Height and weight gains in a nutrition rehabilitation day-care service

Height and weight gains in a nutrition rehabilitation day-care service

Author Alves Vieira, Maria de Fatima Google Scholar
Ferraro, Alexandre Arcanjo Google Scholar
Nascimento Souza, Maria Helena do Google Scholar
Fernandes, Maria Tereza B. Google Scholar
Sawaya, Ana Lydia Autor UNIFESP Google Scholar
Institution Univ Fed Pelotas
Universidade Federal de São Paulo (UNIFESP)
Universidade Federal do Rio de Janeiro (UFRJ)
Abstract Objective: To evaluate nutritional recovery patterns in 106 undernourished children assisted by the Center of Nutritional Recovery and Education (CREN, in Portuguese) between January 1995 and December 1999.Design: CREN assists undernourished children aged 0 to 72 months living in the southern regions of São Paulo, in an outpatient setting. Nutritional status was assessed by Z-scores of weight-for-age, height-for-age and weight-for-height. Nutritional recovery evaluation considered Z-score gains in weight-for-age and height-for-age, grouping into four categories (Z-score increment of 0.50 between groups). Children with birth weight less than 2500 g were classified as low birth weight (LBW), while those born at term and with LBW were classified as small for gestational age.Setting: CREN (Center of Nutritional Recovery and Education in Portuguese), São Paulo, Brazil.Subjects: One hundred and six children from CREN.Results: Among the 106 evaluated children, ninety-eight (92.5%)recovered their weight or height and seventy-two (67.9%) recovered both. Nearly half of studied children presented a nutritional recovery (increase in Z-score) of more than 0.50 in height-for-age (46.2%) and about 40% in weight-for-age (38.7%). Multivariate analysis showed that treatment duration and initial weight-for-age contributed to weight-for-age Z-score increment, explaining 25% of the variation; and treatment duration, initial height-for-age and weight-for-age Z-score increment contributed to height-for-age Z-score increment, explaining 62% of the variation.Conclusions: Our findings show that nutritional recovery among children who attended CREN was influenced primarily by the degree of nutritional deficit at admission. It has also been shown that biological variables are more important than socio-economic status in determining the rate of nutritional recovery.
Keywords Undernutrition
Nutritional recovery
Recovery centre
Nutrition education
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Date 2010-10-01
Published in Public Health Nutrition. Cambridge: Cambridge Univ Press, v. 13, n. 10, p. 1505-1510, 2010.
ISSN 1368-9800 (Sherpa/Romeo, impact factor)
Publisher Cambridge Univ Press
Extent 1505-1510
Origin http://dx.doi.org/10.1017/S1368980010000273
Access rights Closed access
Type Article
Web of Science ID WOS:000282247000005
URI http://repositorio.unifesp.br/handle/11600/32962

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