Ceballos-González A, Vásquez-Garibay EM, Nápoles-Rodríguez F, Sánchez-Talamantes E

Language: Spanish
References: 24
Page: 104-116
PDF size: 81.41 Kb.

ABSTRACT

Introduction. Objective: to identify the influence of associated factors to the nutritional status of preschool children attending a day care center system in the City of Guadalajara (Mexico).
Material and methods. In a cross sectional study design 140 preschool children of 15-71 months of age were included. Deficit of –1 and –2 standard deviation (SD) of the anthropometrical indicators were also estimated. The family dynamic score of both parents was obtained exploring 8 parameters: I. Dynamics of the couple; II. Identity; III. Communication, expression and solidarity; IV. Authority; V. Conflict management; VI. Discipline and method; VII. System of values; VIII. Integration and isolation. The risk of malnutrition was also estimated. In a multiple regression model independent factors were included explaining the variation on anthropometric deficit and family dynamics.
Results. Associated factors for weigh/height deficit: father’s education (odds ratio [OR] 2.27); family dynamics score (mother) (OR 2.72); mother’s occupation (OR 2.27) and cigarette consumption of fathers (OR 2.50). For height/age deficit: members in the family (OR 2.16) and family dynamics score (mother) (OR 8.6). Family monthly income and education of fathers explained the variation in the weight/height index (P ‹0.025).
Conclusion. Dysfunction of the family dynamics, low income, number of members in the family, were risk factors for the nutritional status. Low income and education of fathers influenced the perception of both parents about their family dynamics.

REFERENCES

1. Dobbing J.Vulnerable periods in developing brain. En: Dobbing J, editor. Brain, behavior, and iron in the infant diet. New York: Springer-Verlag; 1990. p. 1-18.

2. Keller W.The epidemiology of stunting. En:Waterlow JC, editor. Linear growth retardation in less developed countries. Nestle Nutrition. New York: Raven Press (workshop series,Vol. 14); 1988.

3. Pollitt E. Early iron deficiency and later mental retardation.Am J Clin Nutr. 1999; 69: 4-5.

4. Miller JE,Korenman S.Poverty and children’s nutritional status in the United States.Am J Epidemiol. 1994; 140: 233-43.

5. Ortiz-Ortega MA,Vásquez-Garibay E,Nápoles RF,Romero VE, Núño CME. Factores asociados a déficit del peso para la edad en niños de 12 a 120 meses de edad en Arandas,Jalisco.Bol Med Hosp Infant Mex. 2003; 60: 579-90.

6. Vásquez-Garibay E, Navarro LM, Romero VE,Vizmanos LB. Características socioeconómicas y demográficas de la desnutrición proteico calórica primaria y secundaria grave. Bol Med Hosp Infant Mex. 1999; 56: 639-45.

7. Jeyaseelan L, Lakshman M. Risk factors for malnutrition in South Indian children. J Biosoc Sci. 1997; 29: 93-100.

8. Kikafunda JK,Walker AF, Collet D,Tumwine JK.Risk factors for early childhood malnutrition in Uganda. Pediatrics. 1988; 102: E45.

9. Coulter JB, Macfasrlane SB, Hendrickse RG. Protein energy malnutrition in Northern Sudan: prevalence, socioeconomic factors and family background.Ann Trop Paediatr. 1988; 8: 96-102.

10. Simondon KB, Simondon F. Infant feeding and nutritional status: the dilemma of mothers in rural Senegal. Eur J Clin Nutr. 1995; 49: 179-88.

11. Vásquez-Garibay E, Navarro LM, Romero VE,Vizmanos LB. Hábito de alimentación en niños con desnutrición proteico calórica primaria y secundaria grave. Bol Med Hosp Infant Mex. 1999; 56: 543-9.

12. Vásquez-Garibay E, Vallarta CG, Sánchez TE, Nápoles RF, Romero VE. Disfunción de la dinámica familiar como un factor asociado a desnutrición primaria grave. Bol Med Hosp Infant Mex. 1995; 52: 698-705.

13. Vásquez-Garibay E,Franco AA,Nápoles RF,Chavira LAR,Sánchez TE. Características socioeconómicas y la dinámica familiar del preescolar en los Altos de Jalisco. Invest Salud. 2000; 2: 188-95.

14. Vásquez-Garibay E, Sánchez TE, Navarro LME, Romero VE, Pérez CL,Kumazawa IMR. Instrumento de medición de la dinámica de la familia nuclear mexicana: un enfoque cuantitativo. Bol Med Hosp Infant Mex. 2003; 60: 33-52.

15. Dabernat H, Plisson-Saunew MA, Delmas C, et al. Haemophillus influenzae carriage in children attending French day care centers: a molecular epidemiology study. J Clin Microbiol. 2003; 41: 1664-72.

16. Koch A, Molbak K,Homoe P, et al. Risk factors for acute respiratory tract infections in young Greenlandic children.Am J Epidemiol. 2003; 15: 374-84.

17. Koefoed BG, Nielsen AM,Keiding LM.The impact of selected environmental factors on the morbidity of children in day care centers. Ugeskr Laeger (Abs). 2002; 164: 5759-64.

18. Ortega GMG,Vásquez-Garibay E, Hernández SM, Mora VPS, López FC, Gutiérrez RC, et al. Reserva de hierro en niños derechohabientes de la Clínica-Hospital “Dr. Miguel Trejo Ochoa”, ISSSTE,Colima México.Bol Med Hosp Infant Mex.2003;60:597-607.

19. World Health Organization (WHO). Measuring change in nutritional status. Guidelines for assessing the nutritional impact of supplementary feeding programs for vulnerable groups. Geneva:World Health Organization; 1983.

20. WHO Expert Committee. Physical Status: the use and interpretation of Anthropometry. (WHO Technical Report Series; 854), Geneva:World Health Organization; 1995. p. 161-255.

21. Norma Oficial Mexicana. Para la atención a la salud del niño. NOM-031-SSA2-1999. México, DF: Diario Oficial de la Federación, 9 de Junio de 2000. p. 1-25.

22. Rivera-Dommarco J, Shamah LT,Villalpando S, González CT, Hernández PB, Sepúlveda J. Encuesta Nacional de Nutrición 1999. Estado nutricio de niños y mujeres en México. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública; 2001.

23. Chagoya I. Dinámica familiar y patología. En: Dulanto E, editor. La familia medio propiciador o inhibidor del desarrollo humano. México, DF: Ediciones Médicas del Hospital Infantil de México; 1975. p. 25-38.

24. Satir V. Psicoterapia familiar conjunta. México, DF: Editorial Prensa Médica Mexicana; 1986. p. 86-8.