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2012, Number 4

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Rev Mex Pediatr 2012; 79 (4)

Risk factors of primary and secondary malnutrition in hospitalized infants and Preschool-children

Granados MCE, Granados MA, Vásquez GEM, Romero-Velarde E, Ramírez MOY, García ME

Language: Spanish
References: 23
Page: 167-173
PDF size: 90.67 Kb.


ABSTRACT

Objective. To identify the associated factors to primary vs secondary malnutrition in hospitalized children of 6-60 months of age hospitalized in the Civil Hospital of Guadalajara.
Methods. In a cross sectional design, 166 children (≤ 60 months of age) with primary and/or secondary malnutrition were included. The association between deficit in anthropometric indices weight/age, height/age and weight/height (Z score) and socioeconomic, demographic, pathological and feeding variables were analyzed with ANOVA, chi square test and OR (95% CI).
Results. In the whole population, mild and moderate malnutrition occurred in 70.6% and 29.4%, respectively. Risk factors associated to primary malnutrition were: Less educated (RM 5.76 [1.34, 28.3] p = 0.014) and single mothers (RM 2.25 [1.01, 5.03], p = 0.029); father’s alcoholism (RM 3.47 [1.09, 11.4] p = 0.018); young parents (RM 2.60 [1.03, 6.60] p = 0.025) and soil floor of households (RM 3.67 [1.05, 14.0], p = 0.02). Other associated factors to primary malnutrition were: lower birth weight (p = 0.002); high number of family members (p = 0.04); low father’s income (p = 0.02) and early introduction of clears soups and vegetables (p = 0.027).
Discussion. There are some risk and protection factors that are associated to primary malnutrition in children hospitalized in a public hospital that differ of those observed in children with secondary malnutrition.


REFERENCES

  1. Meijers JM, van Bokhorst-de van der Schueren MA, Schols JM, Soeters PB, Halfens RJ. Defining malnutrition: mission or mission impossible? Nutrition 2010; 26: 432-40.

  2. Hoffer LJ. The need for consistent criteria for identifying malnutrition. Nestle Nutr Workshop Ser Clin Perform Programme 2009; 12: 41-52.

  3. Vásquez-Garibay EM, Romero-Velarde E, Stein K. Estrategias de manejo de la desnutrición proteínico-energética primaria grave. En: Vásquez Garibay E, Romero-Velarde E, Editores. La nutrición pediátrica en América Latina. Nestlé Nutrition Workshop LATAM, Vol. 1. Programa de Pediatría. Editorial Intersistemas, 1ª Ed. SA de CV, Vevey, Switzerland: Nestec Ltd., y México, D.F., 2008: 254-67.

  4. Faruque AS, Ahmed AM, Ahmed T, Islam MM, Hossain MI, Roy SK, Alam N, Kabir I, Sack DA. Nutrition: basis for healthy children and mothers in Bangladesh. J Health Popul Nutr 2008; 26: 325-339.

  5. Department of Nutrition for Health and Development and the Water, Sanitation and Health Unit. Water Sanitation and Health (WSH). World Water Day 2001, World Health Organization (WHO). Obtenido el 9 de Septiembre del 2011. Disponible en: http://www.who.int/water_sanitation_health/diseases/malnutrition/en/

  6. Adde FV, Rodrigues JC, Cardoso AL. Nutritional follow-up of cystic fibrosis patients: the role of nutrition education. J Pediatr (Rio J) 2004; 80: 475-82.

  7. Macías-Rosales R, Vásquez-Garibay EM, Larrosa-Haro A, Rojo-Chávez M, Bernal-Virgen A, Romo-Rubio H. Secondary malnutrition and overweight in a pediatric referral hospital: Associated factors. J Pediatr Gastroenterol Nutr 2009; 48: 226-32.

  8. Waterlow JC, Buzina R, Keller W, Lane JM, Nichaman MZ, Tanner JM. The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. Bull World Health Organ 1977; 55: 489-98.

  9. Habicht JP. Estandarización de métodos epidemiológicos cuantitativos sobre el terreno. Bol Oficina Sanit Panam 1974; 76: 375-84.

  10. Ogden CL, Kuczmarski RJ, Flegal KM, Mei Z, Guo S, Wei R et al. Center for Disease Control and Prevention 2000 Growth Charts for the United States: Improvements to the 1977 National Center for Health Statistics version. Pediatrics 2002; 109: 45-60.

  11. Fomon SJ, Nelson SE. Size and growth. En: Fomon SJ Editor. Nutrition of normal infants. Mosby, 1st Ed., St Louis Mo, 1993: 36-84.

  12. Vásquez-Garibay E, Navarro LME, Romero VE, Vizmanos LB. Características socioeconómicas y demográficas de la desnutrición proteico-calórica primaria y secundaria grave. Bol Med Hosp Infant Mex 1999; 56; 641-47.

  13. Vásquez-Garibay EM, Ortiz-Ortega MA, Romero-Velarde E, Nápoles-Rodríguez F. Factores de riesgo de retraso en el crecimiento linear en niños de 12 a 120 meses de edad en Arandas, Jalisco. Arch Lat Nutr 2008; 58: 336-42.

  14. Ayaya SO, Esamai FO, Rotich J, Olwambula AR. Socioeconomic factors predisposing under five-year-old children to severe protein energy malnutrition at the Moi Teaching and referral Hospital, Eldoret, Kenya. East Afr Med J 2004; 81: 415-21.

  15. Lima MC, Motta ME, Santos EC, Pontes da Silva GA. Determinants of impaired growth among hospitalized children: a case-control study. Sao Paulo Med J 2004; 122: 117-23.

  16. Consejo Nacional de Población. Por un cambio demográfico a favor del desarrollo. Programa Nacional de Población 2008-2012. Secretaría de Gobernación, Gobierno Federal de los Estados Unidos Mexicanos, 2008.

  17. Instituto Nacional de Estadística y Geografía, 2007. Obtenido el 18 de septiembre del 2010. Disponible en: http://www.inegi.gob.mx/inegi/contenidos/espanol/prensa/contenidos/estadisticas/2007/familia07.pdf

  18. Instituto Nacional de Geografía y Estadística (INEGI). Fecha de actualización: Diciembre del 2007. Obtenido el 18 de Septiembre del 2010. Disponible en: http://www.inegi.org.mx/est/contenidos/espanol/sistemas/cgpv2000/religion/rel01.asp?s=est&c=11938

  19. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Ávila M, Sepúlveda-Amor J. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública, 2006.

  20. Madzingira N. Malnutrition in children under five in Zimbabwe: effect of socioeconomic factors and disease. Soc Biol 1995; 42(3-4): 239-46.

  21. Gutiérrez G, Guiscafré H, Reyes H, Pérez R, Vega R, Tome P. Reducción de la mortalidad por enfermedades diarreicas agudas. Experiencias de un programa de investigación acción. Salud Pública México 1994; 36: 168-79.

  22. Semba RD, Kalm LM, de Pee S, Ricks MO, Sari M, Bioem MW. Paternal smoking is associated with increased risk of child malnutrition among poor urban families in Indonesia. Public Health Nutr 2007; 10; 7-15.

  23. Kikafunda JK, Walker AF, Collet D, Tumwine JK. Risk factors for early childhood malnutrition in Uganda. Pediatrics 1998; 102: E45.




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