Revista Paulista De Pediatria最新文献_第10页

BLOOD CELLS PROFILE IN UMBILICAL CORD OF LATE PRETERM AND TERM NEWBORNS 晚期早产儿和足月新生儿脐带血细胞分布

IF 1.7

Revista Paulista De Pediatria Pub Date : 2019-06-19 DOI: 10.1590/1984-0462/;2019;37;3;00008

Anna Carolina Boni Rolim, Marley Aparecida Lambert, J. Borges, S. Abbas, J. Bordin, D. L. Langhi Junior, A. Chiba, A. D. Santos

{"title":"BLOOD CELLS PROFILE IN UMBILICAL CORD OF LATE PRETERM AND TERM NEWBORNS","authors":"Anna Carolina Boni Rolim, Marley Aparecida Lambert, J. Borges, S. Abbas, J. Bordin, D. L. Langhi Junior, A. Chiba, A. D. Santos","doi":"10.1590/1984-0462/;2019;37;3;00008","DOIUrl":"https://doi.org/10.1590/1984-0462/;2019;37;3;00008","url":null,"abstract":"ABSTRACT Objective: To describe the hematological profile in cord blood of late preterm and term newborns and compare blood indices according to sex, weight for gestational age and type of delivery. Methods: Cross-sectional study with late preterm and term newborns in a second-level maternity. Multiple gestation, chorioamnionitis, maternal or fetal hemorrhage, suspected congenital infection, 5-minute Apgar <6, congenital malformations, and Rh hemolytic disease were excluded. Percentiles 3, 5,10, 25, 50, 75, 90, 95 and 97 of blood indices were calculated for both groups. Results: 2,662 newborns were included in the sample, 51.1% males, 7.3% late preterms, 7.8% small for gestational age (SGA) and 81.2% adequate for gestational age (AGA). Mean gestational age was 35.6±1.9 and 39.3±1.0 weeks, respectively, for premature and term neonates. The erythrocytes indices and white blood cells increased from 34-36.9 to 37-41.9 weeks. Basophils and platelets remained constant during gestation. Premature neonates presented lower values of all blood cells, except for lymphocytes and eosinophils. SGA neonates presented higher values of hemoglobin, hematocrit and lower values of leukocytes, neutrophils, bands, segmented, eosinophils, monocytes and platelets. Male neonates presented similar values of erythrocytes and hemoglobin and lower leukocytes, neutrophils, segmented and platelets. Neonates delivered by C-section had lower values of red blood cells and platelets. Chronic or gestational hypertension induced lower number of platelets. Conclusions: Blood cells increased during gestation, except for platelets and basophils. SGA neonates had higher hemoglobin and hematocrit values and lower leukocytes. Number of platelets was smaller in male SGAs, born by C-section and whose mothers had hypertension.","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1984-0462/;2019;37;3;00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44537775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

PHOTOGRAMMETRY: A PROPOSAL OF OBJECTIVE ASSESSMENT OF CHEST WALL IN ADOLESCENT IDIOPATHIC SCOLIOSIS 摄影测量：对青少年特发性脊柱侧弯胸壁进行客观评估的建议

IF 1.7

Revista Paulista De Pediatria Pub Date : 2019-04-01 DOI: 10.1590/1984-0462/;2019;37;2;00001

A. S. Alexandre, E. Sperandio, L. Yi, Josy Davidson, P. Poletto, A. Gotfryd, M. Vidotto

{"title":"PHOTOGRAMMETRY: A PROPOSAL OF OBJECTIVE ASSESSMENT OF CHEST WALL IN ADOLESCENT IDIOPATHIC SCOLIOSIS","authors":"A. S. Alexandre, E. Sperandio, L. Yi, Josy Davidson, P. Poletto, A. Gotfryd, M. Vidotto","doi":"10.1590/1984-0462/;2019;37;2;00001","DOIUrl":"https://doi.org/10.1590/1984-0462/;2019;37;2;00001","url":null,"abstract":"ABSTRACT Objective: To evaluate the chest wall shape in patients with adolescent idiopathic scoliosis (AIS) in comparison to healthy subjects and the association between the chest wall shape with the spine deformity and lung function in patients with AIS. Methods: This cross-sectional study enrolled 30 AIS patients and 20 healthy subjects aged 11-18 years old. The Cobb angle evaluation was performed in AIS patients. The chest wall shape was assessed by the photogrammetry method, using the Postural Assessment Software (PAS). We created thoracic markers shaped as angles (A) and distances (D), as follows: A2 (right acromion/xiphoid/left acromion), A4L (angle formed between the outer point of the smallest waist circumference and its upper and lower edges on the left side), A7 (angle formed by the intersection of the tangent segments of the upper and lower scapulae angles), D1R/D1L [distance between the xiphoid process and the last false rib on the right (R) and left (L) sides], and D3 (distance between xiphoid process and anterior superior iliac spine). Results: The thoracic markers A2 and A7 were significantly higher, while the A4L and D1R/D1L were significantly reduced in the AIS group compared to the control. Moderate correlations were found between: A2 and the main and proximal thoracic Cobb angles (r=0.50, r=0.47, respectively); D1R/D1L and the main thoracic Cobb angle (r=- 0.40); and the forced expiratory volume in the first second (FEV1) and D3R (r=0.47). Conclusions: The photogrammetry method was able to detect chest wall changes in AIS patients, besides presenting correlation between Cobb angles and lung function.","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/1984-0462/;2019;37;2;00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42610753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Uso do mel de abelha associado ao Ananas comosus (Bromelin) no tratamento da tosse irritativa aguda 使用与菠萝(Bromelin)相关的蜂蜜治疗急性刺激性咳嗽

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.03.006

Décio Medeiros Peixoto , José Angelo Rizzo , Deborah Schor , Almerinda Rêgo Silva , Dinaldo Cavalcanti de Oliveira , Dirceu Solé , Emanuel Sarinho

{"title":"Uso do mel de abelha associado ao Ananas comosus (Bromelin) no tratamento da tosse irritativa aguda","authors":"Décio Medeiros Peixoto , José Angelo Rizzo , Deborah Schor , Almerinda Rêgo Silva , Dinaldo Cavalcanti de Oliveira , Dirceu Solé , Emanuel Sarinho","doi":"10.1016/j.rpped.2016.03.006","DOIUrl":"10.1016/j.rpped.2016.03.006","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the immediate improvement rate of irritative cough in patients treated with the combination of Ananas comosus extract and honey (Bromelin<sup>®</sup>) compared with the use of honey alone (placebo group).</p></div><div><h3>Methods</h3><p>Pragmatic, double‐blind, randomized, parallel‐group study with children aged between 2 and 15 years, with irritative cough for at least 24hours. The double‐blind assessment of cough was through the number of observed coughing episodes and intensity score for a period of 10minutes of observation. The decrease of one point in the mean total score was considered as a therapeutic effect.</p></div><div><h3>Results</h3><p>There was a reduction in coughing episodes in both groups, as well as in the cough score after 30minutes of drug or honey administration. The change in clinical score above two points, which could indicate marked improvement, occurred in five patients in the bromelin group and only in one in the placebo group, but without significant difference. There were no adverse events.</p></div><div><h3>Conclusions</h3><p>The immediate improvement rate of irritative cough was similar in patients treated with combination of <em>Ananas comosus</em> extract and honey (Bromelin<sup>®</sup>) compared with the use of honey alone (placebo group). It is possible that honey has a therapeutic effect on mucus and cough characteristics (Clinical Trials: NCT01356693).</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34393638","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: 8

Efeito da interação com palhaços nos sinais vitais e na comunicação não verbal de crianças hospitalizadas 小丑互动对住院儿童生命体征和非语言交流的影响

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.02.001

Pauline Lima Alcântara , Ariane Zonho Wogel , Maria Isabela Lobo Rossi , Isabela Rodrigues Neves , Ana Llonch Sabates , Ana Cláudia Puggina

{"title":"Efeito da interação com palhaços nos sinais vitais e na comunicação não verbal de crianças hospitalizadas","authors":"Pauline Lima Alcântara , Ariane Zonho Wogel , Maria Isabela Lobo Rossi , Isabela Rodrigues Neves , Ana Llonch Sabates , Ana Cláudia Puggina","doi":"10.1016/j.rpped.2016.02.001","DOIUrl":"10.1016/j.rpped.2016.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>Compare the non‐verbal communication of children before and during interaction with clowns and compare their vital signs before and after this interaction.</p></div><div><h3>Methods</h3><p>Uncontrolled, intervention, cross‐sectional, quantitative study with children admitted to a public university hospital. The intervention was performed by medical students dressed as clowns and included magic tricks, juggling, singing with the children, making soap bubbles and comedic performances. The intervention time was 20minutes. Vital signs were assessed in two measurements with an interval of one minute immediately before and after the interaction. Non‐verbal communication was observed before and during the interaction using the Non‐Verbal Communication Template Chart, a tool in which nonverbal behaviors are assessed as effective or ineffective in the interactions.</p></div><div><h3>Results</h3><p>The sample consisted of 41 children with a mean age of 7.6±2.7 years; most were aged 7 to 11 years (n=23; 56%) and were males (n=26; 63.4%). There was a statistically significant difference in systolic and diastolic blood pressure, pain and non‐verbal behavior of children with the intervention. Systolic and diastolic blood pressure increased and pain scales showed decreased scores.</p></div><div><h3>Conclusions</h3><p>The playful interaction with clowns can be a therapeutic resource to minimize the effects of the stressing environment during the intervention, improve the children's emotional state and reduce the perception of pain.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55268909","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

Fatores associados à cárie: pesquisa de estudantes do sul do Brasil 与龋齿相关的因素:巴西南部学生的研究

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.02.004

Tássia Silvana Borges, Natalí Lippert Schwanke, Cézane Priscila Reuter, Léo Kraether Neto, Miria Suzana Burgos

{"title":"Fatores associados à cárie: pesquisa de estudantes do sul do Brasil","authors":"Tássia Silvana Borges, Natalí Lippert Schwanke, Cézane Priscila Reuter, Léo Kraether Neto, Miria Suzana Burgos","doi":"10.1016/j.rpped.2016.02.004","DOIUrl":"https://doi.org/10.1016/j.rpped.2016.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the factors associated with dental caries among students from Santa Cruz do Sul, Rio Grande do Sul, Brazil.</p></div><div><h3>Methods</h3><p>A cross‐sectional study was conducted in a random sample of 623 students of both genders, aged 10–17 years old. Tooth decay was performed using the index of the World Health Organization (1997), DMFT (permanent dentition) that expresses the sum of decayed, missing and filled teeth per person. The maternal educational level was rated using criteria of the Brazilian Association of Market Research Companies. The remaining variables were obtained by a structured questionnaire. Poisson regression analysis was used to test the association between variables using robust models and a subsequently adjusted model. Data were expressed as prevalence ratio (PR).</p></div><div><h3>Results</h3><p>Multivariate analysis identified the following factors related to the experience of dental caries: residence in rural municipalities (PR: 1.15; 95%CI: 1.0–1.3), attending a city school (PR: 3.30; 95%CI: 1.1–9.4) or a state school (PR: 3.40; 95%CI: 1.1–9.6); and having an illiterate mother or a mother that only attended up to the 4th year of school (PR: 1.67; 95%CI: 1.1–2.4) or high school (PR: 1.54; 95%CI: 1.1–2.2).</p></div><div><h3>Conclusions</h3><p>The presence of caries in students in southern Brazil was associated with residence in rural areas, mother with little education and attendance to a public school.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92125615","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: 12

Quilotórax bilateral espontâneo após vômitos excessivos em criança 儿童过度呕吐后双侧自发性乳糜胸

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.03.007

Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi

{"title":"Quilotórax bilateral espontâneo após vômitos excessivos em criança","authors":"Antonio Lucas Lima Rodrigues , Mariana Tresoldi das Neves Romaneli , Celso Dario Ramos , Andrea de Melo Alexandre Fraga , Ricardo Mendes Pereira , Simone Appenzeller , Roberto Marini , Antonia Teresinha Tresoldi","doi":"10.1016/j.rpped.2016.03.007","DOIUrl":"https://doi.org/10.1016/j.rpped.2016.03.007","url":null,"abstract":"<div><h3>Objective</h3><p>To report the case of a child with bilateral chylothorax due to infrequent etiology: thoracic duct injury after severe vomiting.</p></div><div><h3>Case description</h3><p>Girl, 7 years old, with chronic facial swelling started after hyperemesis. During examination, she also presented with bilateral pleural effusion, with chylous fluid obtained during thoracentesis. After extensive clinical, laboratory, and radiological investigation of the chylothorax etiology, it was found to be secondary to thoracic duct injury by the increased intrathoracic pressure caused by the initial manifestation of vomiting, supported by lymphoscintigraphy findings.</p></div><div><h3>Comments</h3><p>Except for the neonatal period, chylothorax is an infrequent finding of pleural effusion in children. There are various causes, including trauma, malignancy, infection, and inflammatory diseases; however, the etiology described in this study is poorly reported in the literature.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.03.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92002113","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: 1

Relação entre o uso seguro de medicamentos e Serviços de Farmácia Clínica em Unidades de Cuidados Intensivos Pediátricos 儿科重症监护病房药物安全使用与临床药学服务的关系

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.03.004

Lucas Miyake Okumura , Daniella Matsubara da Silva , Larissa Comarella

{"title":"Relação entre o uso seguro de medicamentos e Serviços de Farmácia Clínica em Unidades de Cuidados Intensivos Pediátricos","authors":"Lucas Miyake Okumura , Daniella Matsubara da Silva , Larissa Comarella","doi":"10.1016/j.rpped.2016.03.004","DOIUrl":"10.1016/j.rpped.2016.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>Clinical Pharmacy Services (CPS) are considered standard of care and they are endorsed by the Joint Commission International, the American Academy of Pediatrics, and the American College of Clinical Pharmacy. In Brazil, single experiences have been discreetly arising and the importance of these services to children and adolescents care has led to interesting results, but certainly are under reported. This short report aims to discuss the effect of implementing a bedside CPS at a Brazilian Pediatric Intensive Care Unit (PICU).</p></div><div><h3>Methods</h3><p>This is a cross‐sectional study conducted in a 12 bed PICU community hospital, from Campo Largo/Brazil. Subjects with<18 years old admitted to PICU were included for descriptive analysis if received a CPS intervention.</p></div><div><h3>Results</h3><p>Of 53 patients accompanied, we detected 141 preventable drug‐related problems (DRPs) which were solved within clinicians (89% acceptance of all interventions). The most common interventions performed to improve drug therapy included: preventing incompatible intravenous solutions (21%) and a composite of inadequate doses (17% due to low, high and non‐optimized doses). Among the top ten medications associated with DRPs, five were antimicrobials. By analyzing the correlation between DRPs and PICU length of stay, we found that 74% of all variations on length of stay were associated with the number of DRPs.</p></div><div><h3>Conclusions</h3><p>Adverse drug reactions due to avoidable DRPs can be prevented by CPS in a multifaceted collaboration with other health care professionals, who should attempt to use active and evidence‐based strategies to reduce morbidity related to medications.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34350409","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: 0

Eventos adversos a medicamentos em terapia intensiva pediátrica são comuns, mas estratégias de melhoria existem e são eficazes 儿科重症监护中的药物不良事件是常见的，但改善策略是存在的，并且是有效的

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.07.001

Karel Allegaert

引用次数: 0

Eficácia e segurança do hidrato de cloral na sedação de lactentes para testes de função pulmonar 水合氯醛在婴儿肺功能试验中的镇静作用和安全性

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.05.002

Gustavo Falbo Wandalsen , Fernanda de Cordoba Lanza , Márcia Cristina Pires Nogueira , Dirceu Solé

{"title":"Eficácia e segurança do hidrato de cloral na sedação de lactentes para testes de função pulmonar","authors":"Gustavo Falbo Wandalsen , Fernanda de Cordoba Lanza , Márcia Cristina Pires Nogueira , Dirceu Solé","doi":"10.1016/j.rpped.2016.05.002","DOIUrl":"10.1016/j.rpped.2016.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the efficacy and safety of chloral hydrate sedation in infants for pulmonary function tests.</p></div><div><h3>Methods</h3><p>All sedation attempts for pulmonary function tests in infants carried out between June 2007 and August 2014 were evaluated. Obstructive sleep apnea and heart disease were contraindications to the exams. Anthropometric data, exam indication, used dose, outcomes of sedation and clinical events were recorded and described.</p></div><div><h3>Results</h3><p>The sedation attempts in 277 infants (165 boys) with a median age of 51.5 weeks of life (14 to 182 weeks) were evaluated. The main indication for the tests was recurrent wheezing (56%) and the chloral hydrate dose ranged from 50 to 80mg/kg (orally). Eighteen (6.5%) infants had some type of clinical complication, with the most frequent being cough and/or airway secretion (1.8%); respiratory distress (1.4%) and vomiting (1.1%). A preterm infant had bradycardia for approximately 15 minutes, which was responsive to tactile stimulation. All observed adverse effects were transient and there was no need for resuscitation or use of injectable medications.</p></div><div><h3>Conclusions</h3><p>The data demonstrated that chloral hydrate at the employed doses is a safe and effective medicament for sedation during short procedures in infants, such as pulmonary function tests. Because of the possibility of severe adverse events, recommendations on doses and contraindications should be strictly followed and infants should be monitored by trained staff.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34598215","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

Aleitamento materno, introdução precoce de leite não materno e excesso de peso na idade pré‐escolar 母乳喂养、早期引入非母乳和学龄前超重

IF 1.7

Revista Paulista De Pediatria Pub Date : 2016-12-01 DOI: 10.1016/j.rpped.2016.05.004

Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone

{"title":"Aleitamento materno, introdução precoce de leite não materno e excesso de peso na idade pré‐escolar","authors":"Viviane Gabriela Nascimento , Janaína Paula Costa da Silva , Patrícia Calesco Ferreira , Ciro João Bertoli , Claudio Leone","doi":"10.1016/j.rpped.2016.05.004","DOIUrl":"https://doi.org/10.1016/j.rpped.2016.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>Investigate associations between excess weight in preschool children, breastfeeding duration and age of non‐breast milk introduction.</p></div><div><h3>Methods</h3><p>Cross‐sectional study of a representative sample of 817 preschool children, aged 2 to 4 years, attending municipal day care centers in the city of Taubaté. The weight and height of children were measured in the day care centers in 2009, 2010 and 2011. The body mass index z‐score (BMIz) was calculated and children were classified as risk of overweight (BMIz≥1 to<2) or excess weight (BMIz≥2). Data analysis was carried out by comparison of proportions, coefficient of correlation and multivariate linear regression.</p></div><div><h3>Results</h3><p>The prevalence of risk of overweight was 18.9% and of excess weight (overweight or obesity) was 9.3%. The median duration of breastfeeding and age of introduction of non‐breast milk was 6 months. The child's BMIz showed direct correlation with birth weight (r=0.154; <em>p</em><0.001) and maternal Body Mass Index (BMI) (r=0.113; <em>p</em>=0.002). The correlation was inverse with the total duration of breastfeeding (r=−0.099; <em>p</em>=0.006) and age at non‐breast milk introduction (r=−0.112; <em>p</em>=0.002). There was no correlation between the child's BMIz with birth length, duration of exclusive breastfeeding and mother's age.</p></div><div><h3>Conclusions</h3><p>The earlier the introduction of non‐breast milk, the higher the correlation with excess weight at preschool age.</p></div>","PeriodicalId":21311,"journal":{"name":"Revista Paulista De Pediatria","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpped.2016.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92125616","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: 0