Asymptomatic environmental enteropathy among slum-dwelling infants

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dc.contributor.authorFagundes Neto, Ulysses [UNIFESP]
dc.contributor.authorMartins, Maria Ceci do Vale [UNIFESP]
dc.contributor.authorLima, Fátima Maria Lindoso da Silva [UNIFESP]
dc.contributor.authorPatricio, Francy Reis da Silva [UNIFESP]
dc.contributor.authorToledo, Maria Regina Fernandes de [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade de Brasília (UnB)
dc.date.accessioned2018-06-18T10:46:21Z
dc.date.available2018-06-18T10:46:21Z
dc.date.issued1994-02-01
dc.description.abstractObjective: We documented asymptomatic environmental enteropathy, which may occur in low socioeconomic populations, and which is manifested by bacterial proliferation in the upper portions of the small bower and by alterations in the digestive-absorptive capacity. Design: Forty asymptomatic infants (<1 year) of the Cidade Leonor slum in Sao Paulo,Brazil, were investigated for digestive-absorptive function, bacterial proliferation in the small bowel lumen, and jejunal morphology. They were compared with a control group of 8 well-nourished children from economically sound families. Results: Mean value of the D-xylose absorption test in the slum infants (21.0 +/- 10.0 mg%) was significantly lower than in controls (46.0 +/- 13.8 mg%) (p < 0.001). Colonic bacterial proliferation in the small bowel was identified in 25 (62.5%) of slum-dwelling infants. Grade II villous atrophy with inflammatory infiltration in the lamina propria was the most frequent alteration found. Conclusion: These data show that alterations in the microecology, function and morphology of the small intestine can occur even in the absence of diarrhea. Therefore, the absence of symptoms does not necessarily imply a healthy well-being among children living in a slum.en
dc.description.affiliationESCOLA PAULISTA MED,DIV PATHOL,BR-04023900 SAO PAULO,BRAZIL
dc.description.affiliationESCOLA PAULISTA MED,DIV MICROBIOL,BR-04023900 SAO PAULO,BRAZIL
dc.description.affiliationUnifespESCOLA PAULISTA MED,DIV PATHOL,BR-04023900 SAO PAULO,BRAZIL
dc.description.affiliationUnifespESCOLA PAULISTA MED,DIV MICROBIOL,BR-04023900 SAO PAULO,BRAZIL
dc.description.sourceWeb of Science
dc.format.extent180-185
dc.identifierhttp://dx.doi.org/10.1080/07315724.1994.10718371
dc.identifier.citationJournal Of The American College Of Nutrition. New York: Amer Coll Nutrition, v. 13, n. 1, p. 51-56, 1994.
dc.identifier.doi10.1080/07315724.1994.10718371
dc.identifier.issn0731-5724
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/44723
dc.identifier.wosWOS:A1994MU18100007
dc.language.isoeng
dc.publisherAmer Coll Nutrition
dc.relation.ispartofJournal Of The American College Of Nutrition
dc.rightsAcesso restrito
dc.subjectMALNUTRITIONen
dc.subjectBACTERIAL PROLIFERATIONen
dc.subjectMALABSORPTIONen
dc.subjectENVIRONMENTAL CONTAMINATIONen
dc.titleAsymptomatic environmental enteropathy among slum-dwelling infantsen
dc.typeArtigo
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