Navegando por Palavras-chave "Desnutrição proteico-energética"

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    Avaliação antropométrica, fatores de risco para desnutrição e medidas de apoio nutricional em crianças internadas em hospitais de ensino no Brasil
    (Sociedade Brasileira de Pediatria, 2009-06-01) Sarni, Roseli Oselka Saccardo [UNIFESP]; Carvalho, Maria de Fátima C. C.; Monte, Cristina M. G. do; Albuquerque, Zuleica P.; Souza, Fabíola I. S. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Faculdade de Medicina do ABC Departamento de Pediatria; Sociedade Brasileira de Pediatria Departamento Científico de Nutrologia; Universidade de Brasília; UnB Observatório de Políticas de Segurança Alimentar e Nutrição; London School of Hygiene and Tropical Medicine; Universidade Federal do Ceará Faculdade de Medicina Unidade de Pesquisas Clínicas; Organização Pan-Americana da Saúde
    OBJECTIVE: To evaluate risk factors for malnutrition, nutritional status and nutritional support provided in hospitalized children. METHODS: This longitudinal study prospectively followed, for 3 consecutive months, all children under 5 years of age (n = 907) hospitalized in general pediatric medical wards of 10 Brazilian university-based hospitals. For data collection, a standard questionnaire was used and nutritional condition was evaluated at hospital admission and discharge: weight-for-height, weight-for-age and height-for-age z score. RESULTS: Only 56.7% of the children had their nutritional classification documented in the medical record. At hospital admission, 16.3 and 30.0% of the children had moderate/severe malnutrition and low stature, respectively. Risk of malnutrition was associated with low birth weight and younger age. A high percentage of nutritional deficiencies was observed in the children analyzed, although child's nutritional condition and the adoption of appropriate nutritional therapy were not documented in the medical records of the malnourished children. CONCLUSION: These data underscore the importance of developing qualified hospital medical wards regarding diagnosis and therapeutic approach to malnutrition, based on the conduct guidelines already available in Brazil.
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    Influência das condições socioeconômicas nas alterações nutricionais e na taxa de metabolismo de repouso em crianças escolares moradoras em favelas no município de São Paulo
    (Associação Médica Brasileira, 2000-03-01) Grillo, L.p. [UNIFESP]; Carvalho, L.r. de; Silva, Antonio Carlos da [UNIFESP]; Verreschi, Ieda Therezinha do Nascimento [UNIFESP]; Sawaya, Ana Lydia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual Paulista (UNESP)
    PURPOSE: A cross-sectional study was carried out to characterize the alterations in the resting metabolic rate (RMR), and socioeconomic conditions of 15 stunted (DP= height/age < 95% and 110% 3 weight/height >90%) and 15 nonstunted (EU= height/age > 95% and 110% 3 weight/height >90%) school girls living in shantytowns of São Paulo. METHODS: Resting metabolic rate was measured using indirect calorimetry. Socioeconomic data was collected during home visits by administration of a questionnaire. RESULTS: The mildly stunted group had a higher RMR when expressed as Kcal/kg body weight (EU= 40,5 Kcal/kg/day; DP=44,4 Kcal/kg/day; p<0.05) and lean body mass (EU= 49,2 Kcal/kg/day; DP=52,5 Kcal/kg/day; p<0.05). Stunting was associated with maternal illiteracy (EU= 13,3%; DP=57,1%; p<0.05), income per capita (EU=US$107,14; DP=US$54,40; p< 0.05), number of parasites per child (EU=0; DP=1; p<0.05), birth order (EU=2; DP=4; p< 0.05), and number of siblings (EU=4; DP=6; p<0.01). Stunting was best predicted by income percapita and maternal illiteracy by using multiple logistic regression. CONCLUSIONS: Although the two groups had normal weight/height, the group with mild stunting showed socioeconomic and metabolic alterations, typical of a malnourished condition.