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Title: A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil
Authors: Fernandes, Mariana B. F. [UNIFESP]
Lopez, Rossano V. M.
Albuquerque, Maria P. de [UNIFESP]
Marchesano, Anna C. [UNIFESP]
Clemente, Ana P. G. [UNIFESP]
Martins, Vinicius J. B. [UNIFESP]
Sawaya, Ana L. [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Keywords: Stunting
Nutritional rehabilitation
Child survival
Issue Date: 1-Jun-2012
Publisher: Cambridge Univ Press
Citation: Public Health Nutrition. Cambridge: Cambridge Univ Press, v. 15, n. 6, p. 1108-1116, 2012.
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.
ISSN: 1368-9800
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