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      DÉFICIT ESTATURAL EM CRIANÇAS EM IDADE ESCOLAR: UMA ANÁLISE MULTIVARIADA DE POSSÍVEIS FATORES DE RISCO, PERNAMBUCO - 1997.

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          Abstract

          Utilizando dados da II Pesquisa Estadual Sobre Alimentação, Saúde e Nutrição do Estado de Pernambuco-Brasil, desenvolvida em 1997, analisou-se o estado nutricional e alguns fatores de risco de 894 crianças em idade escolar (6 a 12 anos) do Estado de Pernambuco - Brasil. O ponto de corte usado na avaliação nutricional foi o limite referente a -2 escore-Z, tendo como padrão de referência o NCHS. A prevalência do nanismo nutricional no estado foi de 16,9% e o espaço geográfico mais atingido o Interior Rural com 27,1%. A análise bi-variada mostrou que o baixo nível socioeconômico das crianças e de suas famílias está associado à ocorrência do déficit estatural e, o modelo de regressão logística indicou as variáveis: local de residência, gênero, tratamento da água de beber, déficit de escolaridade e renda per capita como principais determinantes do nanismo nutricional. A análise conjunta dos múltiplos fatores explicativos para o déficit estatural encontrado nas crianças estudadas, mostrou que a probabilidade de uma criança em idade escolar apresentar déficit estatural variou, dependendo dos fatores de risco considerados, de 1,5 a 60,3% configurando assim, diferentes "cenários" epidemiológicos. O estudo concluiu ainda que no Estado de Pernambuco o déficit estatural constitui um problema de saúde pública especialmente para as crianças em idade escolar residentes nas áreas rurais, retratando duas realidades epidemiológicas bem diferentes entre os meios urbanos e rurais.

          Translated abstract

          The nutritional status and some risk factors in 894 school children (ages 6 to 12) in the State of Pernambuco, Brazil, were analyzed based on the data collected by the Second State Research on Nourishment, Health and Nutrition carried out in 1997. The cutoff point used in the nutritional evaluation was the limit referring to -2 score-Z, being the NCHS the reference standard. The prevalence of stunting in the state was of 16.9%. Rural areas were more affected, reaching 27.1%. Bivariate analysis showed that the low socioeconomic level of the children and their families is associated with the occurrence of stunting. The logistic regression model pointed the variables: residence location, gender, access to treated potable water, low education, and per-capita income as the main determinants in stunting. The conjunct analysis of all the factors that explain the malnutrition found among the school children studied showed that the probability of a school-aged child to present height deficit varied from 1.5 to 60.3% depending on the risk factors taken into account, therefore showing different epidemiological "scenarios." The study also concluded that in the State of Pernambuco the height deficit constitutes a public health problem especially for school children in rural areas, showing two very different epidemiologic realities between urban and rural areas.

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          Use and interpretation of anthropometric indicators of nutritional status

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            Protein-energy malnutrition: the nature and extent of the problem.

            J Waterlow (1997)
            The paper begins by describing how the names 'protein malnutrition' and 'protein-energy malnutrition' (PEM) developed from the local name 'Kwashiorkor'. The central feature of severe PEM is oedema; the classical theory suggests that the cause is a deficiency of protein, but other factors are also involved. In the community mild-moderate PEM is defined by deficits in growth. A distinction has to be made between low weight for height (wasting) and low height for age (stunting), Stunting in particular affects some 50% of children worldwide. Its causes and consequences are briefly discussed. In adults, severe PEM has essentially the same features as in children and includes the condition'famine oedema' or 'hunger oedema'; there are again controversies about its cause. In the community, chronic malnutrition is assessed by the body mass index (BMI) (Wt/Ht(2)). Grades of deficiency have been defined and examples are given of functional consequences of a low BMI. Secondary malnutrition differs from primary PEM because of the role played by cytokines and other concomitants of illness or injury. The importance is emphasized of chronicity or duration in determining the clinical picture.
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              Estado nutricional de alunos matriculados em escolas públicas de tempo integral

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                alan
                Archivos Latinoamericanos de Nutrición
                ALAN
                Sociedad Latinoamericana de Nutrición (Caracas )
                0004-0622
                June 2005
                : 55
                : 2
                : 144-153
                Affiliations
                [1 ] Departamento de Fisioterapia do Centro de Ciências Brasil
                [2 ] Departamento de Fisioterapia do Centro de Ciências Brasil
                [3 ] Departamento de Estatística do Centro de Ciências Exatas e da Natureza-CCEN Brasil;
                [4 ] Centro de Ciências da Saúde da Universidade Federal de Pernambuco UFPE Brasil
                Article
                S0004-06222005000200007
                fc9fd6b8-a5b5-411e-9151-5a77e9ec5da3

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Venezuela

                Self URI (journal page): http://www.scielo.org.ve/scielo.php?script=sci_serial&pid=0004-0622&lng=en
                Categories
                NUTRITION & DIETETICS

                Nutrition & Dietetics
                Saúde escolar,Escolares,Déficit Estatural,Stunting,Health in school children,School-aged children,Height deficit,Nanismo nutricional

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