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[PMID]:29216027
[Au] Autor:Leidman E; Tromble E; Yermina A; Johnston R; Isokpunwu C; Adeniran A; Bulti A
[Ti] Título:Acute Malnutrition Among Children, Mortality, and Humanitarian Interventions in Conflict-Affected Regions - Nigeria, October 2016-March 2017.
[So] Source:MMWR Morb Mortal Wkly Rep;66(48):1332-1335, 2017 Dec 08.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A public health emergency was declared by the Nigerian Federal Ministry of Health in northeastern Nigeria in June 2016 and escalated by the United Nations to a Level 3 Emergency in August 2016, after confirmation of wild poliovirus and measles outbreaks and evidence that prevalence of acute malnutrition exceeded emergency thresholds in areas newly liberated from Boko Haram control (1,2). To monitor rates of mortality, acute malnutrition among children, infectious disease morbidity, and humanitarian interventions after the emergency declaration, a series of cross-sectional household surveys were conducted in fall 2016 and winter 2017 in the northeastern states of Borno and Yobe using a cluster methodology. All-cause mortality among all age groups (crude mortality) and among children aged <5 years (under-five mortality) were above emergency thresholds in 2017 and significantly increased from 2016, despite evidence of increased preventive public health interventions, including measles vaccination. Access to treatment for common childhood illnesses remained very low, as evidenced by reports of fewer than one in six children in areas outside Borno's capital receiving any care for diarrhea. The data from these surveys provide evidence of excessively high mortality (particularly among children), highlight the impact of ongoing violence, and underscore the need for humanitarian efforts to scale up access to treatment services in conflict-affected areas.
[Mh] Termos MeSH primário: Altruísmo
Conflitos Armados
Mortalidade da Criança
Transtornos da Nutrição Infantil/epidemiologia
[Mh] Termos MeSH secundário: Doença Aguda
Pré-Escolar
Seres Humanos
Lactente
Recém-Nascido
Nigéria/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6648a4


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[PMID]:28470972
[Au] Autor:Smyth RL; Rayner O
[Ad] Endereço:Institute of Child Health, UCL, 30 Guilford Street, London, UK, WC1N 1EH.
[Ti] Título:Oral calorie supplements for cystic fibrosis.
[So] Source:Cochrane Database Syst Rev;5:CD000406, 2017 05 04.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Poor nutrition occurs frequently in people with cystic fibrosis and is associated with other adverse outcomes. Oral calorie supplements are used to increase total daily calorie intake and improve weight gain. However, they are expensive and there are concerns they may reduce the amount of food eaten and not improve overall energy intake. This is an update of a previously published review. OBJECTIVES: To establish whether in people with cystic fibrosis, oral calorie supplements: increase daily calorie intake; and improve overall nutritional intake, nutritional indices, lung function, survival and quality of life. To assess adverse effects associated with using these supplements. SEARCH METHODS: We searched the Cochrane Cystic Fibrosis Trials Register comprising references from comprehensive electronic database searches, handsearches of relevant journals and abstract books of conference proceedings. We contacted companies marketing oral calorie supplements.Last search: 18 October 2016. SELECTION CRITERIA: Randomised or quasi-randomised controlled trials comparing use of oral calorie supplements for at least one month to increase calorie intake with no specific intervention or additional nutritional advice in people with cystic fibrosis. DATA COLLECTION AND ANALYSIS: We independently selected the included trials, assessed risk of bias and extracted data. We contacted the authors of included trials and obtained additional information for two trials. MAIN RESULTS: We identified 21 trials and included three, reporting results from 131 participants lasting between three months and one year. Two trials compared supplements to additional nutritional advice and one to no intervention. Two of the included trials recruited only children. In one trial the risk of bias was low across all domains, in a second trial the risk of bias was largely unclear and in the third mainly low. Blinding of participants was unclear in two of the trials. Also, in one trial the clinical condition of groups appeared to be unevenly balanced at baseline and in another trial there were concerns surrounding allocation concealment. There were no significant differences between people receiving supplements or dietary advice alone for change in weight, height, body mass index, z score or other indices of nutrition or growth. Changes in weight (kg) at three, six and 12 months respectively were: mean difference (MD) 0.32 (95% confidence interval (CI) -0.09 to 0.72); MD 0.47 (95% CI -0.07 to 1.02 ); and MD 0.16 (-0.68 to 1.00). Total calorie intake was greater in people taking supplements at 12 months, MD 265.70 (95% CI 42.94 to 488.46). There were no significant differences between the groups for anthropometric measures of body composition, lung function, gastro-intestinal adverse effects or activity levels. Moderate quality evidence exists for the outcomes of changes in weight and height and low quality evidence exists for the outcomes of change in total calories, total fat and total protein intake as results are applicable only to children between the ages of 2 and 15 years and many post-treatment diet diaries were not returned. Evidence for the rate of adverse events in the treatment groups was extremely limited and judged to be of very low quality AUTHORS' CONCLUSIONS: Oral calorie supplements do not confer any additional benefit in the nutritional management of moderately malnourished children with cystic fibrosis over and above the use of dietary advice and monitoring alone. While nutritional supplements may be used, they should not be regarded as essential. Further randomised controlled trials are needed to establish the role of short-term oral protein energy supplements in people with cystic fibrosis and acute weight loss and also for the long-term nutritional management of adults with cystic fibrosis or advanced lung disease, or both.
[Mh] Termos MeSH primário: Transtornos da Nutrição Infantil/dietoterapia
Fibrose Cística/complicações
Suplementos Nutricionais
Ingestão de Energia
[Mh] Termos MeSH secundário: Administração Oral
Adulto
Criança
Transtornos da Nutrição Infantil/etiologia
Suplementos Nutricionais/efeitos adversos
Seres Humanos
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD000406.pub5


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[PMID]:29303717
[Au] Autor:Yaqub F
[Ti] Título:2017: a year in review.
[So] Source:Lancet;390(10114):2753-2754, 2018 12 23.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Conflitos Armados
Transtornos da Nutrição Infantil/epidemiologia
Cólera/epidemiologia
Epidemias
Direitos Humanos
Imunoterapia Adotiva/métodos
Leucemia-Linfoma Linfoblástico de Células Precursoras B/terapia
Refugiados
Delitos Sexuais
Assédio Sexual
[Mh] Termos MeSH secundário: Bangladesh
Pré-Escolar
China
Recessão Econômica
Etiópia/epidemiologia
Abastecimento de Alimentos
Política de Saúde
Seres Humanos
Mianmar
Armas Nucleares
Política
Somália/epidemiologia
Linfócitos T/transplante
Transplante Autólogo
Estados Unidos
Venezuela
Organização Mundial da Saúde
Iêmen/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE


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[PMID]:28464868
[Au] Autor:Galgamuwa LS; Iddawela D; Dharmaratne SD; Galgamuwa GLS
[Ad] Endereço:Department of Parasitology, Faculty of Medicine, University of Peradeniya, Peradeniya, 20400, Sri Lanka.
[Ti] Título:Nutritional status and correlated socio-economic factors among preschool and school children in plantation communities, Sri Lanka.
[So] Source:BMC Public Health;17(1):377, 2017 05 02.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Child malnutrition is a major public health concern worldwide, leading to higher morbidity and mortality. It is mostly preventable through public health and economic development. The aim of the present study was to determine socio-economic factors associated with nutritional status among children in plantation communities, Sri Lanka. METHODS: A cross-sectional study was performed among preschool and school going children in three rural communities of Sri Lanka from January to August 2014. Demographic and household characteristics were documented and anthropometric measurements were collected to calculate weight-for-age (WAZ), height-for-age (HAZ) and BMI-for-age (BAZ). Anthroplus, epiinfo and SPSS versions were used for the analysis of data. RESULTS: A total of 547 children (aged 1-15 years, mean 7.0 ± 3.6 years, 53% female) participated in the study. 35.6%, 26.9% and 32.9% of children were underweight, stunting and wasting respectively. Undernutrition was more common in primary school children. Maternal employment, high number of siblings, high birth orders and female children were significantly associated with undernutrition among preschool children. Living in small houses, large number of family members, low monthly income and maternal employment were significantly associated with undernutrition among school children. CONCLUSIONS: Child undernutrition is a major public health concern in the plantation sector, Sri Lanka. Health education programs among the study population could be effective for solving the problem.
[Mh] Termos MeSH primário: Transtornos da Nutrição Infantil/epidemiologia
População Rural
Magreza/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Ordem de Nascimento
Pesos e Medidas Corporais
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Lactente
Masculino
Estado Nutricional
Fatores Socioeconômicos
Sri Lanka/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4311-y


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[PMID]:28796794
[Au] Autor:Vonaesch P; Tondeur L; Breurec S; Bata P; Nguyen LBL; Frank T; Farra A; Rafaï C; Giles-Vernick T; Gody JC; Gouandjika-Vasilache I; Sansonetti P; Vray M
[Ad] Endereço:Unité de Pathogénie Microbienne Moléculaire, Institut Pasteur, Paris, France.
[Ti] Título:Factors associated with stunting in healthy children aged 5 years and less living in Bangui (RCA).
[So] Source:PLoS One;12(8):e0182363, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Stunting remains a major public health concern worldwide. Although its global prevalence is slowly decreasing, the actual number of affected children is still rising in Sub-Saharan Africa. In the Central African Republic (CAR), about one third of all children below the age of five are stunted. Stunting is correlated with many long-term consequences, including poor cognitive development and a higher rate of morbidity and mortality, making stunting a major contributor to poverty. In CAR, little is known about the factors that contribute to stunting. This study aimed at analysing, in a cross-sectional study, the main factors associated with stunting in a group of 414 children recruited between December 2011 and November 2013, aged five years or less and living in Bangui. For all children, demographic, socio-economic and anthropometric data were recorded and asymptomatic enteropathogen carriage was assessed in stool samples using classical microbiological assays. The study group had a mean age of 14.2±10 months. Fifty-eight percent (292/414) were boys, and 36 percent (148/414) exhibited stunted growth. Of the stunted children, 51% (75/148) showed a moderate delay in linear growth for their age group [height-for-age z-score (HAZ) between -2 and -3 SD] while 49% (73/148) presented a severe delay (HAZ < -3). Factors significantly associated with stunting included gender (aOR: 1.67; 95% CI: 1.07; 2.62 for boys compared to girls) and age (aOR of 3.98 (95% CI: 2.45; 6.46) for toddlers and aOR 4.42 (95% CI: 2.36; 8.28) for children compared to infants). Most importantly, we identified being overweight [weight-for-height z-score (WHZ) > 2 SD; aOR: 3.21; 95% CI: 1.50; 6.90 of overweight compared to normal weight] as also being significantly associated with stunting. This is the first study showing that even in the poorest countries of the world there is an association of stunting with being overweight.
[Mh] Termos MeSH primário: Transtornos da Nutrição Infantil/complicações
Transtornos do Crescimento/etiologia
[Mh] Termos MeSH secundário: Estatura
Peso Corporal
República Centro-Africana
Transtornos da Nutrição Infantil/epidemiologia
Pré-Escolar
Estudos Transversais
Feminino
Transtornos do Crescimento/epidemiologia
Seres Humanos
Lactente
Recém-Nascido
Masculino
Sobrepeso/epidemiologia
Sobrepeso/etiologia
Prevalência
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182363


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[PMID]:28774873
[Au] Autor:Mramba L; Ngari M; Mwangome M; Muchai L; Bauni E; Walker AS; Gibb DM; Fegan G; Berkley JA
[Ad] Endereço:Department of Medicine, University of Florida, FL, USA.
[Ti] Título:A growth reference for mid upper arm circumference for age among school age children and adolescents, and validation for mortality: growth curve construction and longitudinal cohort study.
[So] Source:BMJ;358:j3423, 2017 Aug 03.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo: To construct growth curves for mid-upper-arm circumference (MUAC)-for-age z score for 5-19 year olds that accord with the World Health Organization growth standards, and to evaluate their discriminatory performance for subsequent mortality. Growth curve construction and longitudinal cohort study. United States and international growth data, and cohorts in Kenya, Uganda, and Zimbabwe. The Health Examination Survey (HES)/National Health and Nutrition Examination Survey (NHANES) US population datasets (age 5-25 years), which were used to construct the 2007 WHO growth reference for body mass index in this age group, were merged with an imputed dataset matching the distribution of the WHO 2006 growth standards age 2-6 years. Validation data were from 685 HIV infected children aged 5-17 years participating in the Antiretroviral Research for Watoto (ARROW) trial in Uganda and Zimbabwe; and 1741 children aged 5-13 years discharged from a rural Kenyan hospital (3.8% HIV infected). Both cohorts were followed-up for survival during one year. Concordance with WHO 2006 growth standards at age 60 months and survival during one year according to MUAC-for-age and body mass index-for-age z scores. The new growth curves transitioned smoothly with WHO growth standards at age 5 years. MUAC-for-age z scores of -2 to -3 and less than-3, compared with -2 or more, was associated with hazard ratios for death within one year of 3.63 (95% confidence interval 0.90 to 14.7; P=0.07) and 11.1 (3.40 to 36.0; P<0.001), respectively, among ARROW trial participants; and 2.22 (1.01 to 4.9; P=0.04) and 5.15 (2.49 to 10.7; P<0.001), respectively, among Kenyan children after discharge from hospital. The AUCs for MUAC-for-age and body mass index-for-age z scores for discriminating subsequent mortality were 0.81 (95% confidence interval 0.70 to 0.92) and 0.75 (0.63 to 0.86) in the ARROW trial (absolute difference 0.06, 95% confidence interval -0.032 to 0.16; P=0.2) and 0.73 (0.65 to 0.80) and 0.58 (0.49 to 0.67), respectively, in Kenya (absolute difference in AUC 0.15, 0.07 to 0.23; P=0.0002). The MUAC-for-age z score is at least as effective as the body mass index-for-age z score for assessing mortality risks associated with undernutrition among African school aged children and adolescents. MUAC can provide simplified screening and diagnosis within nutrition and HIV programmes, and in research.
[Mh] Termos MeSH primário: Envelhecimento
Braço/anatomia & histologia
Braço/crescimento & desenvolvimento
Transtornos da Nutrição Infantil/mortalidade
[Mh] Termos MeSH secundário: Adolescente
Antropometria
Criança
Feminino
Seres Humanos
Quênia/epidemiologia
Estudos Longitudinais
Masculino
Inquéritos Nutricionais
Estado Nutricional
Valor Preditivo dos Testes
Valores de Referência
Uganda/epidemiologia
Organização Mundial da Saúde
Zimbábue/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170805
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j3423


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[PMID]:28771408
[Au] Autor:Vaivada T; Gaffey MF; Bhutta ZA
[Ad] Endereço:Centre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada; and.
[Ti] Título:Promoting Early Child Development With Interventions in Health and Nutrition: A Systematic Review.
[So] Source:Pediatrics;140(2), 2017 Aug.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Although effective health and nutrition interventions for reducing child mortality and morbidity exist, direct evidence of effects on cognitive, motor, and psychosocial development is lacking. OBJECTIVE: To review existing evidence for health and nutrition interventions affecting direct measures of (and pathways to) early child development. DATA SOURCES: Reviews and recent overviews of interventions across the continuum of care and component studies. STUDY SELECTION: We selected systematic reviews detailing the effectiveness of health or nutrition interventions that have plausible links to child development and/or contain direct measures of cognitive, motor, and psychosocial development. DATA EXTRACTION: A team of reviewers independently extracted data and assessed their quality. RESULTS: Sixty systematic reviews contained the outcomes of interest. Various interventions reduced morbidity and improved child growth, but few had direct measures of child development. Of particular benefit were food and micronutrient supplementation for mothers to reduce the risk of small for gestational age and iodine deficiency, strategies to reduce iron deficiency anemia in infancy, and early neonatal care (appropriate resuscitation, delayed cord clamping, and Kangaroo Mother Care). Neuroprotective interventions for imminent preterm birth showed the largest effect sizes (antenatal corticosteroids for developmental delay: risk ratio 0.49, 95% confidence interval 0.24 to 1.00; magnesium sulfate for gross motor dysfunction: risk ratio 0.61, 95% confidence interval 0.44 to 0.85). LIMITATIONS: Given the focus on high-quality studies captured in leading systematic reviews, only effects reported within studies included in systematic reviews were captured. CONCLUSIONS: These findings should guide the prioritization and scale-up of interventions within critical periods of early infancy and childhood, and encourage research into their implementation at scale.
[Mh] Termos MeSH primário: Saúde da Criança
Transtornos da Nutrição Infantil/prevenção & controle
Deficiências do Desenvolvimento/prevenção & controle
Intervenção Médica Precoce
[Mh] Termos MeSH secundário: Adaptação Psicológica
Criança
Transtornos da Nutrição Infantil/etiologia
Pré-Escolar
Deficiências do Desenvolvimento/etiologia
Medicina Baseada em Evidências
Feminino
Seres Humanos
Lactente
Recém-Nascido
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE


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[PMID]:28734508
[Au] Autor:Williams AM; Suchdev PS
[Ad] Endereço:Hubert Department of Global Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA. Electronic address: anne.williams@emory.edu.
[Ti] Título:Assessing and Improving Childhood Nutrition and Growth Globally.
[So] Source:Pediatr Clin North Am;64(4):755-768, 2017 Aug.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Improving maternal and child nutrition is central to global development goals and reducing the noncommunicable disease burden. Although the process of becoming malnourished starts in utero, the consequences of poor nutrition extend across the life cycle and into future generations. The global nutrition targets for 2025 include reducing infant and young child growth faltering, halting the increase of overweight children, improving breastfeeding practices, and reducing maternal anemia. In this review, we address nutritional assessment, discuss nonnutritive factors that affect growth, and endorse the evidence-based interventions that should be scaled up to improve maternal and child nutrition.
[Mh] Termos MeSH primário: Transtornos da Nutrição Infantil/terapia
Fenômenos Fisiológicos da Nutrição Infantil
Fenômenos Fisiológicos da Nutrição do Lactente
Fenômenos Fisiológicos da Nutrição Materna
Estado Nutricional
[Mh] Termos MeSH secundário: Antropometria
Aleitamento Materno
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Política Nutricional
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170724
[St] Status:MEDLINE


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[PMID]:28723982
[Au] Autor:Caselli TB; Lomazi EA; Montenegro MAS; Bellomo-Brandão MA
[Ad] Endereço:Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Saúde da Criança e do Adolescente.
[Ti] Título:ASSESSMENT OF NUTRITIONAL STATUS OF CHILDREN AND ADOLESCENTS WITH SPASTIC QUADRIPLEGIC CEREBRAL PALSY.
[So] Source:Arq Gastroenterol;54(3):201-205, 2017 Jul-Sept.
[Is] ISSN:1678-4219
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: : Due to several factors, such as gastrointestinal's diseases and difficulty in feeding, children with Spastic Quadriplegic Cerebral Palsy tend to present nutritional deficits. OBJECTIVE: : To assess the nutritional status of pediatric patients with Spastic Quadriplegic Cerebral Palsy according to reference curves for this population and with the measures of folds and circumferences, obtained by the upper arm circumference and triceps skin fold. METHODS: : The data were obtained from: knee-height, estimated height, weight, upper arm circumference, and triceps skin fold. Values of folds and circumferences were compared with Frisancho, and specific curves for these patients were used as reference. The relationship between the values in the growth curve for healthy children, Z-Score, and comparison with the reference curve were verified by Fisher's exact test. We adopted the significance level of 5%. RESULTS: : We evaluated 54 patients. The mean age was 10.2 years, and 34 were male, 25 fed by gastrostomy and 29, orally. The frequency of low weight by the reference curve was 22.22%. More than half of the patients presented the parameters indicating lean mass below the 5th percentile. The height of all patients was classified as adequate for the age by the reference curve. CONCLUSION:: Low weight was found in 22% of patients, and there is a greater tendency to present reduced muscle mass and increased fat mass, showing the need for evaluation and appropriate interventions for patients with Spastic Quadriplegic Cerebral Palsy.
[Mh] Termos MeSH primário: Paralisia Cerebral/complicações
Transtornos da Nutrição Infantil/etiologia
Estado Nutricional
Quadriplegia/complicações
[Mh] Termos MeSH secundário: Adolescente
Paralisia Cerebral/fisiopatologia
Criança
Transtornos da Nutrição Infantil/diagnóstico
Pré-Escolar
Feminino
Seres Humanos
Masculino
Avaliação Nutricional
Quadriplegia/fisiopatologia
Valores de Referência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE


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[PMID]:28722585
[Au] Autor:Erismann S; Diagbouga S; Schindler C; Odermatt P; Knoblauch AM; Gerold J; Leuenberger A; Shrestha A; Tarnagda G; Utzinger J; Cissé G
[Ad] Endereço:University of Basel, Basel, Switzerland.
[Ti] Título:School Children's Intestinal Parasite and Nutritional Status One Year after Complementary School Garden, Nutrition, Water, Sanitation, and Hygiene Interventions in Burkina Faso.
[So] Source:Am J Trop Med Hyg;97(3):904-913, 2017 Sep.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The potential health benefits of combined agricultural, nutrition, water, sanitation, and hygiene (WASH) interventions are poorly understood. We aimed to determine whether complementary school garden, nutrition, and WASH interventions reduce intestinal parasites and improve school children's nutritional status in two regions of Burkina Faso. A cluster-randomized controlled trial was conducted in the Plateau Central and Center-Ouest regions of Burkina Faso. A total of 360 randomly selected children, aged 8-15 years, had complete baseline and end-line survey data. Mixed regression models were used to assess the impact of the interventions, controlling for baseline characteristics. The prevalence of intestinal parasitic infections decreased both in intervention and control schools, but the decrease was significantly higher in the intervention schools related to the control schools (odds ratio [OR] of the intervention effect = 0.2, 95% confidence interval [CI] = 0.1-0.5). Indices of undernutrition did not decrease at end-line in intervention schools. Safe handwashing practices before eating and the use of latrines at schools were significantly higher in the intervention schools than in the control schools at end-line (OR = 6.9, 95% CI = 1.4-34.4, and OR = 14.9, 95% CI = 1.4-153.9, respectively). Parameters of water quality remained unchanged. A combination of agricultural, nutritional, and WASH-related interventions embedded in the social-ecological systems and delivered through the school platform improved several child health outcomes, including intestinal parasitic infections and some WASH-related behaviors. Sustained interventions with stronger household and community-based components are, however, needed to improve school children's health in the long-term.
[Mh] Termos MeSH primário: Higiene
Estado Nutricional
Saneamento
Instituições Acadêmicas
Verduras
Abastecimento de Água
[Mh] Termos MeSH secundário: Adolescente
Burkina Faso/epidemiologia
Criança
Transtornos da Nutrição Infantil/prevenção & controle
Fenômenos Fisiológicos da Nutrição Infantil
Feminino
Jardins
Nível de Saúde
Seres Humanos
Masculino
Avaliação de Programas e Projetos de Saúde
Serviços de Saúde Escolar
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-0964



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