2007, Number 4
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Bol Med Hosp Infant Mex 2007; 64 (4)
A look from health services to nutritional status in Mexican childhood. I. Underdevelopment problems: low birth weight, anemia, and malnutrition
González-Unzaga M, Pérez-Cuevas R, Flores-Huerta S, Reyes-Morales H, Rodríguez-Ortega E, Muñoz-Hernández O
Language: Spanish
References: 29
Page: 258-265
PDF size: 236.69 Kb.
ABSTRACT
In Mexico exists a polarization of the nutritional status of children, in which malnutrition, overweight and obesity coexist. This situation would reorient current programs and policies aimed to improving children’s nutritional status. The aim of this article is to provide an overview of the current situation of Mexican children nutritional status in which low birth weight, anemia and malnutrition are still prevalent. The analysis was done by using the results of different nation-wide surveys. Malnutrition still persists mainly in poor areas. The incidence of low birth weight is 8%. Among children under 5 years prevalence of wasting is 5-5.6% stunting is 12.7-14.0% and 2% are severely malnourished. Prevalence of anemia is 30 to 37% among 1-year-old children and in the group of children aged 1-4 years anemia prevalence is 20 to 23%. Although malnutrition has been progressively combated, it is advisable to use the evidence provided by the surveys to reorient current health programs towards target populations in which malnutrition is still prevalent.
REFERENCES
UNICEF. The state of world’s children 1998. Oxford: Oxford University press; 1998.
Glewwe P, King E. The impact of early childhood nutritional status on cognitive development: Does the timing of malnutrition matter? World Bank Econ Rev. 2001; 15: 81-113.
Rueda-Williamson R, Rose H. Growth and nutrition of infants; the influence of diet and other factors on growth. Pediatrics. 1962; 30: 639-53.
Barquera S, Rivera-Dommarco J, Gasca-García A. Políticas y programas de alimentación y nutrición en México. Salud Publica Mex. 2001; 43: 464-77.
Centro de Estudios Sociales y de Opinión Pública. Los programas de abasto social en México. Abasto social de leche y tortilla. México: Cámara de Diputados LIX Legislatura; 2007.
Martínez H, Castañeda R, González-Unzaga M, Ramos-Hernández R, Velásquez-López L. Yodo. En: Bourges H, Casanueva E, Rosado J, editores. Recomendaciones de ingestión de nutrimientos para la población mexicana. México: Editorial Médica Panamericana; 2005. p. 301-15.
González-Unzaga M, Ramos R, Martínez G, Flores S, Martínez H. Crecimiento y estado de nutrición. En: Flores S, Martínez H, editores. Prácticas de alimentación, estado de nutrición y cuidados a la salud en los niños menores de dos años en México. México: Instituto Mexicano del Seguro Social; 2004.
Instituto Mexicano del Seguro Social. Encuesta nacional de coberturas. Síntesis 2003-2006. México: IMSS; 2007.
Oláiz-Fernández G, Rivera-Dommarco J, Shama-Levy T, Villalpando-Hernández S, Hernández-Ávila M, Sepúlveda-Amor J. Encuesta nacional de salud y nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública; 2006.
Rivera J, Shamah T, González T, Hernández B, Sepúlveda J. Encuesta Nacional de Nutrición 1999. Estado nutricio de niños y mujeres en México. Cuernavaca, México: Instituto Nacional de Salud Pública; 2001.
Stephens C. Burden of infection on growth failure. J Nutr. 1999; 129: 534S-8S.
Scrimshaw N. Historical concepts of interactions, synergism and antagonism between nutrition and infection. J Nutr. 2003; 133: 316S-21S.
Guo SS, Wu W, Chumlea WC, Roche A. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr. 2002; 76: 653-8.
World Health Organization. Obesity, preventing and managing the global epidemic. Geneva: WHO; 1997.
UNICEF. The state of the world’s children. 2006.
Flores-Huerta S, Valverde GM, Islas GSA, Martínez SH. Peso bajo al nacer. En: Flores-Huerta S, Martínez-Salgado H, editores. Prácticas de alimentación, estado de nutrición y cuidados a la salud en niños menores de 2 años en México. México: 2004. p. 51-7.
Reyes-Morales H, Pérez-Cuevas R, Sandoval A, Castillo R, Santos JI, Doubova S, et al. The family as a determinant of stunting in children living in conditions of extreme poverty: a case-control study. BMC Public Health. 2004; 4: 57 doi: 10.1186/1471-2458-4-57.
Hernández B, Peterson K, Sobol A, Rivera J, Sepúlveda J, Lezana MA. Sobrepeso en mujeres de 12 a 49 años y niños menores de cinco años en México. Salud Publica Mex. 1996; 38: 178-88.
Lozoff B, Jimenez E, Wolf A. Long-term developmental outcome of infants with iron deficiency. N Engl J Med. 1991; 325: 687-94.
Soewondo S, Husaini M, Pollitt E. Effects of iron deficiency on attention and learning processes in preschool children: Bandung, Indonesia. Am J Clin Nutr. 1989; 50: 667-74.
Grantham-McGregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr. 2001; 131: 649S-68S.
Chandra R, Saraya A. Impaired immunocompetence associated with iron deficiency. J Pediatr. 1975; 86: 899-904.
Villalpando S, Shamah-Levy T, Ramírez-Silva CI, Mejía-Rodríguez F, Rivera JA. Prevalence of anemia in children 1 to 12 years of age. Results from a nationwide probabilistic survey in Mexico. Salud Publica Mex. 2003; 45 Suppl 4: S490-8.
Duque X, Flores S, García R, Mendoza M, Mendez I, Flores S, et al. Prevalencia de anemia, deficiencia de hierro, ácido fólico y cinc. En: Flores-Huerta S, Martínez-Salgado H, editores. Prácticas de alimentación, estado de nutrición y cuidados a la salud en niños menores de 2 años en México. México: 2004. p. 185-200.
Villalpando S, Pérez-Expósito AB, Shamah-Levy T, Rivera JA. Distribution of anemia associated with micronutrient deficiencies other than iron in a probabilistic sample of Mexican children. Ann Nutr Metab. 2006; 50: 506-11.
Ávila-Curiel A, Shamah-Levy T, Galindo-Gómez C, Rodríguez-Hernández G, Barragán-Heredia LM. La desnutrición infantil en el medio rural mexicano. Salud Publica Mex. 1998; 40: 150-60.
Rivera J, Sotres D, Habitch J, Shamah T, Villalpando S. Impact of the Mexican Program for Education, Health and Nutrition (Progresa) on rates of growth and anemia in infants and young children. A randomized effectiveness study. JAMA. 2004; 291: 2563-70.
Sepúlveda J, Bustreo F, Tapia R, Rivera J, Lozano R, Oláiz G, et al. Improvement of child survival in Mexico: the diagonal approach. Lancet. 2006; 368: 2017–27.
Irwin L, Siddiqi A, Hertzman C. Early child development: A powerful equalizer final report. Human early learning partnership (HELP). London: University of British Columbia; 2007.