Vega FL, Iñárritu M, Pérez MG, Robles MBE

Language: Spanish
References: 10
Page: 12-19
PDF size: 412.78 Kb.

ABSTRACT

Objective. The experience of 20 yeas rehabilitating malnourished children in a Rehabilitation Center is reported. Three question were arose: how many children were rehabilitated? which causes interfered in the rehabilitation? and at what velocity were the increments of weight gain?. Material and methods. One thousand nine hundred and seventy eight records of malnourished children, below 4 years of age, were reviewed: 1,444 (73%) were recovery and in 534 (27%) it was fail. A random sample of 10% of the records of children recovered each year, were analyzed. In 152 records obtained it was studied the result of the treatment. Results. According to the Gómez classification, all the children were in the third degree of malnutrition, the principal causes of fail were: when the parents decided to take the children to home ore because the children were sent to a hospital due to a infections disease. The fatality rate in the Center was 1.6%. In regard to the weight gain, it went from 20.1 g/day to 35.5 g/day; expressed by kilogram, the gain went from 3.4 g/kg/day to 7.9 g/kg/day. Theoretically the children below one year gained 7.74 kg/year. Conclusions. It can be concluded that the weight recovery depend upon the age of the child, tie severity of the malnutrition and the clinical type of the disease. The maximal velocity of growth was between the weeks six to eight, and the weight gain was normalized after the catch up.

REFERENCES

1. National Institute of Nutrition of Colombia. A practical guide to combating malnutrition in the preschool child. Nutrition rehabilitation through maternal education. New York: Appleton-Century Crofts, Meredith Co. 1970.

2. Cook E. In hospital is the place for treatment of malnourished children? Environ Child Health 1971; 17: 15-25.

3. Beghin ID, Viteri FE. Nutritional rehabilitation centers: an evaluation of their performance. Environ Child Health, Monograph 1973; 31: 403-16.

4. Organización Mundial de la Salud. Medición del efecto nutricional. Ginebra: Oficina Sanitaria Panamericana (versión en español). 1980: 75-107.

5. Vega-Franco L, Robles-Martínez B. Desarrollo intelectual y crecimiento somático de escolares afectados por desnutrición a una edad temprana. Bol Med Hosp Infant Mex 1989; 46: 328-35.

6. Ramos-Galván R, Calderón JM. Deaths among children with third degree malnutrition. Am J Clin Nutr 1965; 16: 351-55.

7. Guo S, Roche AF, Fomon SJ et al. Reference data for gains in weight during the first two years of life. J Pediatr 1991; 119: 355-62.

8. Ramos G, Cravioto J. Nutritional recovery syndrome (Preliminary report). Pediatrics 1952; 10: 513-26.

9. Ashworth A. Growth rates in children recovering from Protein-calorie malnutrition. Br J Nutr 1969; 23: 835-45.

10. Vega-Franco L, Silva BAD. Incremento de peso en desnutridos alimentados con una fórmula diseñada para neonatos de peso bajo. Rev Mexicana Pediat 1994; 61: 179-83.