Malnourished children treated in day-hospital or outpatient clinics exhibit linear catch-up and normal body composition

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dc.contributor.authorNeves, Janaina das [UNIFESP]
dc.contributor.authorMartins, Paula Andrea [UNIFESP]
dc.contributor.authorSesso, Ricardo de Castro Cintra [UNIFESP]
dc.contributor.authorSawaya, Ana Lydia [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T18:07:30Z
dc.date.available2018-06-15T18:07:30Z
dc.date.issued2006-03-01
dc.description.abstractThe nutritional programming hypothesis proposes that early life malnutrition is related to an increase in body fat later in life. Brazilian boys and girls (n = 94; 4-14 y old) were studied. Malnourished children treated in a Nutrition Recovery Center, were followed up and divided into 2 groups: the Outpatient group (recovered after outpatient care, n = 28), and the Day-hospital group (recovered after day-hospital care, n = 38). They were compared with a Control group (healthy individuals without intervention, n = 28). Nutritional recovery was confirmed by anthropometry. Body composition was evaluated by dual-energy X-ray absorptiometry. Both recovered groups had a greater increase in height-for-age Z-scores than in weight-for-age Z-scores after treatment (P < 0.03). Body fat mass (kg) and the percentage of body fat were significantly lower in recovered groups of girls and boys compared with controls. Among boys, lean mass/height (kg/cm), fat-free mass (kg) and the fat-free mass index (kg/m(2)) were significantly lower in the Outpatient and Day-hospital groups than in Controls, but girls did not differ. Bone mineral content (BMC)/height (g/cm) did not differ between the recovered girls and the girls in the Control group (P < 0.15) or between the boys in the Day-hospital group and those in the Control group (P 0.06). The Outpatient boys group had lower BMC/height than boys in the Control group (P = 0.02). This study demonstrates that when malnourished children receive adequate treatment, linear catch-up growth occurs and is followed by appropriate gain in lean body mass and BMC.en
dc.description.affiliationUniv Fed Sao Paulo, Dept Physiol, Discipline Physiol Nutr, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Med, Discipline Nephrol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Physiol, Discipline Physiol Nutr, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Med, Discipline Nephrol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent648-655
dc.identifierhttps://jn.nutrition.org/content/136/3/648.full
dc.identifier.citationJournal Of Nutrition. Bethesda: Amer Society Nutritional Science, v. 136, n. 3, p. 648-655, 2006.
dc.identifier.issn0022-3166
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/44526
dc.identifier.wosWOS:000235555700015
dc.language.isoeng
dc.publisherAmer Society Nutritional Science
dc.relation.ispartofJournal Of Nutrition
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNutritional recoveryen
dc.subjectBody compositionen
dc.subjectDXAen
dc.subjectFood intakeen
dc.subjectBrazilen
dc.titleMalnourished children treated in day-hospital or outpatient clinics exhibit linear catch-up and normal body compositionen
dc.typeinfo:eu-repo/semantics/article
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