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Evolução do estado nutricional de crianças na idade pré-escolar
| Content Provider | Semantic Scholar |
|---|---|
| Author | Lopes, Amanda Forster |
| Copyright Year | 2018 |
| Abstract | LOPES, A.F. Evolution of the nutritional status of pre-school children. 2018. ThesisFaculdade de Saúde Pública, Universidade de São Paulo, São Paulo, 2018. Portuguese. INTRODUCTION The high prevalence of overweight children is currently considered to be one of the major public health problems because it is a multifactorial condition of origin and due to its complex immediate implications in biopsychosocial health, both in childhood and in adult life. Monitoring of growth through anthropometry allows early detection of health problems and nutritional risk situations, such as overweight and obesity. In this sense, observing the evolution of the nutritional status of overweight children as well as identifying the new cases and the possible anthropometric indicators that relate to this condition can be useful tools for the health care of the population. OBJECTIVES To analyze nutritional status and its evolution in children attending municipal pre-schools in the city of Taubaté, in two moments, with a two-year interval: 2014 and 2016. METHODS An analytical, cohort observational study with a sample of preschool children in the city of Taubaté, interior of the State of São Paulo Brazil. A reassessment of the nutritional status of the 351 children attending day-care centers was carried out in 2016. The frequency of overweight (OW z score of body mass index> 1) was compared at both moments and the relationship between the nutritional status of the pre-schoolers and their previous nutritional status and height was analyzed, as well as the other anthropometric parameters collected: muscular area and fat area of the arm and waist circumference. RESULTS Mean values of height z score (zH), weight (zW) and body mass index (zBMI) in 2014 were, respectively, -0.07; 0.37 and 0.58 and in 2016: 0.09; 0.43 and 0.57. The proportion of children with OW was 31.05% (2014) and 31.06% (2016). The relative risk of children with OW in 2014 being obese in 2016 was 1.96 (p: 0.0473). The correlation was positive (r: 0.2761, p <0.0001) between the zH difference and the zBMI difference in the two years. The zBMI in 2014 analyzed in tertile showed no correlation (p: 0.1309) with the gain in stature in the two years. Muscle area and fat area of the arm had a significant association with zBMI in 2014 (0.46 and 0.48) and in 2016 (0.68 and 0.76), respectively. Waist circumference had a statistically significant correlation (r = 0.5307) (p <0.0001) with the height presented by children in 2016. CONCLUSIONS The frequency of children with OW remained stable for two years. Children in the third year of life with OW are twice as likely to be obese by age 5 and greater stature at this age is associated with changes in body composition that may result in higher BMI, greater waist circumference, higher lean mass and a proportionally greater increase in fat mass. |
| File Format | PDF HTM / HTML |
| DOI | 10.11606/T.6.2019.tde-09012019-173008 |
| Alternate Webpage(s) | https://teses.usp.br/teses/disponiveis/6/6136/tde-09012019-173008/publico/AmandaForsterLopesORIGINAL.pdf |
| Alternate Webpage(s) | https://doi.org/10.11606/T.6.2019.tde-09012019-173008 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
