A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil

A 15-year study on the treatment of undernourished children at a nutrition rehabilitation centre (CREN), Brazil

Author Fernandes, Mariana B. F. Autor UNIFESP Google Scholar
Lopez, Rossano V. M. Google Scholar
Albuquerque, Maria P. de Autor UNIFESP Google Scholar
Marchesano, Anna C. Autor UNIFESP Google Scholar
Clemente, Ana P. G. Autor UNIFESP Google Scholar
Martins, Vinicius J. B. Autor UNIFESP Google Scholar
Sawaya, Ana L. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Abstract Objective: To build a life table and determine the factors related to the time of treatment of undernourished children at a nutrition rehabilitation centre (CREN), São Paulo, Brazil.Design: Nutritional status was assessed from weight-for-age, height-for-age and BMI-for-age Z-scores, while neuropsychomotor development was classified according to the milestones of childhood development. Life tables, Kaplan-Meier survival curves and Cox multiple regression models were employed in data analysis.Setting: CREN (Centre of Nutritional Recovery and Education), São Paulo, Brazil.Subjects: Undernourished children (n 228) from the southern slums of São Paulo who had received treatment at CREN under a day-hospital regime between the years 1994 and 2009.Results: the Kaplan-Meier curves of survival analysis showed statistically significant differences in the periods of treatment at CREN between children presenting different degrees of neuropsychomotor development (log-rank = 6.621; P = 0.037). Estimates based on the multivariate Cox model revealed that children aged >= 24 months at the time of admission exhibited a lower probability of nutritional rehabilitation (hazard ratio (HR) = 0.49; P = 0.046) at the end of the period compared with infants aged up 12 months. Children presenting slow development were better rehabilitated in comparison with those exhibiting adequate evolution (HR = 4.48; P = 0.023). No significant effects of sex, degree of undernutrition or birth weight on the probability of nutritional rehabilitation were found.Conclusions: Age and neuropsychomotor developmental status at the time of admission to CREN are critical factors in determining the duration of treatment.
Keywords Stunting
Undernutrition
Nutritional rehabilitation
Child survival
Language English
Sponsor Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Date 2012-06-01
Published in Public Health Nutrition. Cambridge: Cambridge Univ Press, v. 15, n. 6, p. 1108-1116, 2012.
ISSN 1368-9800 (Sherpa/Romeo, impact factor)
Publisher Cambridge Univ Press
Extent 1108-1116
Origin http://dx.doi.org/10.1017/S1368980011002758
Access rights Closed access
Type Article
Web of Science ID WOS:000304742200021
URI http://repositorio.unifesp.br/handle/11600/34970

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