Avaliação de um programa de suplementação alimentar
Evaluation of a supplementary nutrition program
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Gutierrez, M. R., Bettiol, H., & Barbieri, M. A. (1998). Avaliação de um programa de suplementação alimentar [Journal articles]. http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998000700006&lng=pt&nrm=iso&tlng=pt
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1998
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O objetivo do presente estudo foi avaliar o impacto de um programa de suplementação alimentar sobre o crescimento de crianças desnutridas com menos de 5 anos no município de Guariba, estado de São Paulo, Brasil. A amostra foi constituída por 469 crianças desnutridas freqüentes em um programa de suplementação alimentar da Secretaria de Estado da Saúde. As crianças foram subdivididas em quatro grupos, segundo o tempo de freqüência no programa: no grupo 1, as crianças freqüentavam o programa há 12 meses; no grupo 2, entre 12 e 24 meses; no grupo 3, de 24 a 36 meses; e no grupo 4, há mais do que 35 meses. Foram calculados os percentis de peso e altura por idade e peso por altura de cada criança. Para avaliar o impacto do programa, foram construídas curvas de referência para o perfil antropométrico, baseadas nas variações esperadas dos percentis da população. As mudanças observadas em cada grupo foram analisadas estatisticamente (McNemar). Nos grupos 1 e 2 houve recuperação do peso e adequação do peso por altura para as crianças mais severamente desnutridas; no grupo 3 houve manutenção do peso por altura e uma discreta tendência de recuperação do peso, que foi revertida no grupo 4, no qual o peso das crianças foi baixo para a altura. O programa de suplementação alimentar minimizou temporariamente os déficit nutricionais severos, porém não foi suficiente para a recuperação e manutenção do crescimento.(AU)
The objective of this study was to evaluate the impact of a feeding supplementation program on the growth of undernourished children younger than 5 years in the city of Guariba, state of São Paulo, Brazil. The sample consisted of 469 malnourished children enrolled in a feeding supplementation program sponsored by the State Health Secretariat. The children were divided into four groups according to how long they had been enrolled in the program: in group 1, the children had been enrolled for up to 12 months; in group 2, from 12 to 24 months; in group 3 from 24 to 36 months; and in group 4 the children had been enrolled for more than 35 months. Percentiles for weight/age, height/age and weight/height were calculated for each child. To assess the impact of the program, reference curves for the anthropometric profile were constructed based on expected variations in population percentiles. The changes observed in each group were analyzed statistically (McNemar). Groups 1 and 2 presented weight recovery and gains in the weight/height ratios for the most severely malnourished children; in group 3, the weight/height ratio was maintained and there was a discrete tendency towards weight recovery, which was reversed in group 4, in which the weight was again low in relation to height. The feeding supplementation program temporarily minimized severe nutritional deficiencies but was not sufficient to recover and maintain normal growth.(AU)
The objective of this study was to evaluate the impact of a feeding supplementation program on the growth of undernourished children younger than 5 years in the city of Guariba, state of São Paulo, Brazil. The sample consisted of 469 malnourished children enrolled in a feeding supplementation program sponsored by the State Health Secretariat. The children were divided into four groups according to how long they had been enrolled in the program: in group 1, the children had been enrolled for up to 12 months; in group 2, from 12 to 24 months; in group 3 from 24 to 36 months; and in group 4 the children had been enrolled for more than 35 months. Percentiles for weight/age, height/age and weight/height were calculated for each child. To assess the impact of the program, reference curves for the anthropometric profile were constructed based on expected variations in population percentiles. The changes observed in each group were analyzed statistically (McNemar). Groups 1 and 2 presented weight recovery and gains in the weight/height ratios for the most severely malnourished children; in group 3, the weight/height ratio was maintained and there was a discrete tendency towards weight recovery, which was reversed in group 4, in which the weight was again low in relation to height. The feeding supplementation program temporarily minimized severe nutritional deficiencies but was not sufficient to recover and maintain normal growth.(AU)
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Gutierrez, Manoel Romeu,Bettiol, Heloisa,Barbieri, Marco Antonio (1998) Avaliação de um programa de suplementação alimentar. Rev Panam Salud Publica;4(1) 32-39,jul. 1998. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891998000700006&lng=pt&nrm=iso&tlng=pt
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Item Empleo e interpretación de la antropometría en la evaluación del crecimiento del lactante(1996)Al examinar el crecimiento de los niños menores de un año que viven en condiciones favorables y son alimentados conformne a las recomendaciones de la OMS, el Grupo de Trabajo detectó diferencias notables entre los patrones del crecimiento de esos niños y los reflejados en los datos de referencia internacional sobre crecimiento del Centro Nacional de Estadísticas de Salud de los Estados Unidos de América y de la OMS (NCHS/OMS). Teniendo en cuenta las consecuencias del crecimiento insuficiente a corto y a largo plazo y los peligros de la introducción prematura de alimentos complementarios o la demora indebida de esa introducción, descritos como el "dilema del destete", el /grupo de Trabajo concluyo que el empleo de la referencia actual del NCHS/OMS parece agravar la dificultad de evitar extremos, en lugar a asegurar la nutrición óptima de los menores de un año. El Grupo de Trabajo identificó las siguientes necesidades: (a) una nueva referencia que fortalezca la nutrición de los niños menores de un año; (b) la población de referencia debe reflejar las recomendaciones de salud actuales, porque ese tipo de referencia se emplea con frecuencia como norma; (c) evaluación en una amplia gama de medios de la utilidad práctica de los datos de referencia de menores de un año con los que se siguen las recomendaciones de la OMS sobre alimentación; (d) investigación detallada de los efectos de distintos alimentos complementarios sobre el crecimiento de los niños alimentados conforme a las recomendaciones de la OMS; (e) criterios para evaluar los patrones del crecimiento anormal; (f) investigaciones para identificar medidas sustitutivas de la talla, y (g) evaluación de datos de referencia basados en otras medidas antropométricas, como el grosor del pliegue cutáneo y los perímetros del brazo y la cabeza (AU)