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      Prevención del daño: impacto económico y social Translated title: Damage prevention: socioeconomic impact

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          Abstract

          Para prevenir el daño se implantaron exitosas intervenciones, destinada a proteger al niño durante los primeros períodos de la vida. Como resultado, el 98% de los menores de cinco años en el país, está creciendo y desarrollándose dentro de parámetros normales establecidos por la OMS. En los años sucesivos, el impacto (efecto dominó) fue repercutiendo en edades posteriores, exteriorizándose en el incremento de las demandas educacionales y de salud, que culminaron con un posterior período de rápido desarrollo social y económico. Se concluye que la inversión en la prevención de la desnutrición de los primeros períodos de la vida, ha sido altamente rentable y no comparable con ninguna otra. El ejemplo de lo ocurrido en Chile durante este periodo, puede ser de utilidad para otros países de la región que aún padecen de similares problemas nutricionales y de pobreza.

          Translated abstract

          To prevent the damage, successful interventions were implemented to protect the child during the early years. As a result, 98% of children less than 5 years of age grew and developed according to WHO guidelines. This created a "domino effect" in older children reflected by the increased demands in education and health care followed by a period of rapid socioeconomic development. We can conclude that investment in prevention of undernutrition in the early years of life has been highly profitable. The example of Chile can be used as a model for other countries who still suffer from undernutrition and poverty.

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          Most cited references18

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          Obesity in young men after famine exposure in utero and early infancy.

          In a historical cohort study of 300,000 19-year-old men exposed to the Dutch famine of 1944-45 and examined at military induction, we tested the hypothesis that prenatal and early postnatal nutrition determines subsequent obesity. Outcomes were opposite depending on the time of exposure. During the last trimester of pregnancy and the first months of life, exposure produced significantly lower obesity rates (P less than 0.005). This result is consistent with the inference that nutritional deprivation affected a critical period of development for adipose-tissue cellularity. During the first half of pregnancy, however, exposure resulted in significantly higher obesity rates (P less than 0.0005). This observation is consistent with the inference that nutritional deprivation affected the differentiation of hypothalamic centers regulating food intake and growth, and that subsequent increased food availability produced an accumulation of excess fat in an organism growing to its predetermined maximum size.
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            Jejunal biopsies in infant malnutrition: with special reference to mitotic index.

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              El chileno está aumentando de estatura

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                Author and article information

                Journal
                rchnut
                Revista chilena de nutrición
                Rev. chil. nutr.
                Sociedad Chilena de Nutrición, Bromatología y Toxicología (Santiago, , Chile )
                0717-7518
                June 2014
                : 41
                : 2
                : 181-190
                Affiliations
                [01] Santiago orgnameUniversidad Diego Portales orgdiv1Facultad de Medicina Chile fernando.monckeberg@ 123456udp.cl
                Article
                S0717-75182014000200009 S0717-7518(14)04100200009
                10.4067/S0717-75182014000200009
                d61c8f3e-f5c0-4075-a2d2-0462eca6c96c

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 28 May 2014
                : 22 April 2014
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 10
                Product

                SciELO Chile

                Categories
                ARTICULOS DE ACTUALIZACION

                prevención,impacto socioeconómico,desnutrición,daño cerebral,prevention,socioeconomic impact,malnutrition,brain damage

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