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

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dc.contributor.author Fernandes, Mariana B. F. [UNIFESP]
dc.contributor.author Lopez, Rossano V. M.
dc.contributor.author Albuquerque, Maria P. de [UNIFESP]
dc.contributor.author Marchesano, Anna C. [UNIFESP]
dc.contributor.author Clemente, Ana P. G. [UNIFESP]
dc.contributor.author Martins, Vinicius J. B. [UNIFESP]
dc.contributor.author Sawaya, Ana L. [UNIFESP]
dc.date.accessioned 2016-01-24T14:27:20Z
dc.date.available 2016-01-24T14:27:20Z
dc.date.issued 2012-06-01
dc.identifier http://dx.doi.org/10.1017/S1368980011002758
dc.identifier.citation Public Health Nutrition. Cambridge: Cambridge Univ Press, v. 15, n. 6, p. 1108-1116, 2012.
dc.identifier.issn 1368-9800
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/34970
dc.description.abstract 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 = 6.621; P = 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) = 0.49; P = 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 = 4.48; P = 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. en
dc.description.sponsorship Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent 1108-1116
dc.language.iso eng
dc.publisher Cambridge Univ Press
dc.relation.ispartof Public Health Nutrition
dc.rights Acesso restrito
dc.subject Stunting en
dc.subject Undernutrition en
dc.subject Nutritional rehabilitation en
dc.subject Child survival en
dc.title A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil en
dc.type Artigo
dc.rights.license http://journals.cambridge.org/action/displaySpecialPage?pageId=4676
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Universidade de São Paulo (USP)
dc.description.affiliation Universidade Federal de São Paulo, Dept Fisiol, Disciplina Fisiol Nutr, BR-04023060 São Paulo, Brazil
dc.description.affiliation Univ São Paulo, Fac Saude Publ, São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Ctr Recuperacao & Educ Nutr, BR-04023060 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Fisiol, Disciplina Fisiol Nutr, BR-04023060 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Ctr Recuperacao & Educ Nutr, BR-04023060 São Paulo, Brazil
dc.identifier.doi 10.1017/S1368980011002758
dc.description.source Web of Science
dc.identifier.wos WOS:000304742200021



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