Revista Paulista de Pediatria (English Edition)最新文献

筛选
英文 中文
Socioeconomic status indicators, physical activity, and overweight/obesity in Brazilian children 巴西儿童的社会经济地位指标、身体活动和超重/肥胖
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2015.08.018
Victor Keihan Rodrigues Matsudo , Gerson Luis de Moraes Ferrari , Timóteo Leandro Araújo , Luis Carlos Oliveira , Emily Mire , Tiago V. Barreira , Catrine Tudor-Locke , Peter Katzmarzyk
{"title":"Socioeconomic status indicators, physical activity, and overweight/obesity in Brazilian children","authors":"Victor Keihan Rodrigues Matsudo ,&nbsp;Gerson Luis de Moraes Ferrari ,&nbsp;Timóteo Leandro Araújo ,&nbsp;Luis Carlos Oliveira ,&nbsp;Emily Mire ,&nbsp;Tiago V. Barreira ,&nbsp;Catrine Tudor-Locke ,&nbsp;Peter Katzmarzyk","doi":"10.1016/j.rppede.2015.08.018","DOIUrl":"10.1016/j.rppede.2015.08.018","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the associations between socioeconomic status (SES) indicators and physical activity and overweight/obesity in children.</p></div><div><h3>Methods</h3><p>485 children wore accelerometers for 7 days. Variables included time in sedentary behavior and moderate-to-vigorous physical activity (MVPA), and steps/day. Children were further categorized as meeting or not meeting guidelines of ≥60min/day MVPA and ≥12,000 steps/day. Body mass index (BMI) and body fat percentage (BF%) were measured using bioelectrical impedance. Overweight/obesity was defined as BMI &gt;+1 SD and BF% ≥85th percentile. Parents answered questionnaires that questioned total annual household income, parental education level, parental employment status and automobile ownership.</p></div><div><h3>Results</h3><p>Children averaged 59.5min/day in MVPA (44.1% met MVPA guidelines), and 9639 steps/day (18.4% met steps/day guidelines). 45.4% and 33% were overweight/obese classified by BMI and BF% respectively. Higher relative total annual household income level (<em>Odds Ratio</em> 0.31; 95% confidence interval=0.15–0.65), and relatively higher maternal (<em>OR</em>=0.38; 95%CI=0.20–0.72) and paternal (<em>OR</em>=0.36; 95%CI=0.17–0.75) education levels were associated with lower odds of children meeting MVPA guidelines. Household automobile ownership was associated with lower odds of children meeting MVPA (<em>OR</em>=0.48; 95%CI=0.31–0.75) and steps/day guidelines (<em>OR</em>=0.44; 95%CI=0.26–0.74).</p></div><div><h3>Conclusions</h3><p>SES indicators were not associated with overweight/obesity, but higher SES was associated with lower odds of children meeting MVPA guidelines.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 162-170"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55270339","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}
引用次数: 10
Experiences of adolescents seropositive for HIV/AIDS: a qualitative study 艾滋病毒/艾滋病血清阳性青少年的经历:一项定性研究
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2015.08.019
Eliana Galano , Egberto Ribeiro Turato , Philippe Delmas , José Côté , Aida de Fátima Thomé Barbosa Gouvea , Regina Célia de Menezes Succi , Daisy Maria Machado
{"title":"Experiences of adolescents seropositive for HIV/AIDS: a qualitative study","authors":"Eliana Galano ,&nbsp;Egberto Ribeiro Turato ,&nbsp;Philippe Delmas ,&nbsp;José Côté ,&nbsp;Aida de Fátima Thomé Barbosa Gouvea ,&nbsp;Regina Célia de Menezes Succi ,&nbsp;Daisy Maria Machado","doi":"10.1016/j.rppede.2015.08.019","DOIUrl":"10.1016/j.rppede.2015.08.019","url":null,"abstract":"<div><h3>Objective</h3><p>Explore the meanings attributed by young individuals about “living as an adolescent with HIV” in a group of patients that acquired the infection at birth and the elements involved with the adherence to antiretroviral treatment.</p></div><div><h3>Methods</h3><p>Qualitative study, involving 20 subjects (aged 13–20 years), followed at services specialized in the treatment of pediatric AIDS in São Paulo, Brazil. Semi-structured interviews were carried out of which script consisted of questions about their personal histories, experiences and difficulties they must face while living with HIV/AIDS.</p></div><div><h3>Results</h3><p>Being “normal” and “different” were central issues voiced by the participants. However, a normal life situation is guaranteed by being responsible with one's health, the condition that the diagnosis be kept secret and concerns about HIV transmission and dissemination to a sexual partner. The answers about treatment show that adherence is a dynamic process and involves moments of greater or lesser interest in relation to care for one's health. The adolescents have plans and projects and although HIV is considered a stressor, positive perspectives for the future prevailed.</p></div><div><h3>Conclusions</h3><p>To live as an adolescent with HIV involves subtle dimensions that need to be recognized and legitimized by professionals who follow the trajectory of these young individuals. It is necessary to allow a space in which the adolescents can reflect and find support regarding issues related to the construction of their sexuality and care of one's own body.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 171-177"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.08.019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55270403","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}
引用次数: 9
Cerebral blood flow assessment of preterm infants during respiratory therapy with the expiratory flow increase technique 呼气流量增加技术对早产儿呼吸治疗期间脑血流量的评估
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2016.02.007
Mariana Almada Bassani , Jamil Pedro Siqueira Caldas , Abimael Aranha Netto , Sérgio Tadeu Martins Marba
{"title":"Cerebral blood flow assessment of preterm infants during respiratory therapy with the expiratory flow increase technique","authors":"Mariana Almada Bassani ,&nbsp;Jamil Pedro Siqueira Caldas ,&nbsp;Abimael Aranha Netto ,&nbsp;Sérgio Tadeu Martins Marba","doi":"10.1016/j.rppede.2016.02.007","DOIUrl":"10.1016/j.rppede.2016.02.007","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the impact of respiratory therapy with the expiratory flow increase technique on cerebral hemodynamics of premature newborns.</p></div><div><h3>Methods</h3><p>This is an intervention study, which included 40 preterm infants (≤34 weeks) aged 8–15 days of life, clinically stable in ambient air or oxygen catheter use. Children with heart defects, diagnosis of brain lesion and/or those using vasoactive drugs were excluded. Ultrasonographic assessments with transcranial Doppler flowmetry were performed before, during and after the increase in expiratory flow session, which lasted 5min. Cerebral blood flow velocity and resistance and pulsatility indices in the pericallosal artery were assessed.</p></div><div><h3>Results</h3><p>Respiratory physical therapy did not significantly alter flow velocity at the systolic peak (<em>p</em>=0.50), the end diastolic flow velocity (<em>p</em>=0.17), the mean flow velocity (<em>p</em>=0.07), the resistance index (<em>p</em>=0.41) and the pulsatility index (<em>p</em>=0.67) over time.</p></div><div><h3>Conclusions</h3><p>The expiratory flow increase technique did not affect cerebral blood flow in clinically-stable preterm infants.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 178-183"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273279","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}
引用次数: 3
Otitis media with effusion in children younger than 1 year 1岁以下儿童中耳炎伴积液
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2016.01.003
Renata Cantisani Di Francesco , Vivian Boschesi Barros , Rafael Ramos
{"title":"Otitis media with effusion in children younger than 1 year","authors":"Renata Cantisani Di Francesco ,&nbsp;Vivian Boschesi Barros ,&nbsp;Rafael Ramos","doi":"10.1016/j.rppede.2016.01.003","DOIUrl":"10.1016/j.rppede.2016.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the prevalence of otitis media with effusion in children younger than 1 year and its association with the season of the year, artificial feeding, environmental and perinatal factors.</p></div><div><h3>Methods</h3><p>Retrospective study of 184 randomly included medical records from a total of 982 healthy infants evaluated for hearing screening tests. Diagnosis of otitis media with effusion was based on otoscopy (amber-gold color, fluid level, handle of malleus position), type B tympanometric curves and absence of otoacoustic emissions. Incomplete medical records or those describing acute otitis media, upper respiratory tract infections on the assessment day or in the last 3 months, neuropathies and craniofacial anomalies were excluded. Data such as gestational age, birth weight, Apgar score, type of feeding and day care attendance were compared between children with and without otitis media with effusion through likelihood tests and multivariate analysis.</p></div><div><h3>Results</h3><p>25.3% of 184 infants had otitis media with bilateral effusion; 9.2% had unilateral. In infants with otitis media, the following were observed: chronological age of 9.6±1.7 months; gestational age &gt;38 weeks in 43.4% and birth weight &gt;2500g in 48.4%. Otitis media with effusion was associated with winter/fall, artificial feeding, Apgar score &lt;7 and day care attendance. The multivariate analysis showed that artificial feeding is the factor most often associated to otitis media with effusion.</p></div><div><h3>Conclusions</h3><p>Otitis media with effusion was found in about one third of children younger than 1 year and was mainly associated with artificial feeding.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 148-153"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55272158","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}
引用次数: 2
Atypical presentation of intra-abdominal extralobar pulmonary sequestration detected in prenatal care: a case report 产前护理中发现的腹内肺叶外肺隔离的不典型表现:1例报告
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2016.02.008
Márcio Rodrigues Costa, Théo Rodrigues Costa, Mauricio Sérgio Brasil Leite, Fernandes Rodrigues de Souza Filho, Alexandre Magno Bahia Reis, Bruno Paiva Pereira, Arthur Magalhães de Oliveira
{"title":"Atypical presentation of intra-abdominal extralobar pulmonary sequestration detected in prenatal care: a case report","authors":"Márcio Rodrigues Costa,&nbsp;Théo Rodrigues Costa,&nbsp;Mauricio Sérgio Brasil Leite,&nbsp;Fernandes Rodrigues de Souza Filho,&nbsp;Alexandre Magno Bahia Reis,&nbsp;Bruno Paiva Pereira,&nbsp;Arthur Magalhães de Oliveira","doi":"10.1016/j.rppede.2016.02.008","DOIUrl":"10.1016/j.rppede.2016.02.008","url":null,"abstract":"<div><h3>Objective</h3><p>To describe an unusual clinical presentation of intra-abdominal extralobar pulmonary sequestration in a 2-year, 9 month-old patient and assess diagnostic and treatment aspects of this pathology.</p></div><div><h3>Case description</h3><p>An undefined intra-abdominal mass was identified in the right adrenal region in a male fetus. Postnatal evaluation with ultrasound images, computed tomography, magnetic resonance imaging and laboratory testing was insufficient to determine the nature of the lesion. After two years, laparoscopic resection of the mass and histopathological examination of the surgical specimen allowed to establish the diagnosis of intra-abdominal extralobar pulmonary sequestration.</p></div><div><h3>Comments</h3><p>This malformation can be monitored clinically; however, surgical excision is often performed, probably due to the impossibility of attaining diagnosis with non-invasive methods, such as in the present case, in which the lesion appeared in an unusual position for intra-abdominal extralobar pulmonary sequestration. Therefore, the surgical approach seems to be the key to attain the diagnosis and establish the conduct for this type of congenital malformation.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 243-246"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273376","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}
引用次数: 6
Characterization of anthropometric assessment studies of Brazilian children attending daycare centers 巴西日托中心儿童人体测量学评估研究的特征
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2016.01.002
Dixis Figueroa Pedraza, Tarciana Nobre de Menezes
{"title":"Characterization of anthropometric assessment studies of Brazilian children attending daycare centers","authors":"Dixis Figueroa Pedraza,&nbsp;Tarciana Nobre de Menezes","doi":"10.1016/j.rppede.2016.01.002","DOIUrl":"10.1016/j.rppede.2016.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>To obtain an overview of available information on the anthropometric assessment of Brazilian children attending daycare centers.</p></div><div><h3>Data source</h3><p>A literature search was carried out in the PubMed, LILACS and SciELO databases of studies published from 1990 to 2013 in Portuguese and English languages. The following search strategy was used: (<em>nutritional status</em> OR <em>anthropometrics</em> OR <em>malnutrition</em> OR <em>overweight</em>) AND daycare centers, as well as the equivalent terms in Portuguese. In the case of MEDLINE search, the descriptor <em>Brazil</em> was also used.</p></div><div><h3>Data synthesis</h3><p>It was verified that the 33 studies included in the review were comparable from a methodological point of view. The studies, in general, were characterized by their restrictive nature, geographical concentration and dispersion of results in relation to time. Considering the studies published from 2010 onwards, low prevalence of acute malnutrition and significant rates of stunting and overweight were observed.</p></div><div><h3>Conclusions</h3><p>Despite the limitations, considering the most recent studies that used the WHO growth curves (2006), it is suggested that the anthropometric profile of Brazilian children attending daycare centers is characterized by a nutritional transition process, with significant prevalence of overweight and short stature. We emphasize the need to develop a multicenter survey that will more accurately define the current anthropometric nutritional status of Brazilian children attending daycare centers.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 216-224"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55272104","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}
引用次数: 4
Identification of cutoff points for Homeostatic Model Assessment for Insulin Resistance index in adolescents: systematic review 确定青少年胰岛素抵抗指数的稳态模型评估的截止点:系统综述
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2016.01.004
Maria Izabel Siqueira de Andrade, Juliana Souza Oliveira, Vanessa Sá Leal, Niedja Maria Silva da Lima, Emília Chagas Costa, Nathalia Barbosa de Aquino, Pedro Israel Cabral de Lira
{"title":"Identification of cutoff points for Homeostatic Model Assessment for Insulin Resistance index in adolescents: systematic review","authors":"Maria Izabel Siqueira de Andrade,&nbsp;Juliana Souza Oliveira,&nbsp;Vanessa Sá Leal,&nbsp;Niedja Maria Silva da Lima,&nbsp;Emília Chagas Costa,&nbsp;Nathalia Barbosa de Aquino,&nbsp;Pedro Israel Cabral de Lira","doi":"10.1016/j.rppede.2016.01.004","DOIUrl":"10.1016/j.rppede.2016.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>To identify cutoff points of the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) index established for adolescents and discuss their applicability for the diagnosis of insulin resistance in Brazilian adolescents.</p></div><div><h3>Data source</h3><p>A systematic review was performed in the PubMed, Lilacs and SciELO databases, using the following descriptors: “adolescents”, “insulin resistance” and “Receiver Operating Characteristics Curve”. Original articles carried out with adolescents published between 2005 and 2015 in Portuguese, English or Spanish languages, which included the statistical analysis using Receiver Operating Characteristics Curve to determine the index cutoff (HOMA-IR) were included.</p></div><div><h3>Data synthesis</h3><p>A total of 184 articles were identified and after the study phases were applied, seven articles were selected for the review. All selected studies established their cutoffs using a Receiver Operating Characteristics Curve, with the lowest observed cutoff of 1.65 for girls and 1.95 for boys and the highest of 3.82 for girls and 5.22 for boys. Of the studies analyzed, one proposed external validity, recommending the use of the HOMA-IR cutoff&gt;2.5 for both genders.</p></div><div><h3>Conclusions</h3><p>The HOMA-IR index constitutes a reliable method for the detection of insulin resistance in adolescents, as long as it uses cutoffs that are more adequate for the reality of the study population, allowing early diagnosis of insulin resistance and enabling multidisciplinary interventions aiming at health promotion of this population.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 234-242"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55272488","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}
引用次数: 15
Practice of martial arts and bone mineral density in adolescents of both sexes 青少年男女武术练习与骨密度的关系
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2015.09.003
Igor Hideki Ito , Alessandra Madia Mantovani , Ricardo Ribeiro Agostinete , Paulo Costa Junior , Edner Fernando Zanuto , Diego Giulliano Destro Christofaro , Luis Pedro Ribeiro , Rômulo Araújo Fernandes
{"title":"Practice of martial arts and bone mineral density in adolescents of both sexes","authors":"Igor Hideki Ito ,&nbsp;Alessandra Madia Mantovani ,&nbsp;Ricardo Ribeiro Agostinete ,&nbsp;Paulo Costa Junior ,&nbsp;Edner Fernando Zanuto ,&nbsp;Diego Giulliano Destro Christofaro ,&nbsp;Luis Pedro Ribeiro ,&nbsp;Rômulo Araújo Fernandes","doi":"10.1016/j.rppede.2015.09.003","DOIUrl":"10.1016/j.rppede.2015.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to analyze the relationship between martial arts practice (judo, karate and kung-fu) and bone mineral density in adolescents.</p></div><div><h3>Methods</h3><p>The study was composed of 138 (48 martial arts practitioners and 90 non-practitioners) adolescents of both sexes, with an average age of 12.6 years. Bone mineral density was measured using Dual-Energy X-ray Absorptiometry in arms, legs, spine, trunk, pelvis and total. Weekly training load and previous time of engagement in the sport modality were reported by the coach. Partial correlation tested the association between weekly training load and bone mineral density, controlled by sex, chronological age, previous practice and somatic maturation. Analysis of covariance was used to compare bone mineral density values according to control and martial arts groups, controlled by sex, chronological age, previous practice and somatic maturation. Significant relationships between bone mineral density and muscle mass were inserted into a multivariate model and the slopes of the models were compared using the Student <em>t</em> test (control versus martial art).</p></div><div><h3>Results</h3><p>Adolescents engaged in judo practice presented higher values of bone mineral density than the control individuals (<em>p</em>-value=0.042; Medium Effect size [Eta-squared=0.063]), while the relationship between quantity of weekly training and bone mineral density was significant among adolescents engaged in judo (arms [<em>r</em>=0.308] and legs [<em>r</em>=0.223]) and kung-fu (arms [<em>r</em>=0.248] and spine [<em>r</em>=0.228]).</p></div><div><h3>Conclusions</h3><p>Different modalities of martial arts are related to higher bone mineral density in different body regions among adolescents.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 210-215"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2015.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55270581","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}
引用次数: 7
Short stature in children of Karapotó ethnic background, São Sebastião, Alagoas, Brazil 身高矮小的Karapotó种族背景的儿童,<s:1> o塞巴斯蒂安<e:1>,阿拉戈斯,巴西
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2016.02.006
Samara Bomfim Gomes Campos , Risia Cristina Egito de Menezes , Maria Alice Araújo Oliveira , Danielle Alice Vieira da Silva , Giovana Longo-Silva , Juliana Souza Oliveira , Leiko Asakura , Emília Chagas Costa , Vanessa Sá Leal
{"title":"Short stature in children of Karapotó ethnic background, São Sebastião, Alagoas, Brazil","authors":"Samara Bomfim Gomes Campos ,&nbsp;Risia Cristina Egito de Menezes ,&nbsp;Maria Alice Araújo Oliveira ,&nbsp;Danielle Alice Vieira da Silva ,&nbsp;Giovana Longo-Silva ,&nbsp;Juliana Souza Oliveira ,&nbsp;Leiko Asakura ,&nbsp;Emília Chagas Costa ,&nbsp;Vanessa Sá Leal","doi":"10.1016/j.rppede.2016.02.006","DOIUrl":"https://doi.org/10.1016/j.rppede.2016.02.006","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the prevalence of short stature among children of Karapotó ethnic background.</p></div><div><h3>Methods</h3><p>Cross-sectional, population-based study that included children between 6 and 59 months of age from the Plak-Ô native village and the Terra Nova settlement, São Sebastião, Alagoas, carried out between 2008 and 2009. Short stature was evaluated by the Height/Ageindex, using as cutoff z score≤−2. The prevalence of short stature was determined by compa-ring simple and relative frequencies. The population growth curves were compared to the WHO reference curves. Data analysis included the outcome variable: Height/Age and the predictor variables: place of residence, gender, age, anemia, birth weight, family income, maternal literacy. The chi-square test was used to compare the categorical variables, where as the chi-square test with Yates correction was used for dichotomous variables, considering as statistically significant <em>p</em>-values≤0.05.</p></div><div><h3>Results</h3><p>The prevalence of short stature was 15.6% for children from the Terra Nova settlement and 9.1% for those from Plak-Ô native village. The prevalence of short stature among the Karapotó ethnicity was 13.4%. The variables: maternal literacy, family income and low birth weight were statistically associated with short stature.</p></div><div><h3>Conclusions</h3><p>The observed short stature prevalence rates are significant, being characterized as a public health problem. Among the associated factors, the following are noteworthy: unfavorable conditions of maternal literacy, family income and low birth weight. The planning of strategies to reverse the situation must take such factors into consideration.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 197-203"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136940524","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}
引用次数: 3
Duration of breastfeeding in preterm infants followed at a secondary referral service 在二级转诊服务跟踪早产儿母乳喂养的持续时间
Revista Paulista de Pediatria (English Edition) Pub Date : 2016-06-01 DOI: 10.1016/j.rppede.2016.02.010
Brunnella Alcantara Chagas de Freitas , Luciana Moreira Lima , Carla Fernanda Lisboa Valente Carlos , Silvia Eloiza Priore , Sylvia do Carmo Castro Franceschini
{"title":"Duration of breastfeeding in preterm infants followed at a secondary referral service","authors":"Brunnella Alcantara Chagas de Freitas ,&nbsp;Luciana Moreira Lima ,&nbsp;Carla Fernanda Lisboa Valente Carlos ,&nbsp;Silvia Eloiza Priore ,&nbsp;Sylvia do Carmo Castro Franceschini","doi":"10.1016/j.rppede.2016.02.010","DOIUrl":"10.1016/j.rppede.2016.02.010","url":null,"abstract":"<div><h3>Objective</h3><p>Identify and analyze variables associated with shorter duration of breastfeeding in preterm infants.</p></div><div><h3>Methods</h3><p>Retrospective cohort of premature infants followed up at secondary referral service in the period of 2010–2015. Inclusion: first appointment in the first month of corrected age and have undergone three or more consultations. Exclusion: diseases that impaired oral feeding. Outcome: duration of breastfeeding. A total of 103 preterm infants were evaluated, accounting for 28.8% of the preterm infants born in the municipality in that period, with a power of study of 80%. Descriptive analysis, <em>t</em>-test, chi-square test, Kaplan–Meier curves and Cox regression were used. <em>p</em>-values &lt;0.05 were considered significant.</p></div><div><h3>Results</h3><p>The median duration of breastfeeding among preterm infants was 5.0 months. The risk of breastfeeding discontinuation among preterm infants with gestational age &lt;32 weeks was 2.6-fold higher than for those born at 32 weeks or more and the risk of breastfeeding interruption in preterm infants who were receiving breastfeeding supplementation in the first outpatient visit was 3-fold higher when compared to those who were exclusively breastfed in the first consultation.</p></div><div><h3>Conclusions</h3><p>The median duration of breastfeeding in preterm infants was below the recommended one and discontinuation was associated with gestational &lt;32 weeks and the fact that the infant was no longer receiving exclusive breastfeeding in the first outpatient visit. When these two variables were associated, their negative effect on the median duration of breastfeeding was potentiated.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 2","pages":"Pages 189-196"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.02.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273643","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}
引用次数: 35
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信