and Body Composition of Children and Adolescents With Autoimmune Hepatitis

Autor Bidutte Cortez, Ana Paula Autor UNIFESP Google Scholar
Morais, Mauro Batista de Autor UNIFESP Google Scholar
Speridião, Patrícia da Graça Leite Autor UNIFESP Google Scholar
Guedes da Motta Mattar, Regina Helena Autor UNIFESP Google Scholar
Calanca, Flavia Autor UNIFESP Google Scholar
Fagundes Neto, Ulysses Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Objective: To evaluate the food intake, anthropometry, body composition, and sexual maturity of children and adolescents with autoimmune hepatitis.Methods: Thirty-seven children and adolescents with autoimmune hepatitis were studied. A questionnaire was given to evaluate food intake over a 24-hour period. Weight, height, and skin-fold thickness were measured. Electric impedance and skin-fold using Slaughter formula were used to evaluate body composition. Sexual maturity was evaluated using the Tanner stage method. Cumulative intake of corticosteroids was determined based on medical records.Results: Most of the subjects were females (83.3%). Food intake did not meet recommended dietary intakes for energy, calcium, and vitamin A for 43.2%, 94.6%, and 59.4% of the patients, respectively. All subjects were in their respective pubertal developmental stage. A lower Z score for height-for-age (< -2.0 standard deviation) was found in 3/37 (10.5%) of the patients. Body fat over 30% was found in female patients by bioimpedance (41.9%) and skin-fold (45.2%) evaluation. There was a positive correlation between the 2 methods of measuring body fat (r = +0.800; P < 0.001). A larger reduction (P < 0.005) in Z score for height-for-age was observed in patients that received a cumulative dose of corticosteroids of more than 10.0 g.Conclusions: Food intake in children and adolescents with autoimmune hepatitis is below recommended standards especially for energy, calcium, and vitamin A. Cumulative dose of corticoids was associated with reduction of Z score for height-for-age.
Palavra-chave autoimmune hepatitis
anthropometry
electric impedance
body composition
food intake
Idioma Inglês
Financiador Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Data de publicação 2010-03-01
Publicado em Journal of Clinical Gastroenterology. Philadelphia: Lippincott Williams & Wilkins, v. 44, n. 3, p. 200-207, 2010.
ISSN 0192-0790 (Sherpa/Romeo, fator de impacto)
Publicador Lippincott Williams & Wilkins
Extensão 200-207
Fonte http://dx.doi.org/10.1097/MCG.0b013e3181b9145a
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000275197800010
Endereço permanente http://repositorio.unifesp.br/handle/11600/32365

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