Revista Paulista de Pediatria (English Edition)最新文献

{"title":"Association between clinical variables related to asthma in schoolchildren born with very low birth weight with and without bronchopulmonary dysplasia","authors":"Emília da Silva Gonçalves,&nbsp;Francisco Mezzacappa-Filho,&nbsp;Silvana Dalge Severino,&nbsp;Maria Ângela Gonçalves de Oliveira Ribeiro,&nbsp;Fernando Augusto de Lima Marson,&nbsp;Andre Moreno Morcilo,&nbsp;Adyléia Aparecida Dalbo Contrera Toro,&nbsp;José Dirceu Ribeiro","doi":"10.1016/j.rppede.2016.03.005","DOIUrl":"10.1016/j.rppede.2016.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the prevalence, spirometry findings and risk factors for asthma in schoolchildren who were very low birth weight infants with and without bronchopulmonary dysplasia.</p></div><div><h3>Methods</h3><p>Observational and cross-sectional study. The parents and/or tutors answered the International Study of Asthma and Allergies in Childhood questionnaire. The schoolchildren were submitted to the skin prick test and spirometry assessment.</p></div><div><h3>Results</h3><p>54 schoolchildren who were very low birth weight infants were assessed and 43 met the criteria for spirometry. Age at the assessment (bronchopulmonary dysplasia=9.5±0.85; without bronchopulmonary dysplasia=10.1±0.86 years) and birth weight (bronchopulmonary dysplasia=916.7±251.2; without bronchopulmonary dysplasia=1171.3±190.5g) were lower in the group with bronchopulmonary dysplasia (<em>p</em>&lt;0.05). The prevalence of asthma among very low birth weight infants was 17/54 (31.5%), being 6/18 (33.3%) in the group with bronchopulmonary dysplasia. There was an association between wool blanket use in the first year of life (<em>p</em>=0.026) with the presence of asthma at school age. The skin prick test was positive in 13/17 (76.5%) and 23/37 (62.2%) of patients with and without asthma, respectively. The schoolchildren with asthma had lower <em>z</em>-score values of forced expiratory flow between 25% and 75% of forced vital capacity (<em>n</em>=16;−1.04±1.19) when compared to the group of patients without asthma (<em>n</em>=27;−0.380.93) (<em>p</em>=0.049). There was no difference between the spirometry variables in the groups regarding the presence or absence of bronchopulmonary dysplasia.</p></div><div><h3>Conclusions</h3><p>Very low birth weight infants with and without bronchopulmonary dysplasia showed a high prevalence of asthma (33.3% and 30.6%, respectively). Pulmonary flow in the small airways was lower in children with asthma.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 3","pages":"Pages 271-280"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital","authors":"Maria Aparecida Mezzacappa,&nbsp;Bruna Gil Ferreira","doi":"10.1016/j.rppede.2016.03.003","DOIUrl":"10.1016/j.rppede.2016.03.003","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the risk factors for weight loss over 8% in full-term newborns at postpartum discharge from a Baby Friendly Hospital.</p></div><div><h3>Methods</h3><p>The cases were selected from a cohort of infants belonging to a previous study. Healthy full-term newborns with birth weight ≥2.000g, who were exclusively breastfed were included and excluded twins and those undergoing phototherapy as well as those discharged after 96h of life. The analyzed maternal and neonatal variables were maternal age, parity, ethnicity, type of delivery, maternal diabetes, gender, gestational age and appropriate weight for age. Adjusted multiple and univariate Cox regression analyses were used, considering as significant <em>p</em>&lt;0.05.</p></div><div><h3>Results</h3><p>We studied 414 newborns, of whom 107 (25.8%) had excessive weight loss. Through the univariate regression, risk factors associated with weight loss&gt;8% were cesarean delivery and older maternal age. At the adjusted multiple regression analysis, the model to explain the weight loss was cesarean delivery (Relative risk 2.27, 95% of Confidence Interval 1.54–3.35).</p></div><div><h3>Conclusions</h3><p>The independent predictor for weight loss&gt;8% in exclusively breastfed full-term newborns in a Baby-Friendly Hospital was the cesarean delivery. It is possible to reduce the number of cesarean sections to minimize neonatal excessive weight loss and the resulting use of infant formula during the first week of life.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 3","pages":"Pages 281-286"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the nutritional information for children younger than two years old available on popular websites","authors":"Gisele da Silva Gomes Monteiro ,&nbsp;Maíra Macário de Assis ,&nbsp;Maria Alvim Leite ,&nbsp;Larissa Loures Mendes","doi":"10.1016/j.rppede.2016.03.004","DOIUrl":"10.1016/j.rppede.2016.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze whether the information found on popular Internet sites are in accordance with the steps recommended by the Food Guide for Children Younger than Two Years of the Ministry of Health (2010).</p></div><div><h3>Methods</h3><p>Descriptive/comparative study, carried out between August and October 2014, which carried out a search for popular sites (for lay people) in Portuguese, containing information on nutrition of children younger than two years. The Google search engine was used. These findings were compared with the Food Guide for Children Younger than Two Years of the Ministry of Health (2010). It was verified whether the information shown on the websites was in accordance with the Guide.</p></div><div><h3>Results</h3><p>A total of 50 sites were analyzed, including blogs, food company websites and websites specialized in child nutrition. Only 10% of those pages correctly showed every step of the Food Guide. The recommendations were: exclusive breastfeeding up to six months of life (80%); complementary feeding from six months of life (36%); baby food consistency according to the guide (48%); encouraging the consumption of fruits and vegetables daily (60%). Regarding the complementary feeding safety and hygiene, 26% contained correct information. Only 36% correctly warned about which foods should be avoided in the first years of life.</p></div><div><h3>Conclusions</h3><p>The information found on the sites is largely in disagreement with the Ministry of Health recommendations, which can lead to misconceptions in the nutritional care of the children younger than two years.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 3","pages":"Pages 287-292"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Septic arthritis by Sphingobacterium multivorum in immunocompromised pediatric patient","authors":"Maiana Darwich Mendes,&nbsp;Rafael Ruiz Cavallo,&nbsp;Cecilia Helena Vieira Franco Godoy Carvalhães,&nbsp;Maria Aparecida Gadiani Ferrarini","doi":"10.1016/j.rppede.2016.03.014","DOIUrl":"10.1016/j.rppede.2016.03.014","url":null,"abstract":"<div><h3>Objective</h3><p>To report a case septic arthritis with a rare pathogen in a immunosuppressed child.</p></div><div><h3>Case description</h3><p>Male patient, 6 years old, had liver transplant five and half years ago due to biliary atresia. Patient was using tacrolimus 1mg q.12h. This patient started to have pain in left foot and ankle and had one episode of fever 3 days before hospital admission. Physical examination showed weight 17kg, height 109cm, temperature 36.4°C, with pain, swelling and heat in the left ankle, without other clinical signs. Initial tests: hemoglobin 11.7g/dL hematocrit 36.4%, leukocyte count 17,600μL⁻¹ (7% banded neutrophils, 70% segmented neutrophils, 2% eosinophils, basophils 1%, 13% lymphocytes, 7% monocytes) C-reactive protein 170.88mg/L. Joint ultrasound showed moderate effusion in the site. Patient was submitted to surgical procedure and <em>Sphingobacterium multivorum</em> was isolated from the effusion. The germ was susceptible to broad spectrum cephalosporins (ceftriaxone and cefepime) and fluoroquinolones (ciprofloxacin and levofloxacin), and it was resistant to carbapenemic antibiotics and aminoglycosides. He was treated intravenously with oxacillin for 15 days and ceftriaxone for 13 days, and orally with ciprofloxacin for 15 days, with good outcome.</p></div><div><h3>Comments</h3><p>The <em>S. multivorum</em> is a gram negative bacillus that belongs to Flavobacteriaceae family and it is considered non-pathogenic. It has rarely been described as a cause of infections in humans, especially in hospital environment and in immunosuppressed patients. This case report is relevant for its unusual etiology and for the site affected, which may be the first case of septic arthritis described.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 3","pages":"Pages 379-383"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to “In time: averting the legacy of kidney disease – focus on childhood” [Rev. Paul. Pediatr. 34 (1) (2016) 5–10]","authors":"Julie R. Ingelfinger ,&nbsp;Kamyar Kalantar-Zadeh ,&nbsp;Franz Schaefer ,&nbsp;on behalf of the World Kidney Day Steering Committee","doi":"10.1016/j.rppede.2016.04.004","DOIUrl":"10.1016/j.rppede.2016.04.004","url":null,"abstract":"","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 247-248"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55275062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with low levels of aerobic fitness among adolescents","authors":"Eliane Cristina de Andrade Gonçalves,&nbsp;Diego Augusto Santos Silva","doi":"10.1016/j.rppede.2015.06.025","DOIUrl":"10.1016/j.rppede.2015.06.025","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the prevalence of low aerobic fitness levels and to analyze the association with sociodemographic factors, lifestyle and excess body fatness among adolescents of southern Brazil.</p></div><div><h3>Methods</h3><p>The study included 879 adolescents aged 14–19 years the city of São José/SC, Brazil. The aerobic fitness was assessed by Canadian modified test of aerobic fitness. Sociodemographic variables (skin color, age, sex, study turn, economic level), sexual maturation and lifestyle (eating habits, screen time, physical activity, consumption of alcohol and tobacco) were assessed by a self-administered questionnaire. Excess body fatness was evaluated by sum of skinfolds triceps and subscapular. We used logistic regression to estimate odds ratios and 95% confidence intervals.</p></div><div><h3>Results</h3><p>Prevalence of low aerobic fitness level was 87.5%. The girls who spent two hours or more in front screen, consumed less than one glass of milk by day, did not smoke and had an excess of body fatness had a higher chance of having lower levels of aerobic fitness. White boys with low physical activity had had a higher chance of having lower levels of aerobic fitness.</p></div><div><h3>Conclusions</h3><p>Eight out of ten adolescents were with low fitness levels aerobic. Modifiable lifestyle factors were associated with low levels of aerobic fitness. Interventions that emphasize behavior change are needed.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 141-147"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.06.025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55269969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between food and nutrition insecurity with cardiometabolic risk factors in childhood and adolescence: a systematic review","authors":"Naruna Pereira Rocha,&nbsp;Luana Cupertino Milagres,&nbsp;Juliana Farias de Novaes,&nbsp;Sylvia do Carmo Castro Franceschini","doi":"10.1016/j.rppede.2016.01.006","DOIUrl":"10.1016/j.rppede.2016.01.006","url":null,"abstract":"<div><h3>Objective</h3><p>To address the association between food and nutrition insecurity and cardiometabolic risk factors in childhood and adolescence.</p></div><div><h3>Data source</h3><p>Articles were selected from the Medline, Lilacs and SciELO databases with no publication date limit, involving children and adolescents, using the descriptors: food and nutrition security, diabetes mellitus, hypertension, metabolic syndrome, stress and dyslipidemia. The terms were used in Portuguese, English and Spanish. The search was carried out systematically and independently by two reviewers.</p></div><div><h3>Data synthesis</h3><p>Exposure to food insecurity during childhood and adolescence ranged from 3.3% to 82% in the selected publications. Exposure to food insecurity was associated with stress, anxiety, greater chance of hospitalization, nutritional deficiencies, excess weight and inadequate diets with reduced intake of fruits and vegetables and increased consumption of refined carbohydrates and fats.</p></div><div><h3>Conclusions</h3><p>Food and nutrition insecurity was associated with the presence of cardiometabolic risk factors in the assessed publications. Childhood and adolescence constitute a period of life that is vulnerable to food insecurity consequences, making it extremely important to ensure the regular and permanent access to food. Because this is a complex association, some difficulties are found, such as the synergy between risk factors, the assessment of heterogeneous groups and extrapolation of data to other populations, in addition to the influence of environmental factors.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 225-233"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.01.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55272807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency of rhinitis and orofacial disorders in patients with dental malocclusion","authors":"Tamara Christine de Souza Imbaud,&nbsp;Márcia Carvalho Mallozi,&nbsp;Vanda Beatriz Teixeira Coelho Domingos,&nbsp;Dirceu Solé","doi":"10.1016/j.rppede.2016.02.009","DOIUrl":"10.1016/j.rppede.2016.02.009","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the frequency and etiology of rhinitis, oral breathing, types of malocclusion and orofacial disorders in patients treated for dental malocclusion.</p></div><div><h3>Methods</h3><p>Patients with poor dental occlusion (<em>n</em>=89, 8–15 years) undergoing orthodontic treatment at the Postgraduate Orthodontics Center (São Paulo, Brazil) participated in the study. Rhinitis and oral breathing were diagnosed by anamnesis, clinical assessment and allergic etiology of rhinitis through immediate hypersensitivity skin prick test with airborne allergens. The association between types of breathing (oral or nasal), rhinitis and types of dental malocclusion, bruxism and cephalometric alterations (increased <em>Y</em> axis of facial growth) compared to standard cephalometric tracing (Escola de Odontologia da Universidade de São Paulo) were assessed.</p></div><div><h3>Results</h3><p>The frequency of rhinitis in patients with dental malocclusion was 76.4% (68), and, of these, 81.7% were allergic (49/60 positive skin prick test), whereas the frequency of oral breathing was 62.9%. There was a significant association between an increased <em>Y</em> axis of facial growth and oral breathing (<em>p</em>&lt;0.001), as well as between oral breathing and rhinitis (<em>p</em>=0.009). There was no association between rhinitis and bruxism.</p></div><div><h3>Conclusions</h3><p>The frequency of rhinitis in children with dental malocclusion is higher than that in the general population, which is approximately 30%. Patients with oral breathing have a tendency to a dolichofacial growth pattern (increased <em>Y</em> axis of facial growth). In patients with rhinitis, regardless of the presence of oral breathing, the dolichofacial growth tendency was not observed.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 184-188"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute effect of vigorous aerobic exercise on the inhibitory control in adolescents","authors":"Rodrigo Alberto Vieira Browne ,&nbsp;Eduardo Caldas Costa ,&nbsp;Marcelo Magalhães Sales ,&nbsp;André Igor Fonteles ,&nbsp;José Fernando Vila Nova de Moraes ,&nbsp;Jônatas de França Barros","doi":"10.1016/j.rppede.2016.01.005","DOIUrl":"10.1016/j.rppede.2016.01.005","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the acute effect of vigorous aerobic exercise on the inhibitory control in adolescents.</p></div><div><h3>Methods</h3><p>Controlled, randomized study with crossover design. Twenty pubertal individuals underwent two 30-minute sessions: (1) aerobic exercise session performed between 65% and 75% of heart rate reserve, divided into 5<!--> <!-->min of warm-up, 20<!--> <!-->min at the target intensity and 5<!--> <!-->min of cool down; and (2) control session watching a cartoon. Before and after the sessions, the computerized Stroop test–Testinpacs™ was applied to evaluate the inhibitory control. Reaction time (ms) and errors (<em>n</em>) were recorded.</p></div><div><h3>Results</h3><p>The control session reaction time showed no significant difference. On the other hand, the reaction time of the exercise session decreased after the intervention (<em>p</em>&lt;0.001). The number of errors made at the exercise session were lower than in the control session (<em>p</em>=0.011). Additionally, there was a positive association between reaction time (<em>Δ</em>) of the exercise session and age (<em>r</em>²=0.404, <em>p</em>=0.003).</p></div><div><h3>Conclusions</h3><p>Vigorous aerobic exercise seems to promote acute improvement in the inhibitory control in adolescents. The effect of exercise on the inhibitory control performance was associated with age, showing that it was reduced at older age ranges.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 154-161"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55272625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding in preterm infants: public health policy in primary care","authors":"Joel Alves Lamounier","doi":"10.1016/j.rppede.2016.03.011","DOIUrl":"10.1016/j.rppede.2016.03.011","url":null,"abstract":"","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 137-138"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55274512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}