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      Percepción materna del estado nutritivo de sus hijos obesos Translated title: Maternal perception of the nutritional state of their obese children

      research-article
      Revista chilena de pediatría
      Sociedad Chilena de Pediatría
      maternal perception, childhood obesity, percepción materna, obesidad infantil

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          Abstract

          La obesidad infantil afecta aproximadamente al 7% de la población chilena menor de seis años. A pesar de las múltiples estrategias para enfrentar esta patología, los resultados continúan siendo desalentadores. Un factor que puede influir en los magros resultados terapéuticos, es una percepción materna alterada del estado nutritivo de sus hijos obesos. El objetivo del presente trabajo fue determinar la percepción materna respecto al estado nutritivo de sus hijos, lo que se realizó a través de la aplicación de una encuesta a 64 madres de niños obesos que llevaban a sus hijos a control sano en el Hospital de Penco-Lirquén, VIII Región, Chile. Resultados: se encontró un elevado nivel de conciencia de las madres respecto a que la obesidad es una condición patológica (98,4%); sin embargo, la percepción de estas en relación al estado nutricional de sus hijos obesos fue considerablemente distorsionada, ya que el 37,5% lo encontró solo un poco excedido de peso y el 26,6% como de peso normal. Estos resultados podrían explicar en parte el elevado porcentaje de fracasos en el tratamiento de la obesidad infantil; por lo tanto, se recomienda diseñar estrategias de manejo en el futuro, que incluyan el definir previamente al iniciar un tratamiento la percepción materna del estado nutricional de su hijo obeso

          Translated abstract

          Childhood obesity affects approximately 7% of the Chilean population less than 6 years old. Inspite of multiple efforts in the treatment of obesity the results continue to be poor. One factor that may influence these results is an erroneous parental perception of the nutritional status of their obese children. Using a questionnaire we interviewed 64 mothers of obese children who regularly attend the Penco Lirquen Hospital. We found a high level of awareness of understanding that obesity is a pathological condition (98.4%). However the mothers had an altered perception of the nutritional status of their children. 37.5% thought their children were only slightly obese and 26.6% as having a normal weight. This could partly explain the elevated percentage of failures in the treatment of childhood obesity. We recommend that in future treatment strategies of obese children that the parental perception of the nutritional state should be previously defined

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          Most cited references18

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          Glucose-6-phosphate dehydrogenase deficiency.

          E Beutler (1991)
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            Relationship between physical inactivity and adiposity in prepubertal boys.

            To study the relationship between the energy expenditure for activity (EEAct), the level of activity and adiposity in a group of 9-year-old boys (n = 28) with different body composition (body weight, 38 +/- 10 kg [range, 23 to 66 kg]; fat mass, 23% +/- 10% [range, 8% to 42%]). Total energy expenditure (TEE) was measured by means of the heart-rate monitoring method. EEAct was calculated as TEE-(REE+0.1 TEE), where REE is the postabsorptive resting energy expenditure and 0.1 TEE corresponds to the postprandial thermogenesis (approximately 10% of TEE). TEE, REE, and EEAct were 9388 +/- 1859, 5154 +/- 642, and 3295 +/- 1356 l J/day, respectively. Daily time devoted to sedentary and nonsedentary activities averaged 290 +/- 155 minutes (range, 69 to 621) and 534 +/- 150 minutes (range, 180 to 783), respectively. Time spent on sedentary activities was directly proportional to fat mass percentage (r = 0.46; p < 0.05). It was the only variable, among the free-living physical-activity [EEAct, TEE/(REE+0.1 TEE) ratio, time spent in nonsedentary and sedentary activities] variables, which remained significantly in the multiple step-down regression analysis final equation (r = 0.46; p < 0.05). The positive relationship between adiposity and time spent on sedentary activities in 9-year-old boys suggests the importance of the role played by muscular activity, at least in the maintenance of obesity in childhood. Prepubertal children should be encouraged to spend less time on sedentary activities to treat and prevent their obesity.
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              Nutritional status outcomes for children: ethnic, cultural, and environmental contexts.

              Y Bronner (1996)
              The objective of this literature review was to explore the relationship between nutritional status outcomes among ethnically diverse children and cultural and environmental contexts. Articles form the literature on anthropometric/body composition measure, diet, and physiologic outcomes among ethnically diverse children were identified through on-line literature searches and references from articles reviewed. These studies were critically reviewed and selected if they reported findings resulting from use of accepted methodologies. Explanations consistent with evaluation of results from the studies and reports were developed by synthesis of the findings. Children from underserved, ethnically diverse population groups were at increased risk for obesity, increased serum lipid levels, and dietary consumption patterns that do not meet the Dietary Guidelines for Americans. More than 80% of all US children consume more than the recommended amount of total fat and saturated fat. These factors, which were noted during childhood, may track into adolescence, placing these children at increased risk for the early onset of chronic diseases such as non-insulin-dependent diabetes mellitus, cardiovascular disease, hypertension, and some forms of cancer. Although federally funded food assistance programs are changing rapidly, currently they provide foods that, when eaten as recommended, exceed the Dietary Guidelines for these children. Future interventions to improve the health and nutritional status of our nation's children, especially those from underserved, ethnically diverse groups, should be culturally appropriate and implemented at the levels of individuals, families, and communities.
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                Author and article information

                Journal
                rcp
                Revista chilena de pediatría
                Rev. chil. pediatr.
                Sociedad Chilena de Pediatría (Santiago, , Chile )
                0370-4106
                July 2000
                : 71
                : 4
                : 316-320
                Affiliations
                [01] orgnameServicio de Salud Talcahuano orgdiv1 Servicio de Pediatría, Hospital Penco-Lirquén
                Article
                S0370-41062000000400006 S0370-4106(00)07100406
                10.4067/S0370-41062000000400006
                eb4b5365-936e-4cd5-b0fa-0d08b49d5219

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

                History
                : 24 July 2000
                : 24 November 1999
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 5
                Product

                SciELO Chile

                Categories
                TRABAJOS ORIGINALES

                percepción materna,obesidad infantil,maternal perception,childhood obesity

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