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      Evaluación del estado nutricional en población menor de 10 años de edad del municipio Pereira, Risaralda, Colombia, 2011. Tercera parte: Desnutrición aguda Translated title: Assessment of the nutritional status in population younger than 10 years-old from the municipality Pereira, Risaralda, Colombia. 2011. Third part: Acute malnutrition

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          Abstract

          Introducción: La evaluación del estado nutricional en la población pediátrica es uno de los aspectos de mayor importancia en salud pública. Por estas razones se realizó un estudio para determinar la situación nutricional en menores de 10 años en el municipio Pereira, 2011. En este artículo se presenta la tercera parte de sus resultados para desnutrición aguda. Materiales y Métodos: Estudio de corte transversal, con una muestra probabilística, estratificada, evaluando el indicador Peso para la Talla en niños y niñas menores de 10 años del municipio Pereira (2011). La muestra fue recogida en colegios y en hogares familiares del municipio. Los resultados son comparados con los indicadores de los estudios de 2001 y 2008, con metodologías similares. resultados: Para 2011 se aprecia una mejoría considerable en los niveles de desnutrición aguda, comparado con los resultados de 2008, con una reducción de 7,4 puntos porcentuales (de 22,8% a 15,4%) (34,2% de reducción). en los menores de 2 años, la prevalencia de desnutrición aguda fue de 22,3%, en tanto que los de 2 a 9,999 años fue de 16,43%. discusión: Los presentes resultados deben orientar al diseño de políticas públicas que impulsen el avance del desarrollo social, el mejoramiento de las condiciones de vida, así como incidir en forma directa en la disponibilidad de alimentos y la educación nutricional en el Municipio a los fines de mejorar en forma integral las condiciones nutricionales que tiene la población infantil en Pereira. Para evaluar el impacto de dichas intervenciones especialmente en desnutrición aguda, deben mantenerse estudios periódicos de este tipo de corto a mediano plazo para ver sus efectos y la tendencia en su reducción.

          Translated abstract

          Introduction: Assessment of the nutritional state in pediatric population is one of the major issues of relevance in public health. For these reasons a study was made to determinate the nutritional state in children less than 10 years-old at the municipality of Pereira, 2011. in this article the third part corresponding to acute deficit malnutrition is presented. Materials and methods: a cross nutritional survey, with a probabilistic and stratified sample was made. This used the indicator Weight for Height in children less than 10 years-old of Pereira (2011). sample was collected at schools and family homes of the municipality. Results are compared with indicators of 2001 and 2008 studies, with similar methodologies. results: For 2011 a considerable improvement in acute deficit malnutrition, compared with 2008 results was observed, with a reduction of 7.4% (from 22.8% to 15.4%). in those less than 2 years-old, prevalence was of 22.3% whilst in those 2-9.999 years-old was 16.43%. Discussion: Present results should orient the design of public policies that promote the advance in social development, improvement of life conditions as well ways to impact in the availability of food and nutritional education in the municipality in order to integrally improve the nutritional conditions of the childhood population in Pereira. in order to assess the impact of those interventions, especially in acute malnutrition, this kind of periodical studies should be done to see their effects and trends in its reduction.

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          Most cited references57

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          The global obesity pandemic: shaped by global drivers and local environments

          The Lancet, 378(9793), 804-814
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            Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys.

            Simple indicators reflecting diet quality for young children are needed both for programs and in some research contexts. Measures of dietary diversity are relatively simple and were shown to be associated with nutrient adequacy and nutritional status. However, dietary diversity also tends to increase with income and wealth; thus, the association between dietary diversity and child nutrition may be confounded by socioeconomic factors. We used data from 11 recent Demographic and Health Surveys (DHS) to examine the association between dietary diversity and height-for-age Z-scores (HAZ) for children 6-23 mo old, while controlling for household wealth/welfare and several other potentially confounding factors. Bivariate associations between dietary diversity and HAZ were observed in 9 of the 11 countries. Dietary diversity remained significant as a main effect in 7 countries in multivariate models, and interacted significantly with other factors (e.g., child age, breast-feeding status, urban/rural location) in 3 of the 4 remaining countries. Thus, dietary diversity was significantly associated with HAZ, either as a main effect or in an interaction, in all but one of the countries analyzed. These findings suggest that there is an association between child dietary diversity and nutritional status that is independent of socioeconomic factors, and that dietary diversity may indeed reflect diet quality. Before dietary diversity can be recommended for widespread use as an indicator of diet quality, additional research is required to confirm and clarify relations between various dietary diversity indicators and nutrient intake, adequacy, and density, for children with differing dietary patterns.
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              The WHO Multicentre Growth Reference Study: planning, study design, and methodology.

              The World Health Organization (WHO) Multicentre Growth Reference Study (MGRS) is a community-based, multicountry project to develop new growth references for infants and young children. The design combines a longitudinal study from birth to 24 months with a cross-sectional study of children aged 18 to 71 months. The pooled sample from the six participating countries (Brazil, Ghana, India, Norway, Oman, and the United States) consists of about 8,500 children. The study subpopulations had socioeconomic conditions favorable to growth, and low mobility, with at least 20% of mothers following feeding recommendations and having access to breastfeeding support. The individual inclusion criteria were absence of health or environmental constraints on growth, adherence to MGRS feeding recommendations, absence of maternal smoking, single term birth, and absence of significant morbidity. In the longitudinal study, mothers and newborns were screened and enrolled at birth and visited at home 21 times: at weeks 1, 2, 4, and 6; monthly from 2 to 12 months; and every 2 months in their second year. In addition to the data collected on anthropometry and motor development, information was gathered on socioeconomic, demographic, and environmental characteristics, perinatal factors, morbidity, and feeding practices. The prescriptive approach taken is expected to provide a single international reference that represents the best description of physiological growth for all children under five years of age and to establish the breastfed infant as the normative model for growth and development.
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                Author and article information

                Journal
                rmri
                Revista Médica de Risaralda
                Revista médica Risaralda
                Universidad Tecnológica de Pereira (Pereira, Risaralda, Colombia )
                0122-0667
                July 2013
                : 19
                : 2
                : 131-136
                Affiliations
                [01] Pereira Risaralda orgnameMunicipio Pereira orgdiv1Secretaría de Salud y Seguridad Social Colombia
                [03] Pereira Risaralda orgnameUniversidad Tecnológica de Pereira orgdiv1Facultad de Ciencias de la Salud orgdiv2Programa de Medicina Colombia arodriguezm@ 123456utp.edu.co
                [02] Pereira Risaralda orgnameMunicipio Pereira orgdiv1Secretaría de Salud y Seguridad Social Colombia
                Article
                S0122-06672013000200006 S0122-0667(13)01900206
                b4b12950-ed10-4386-b436-b33bb87cebb0

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 10 February 2013
                : 06 March 2013
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 57, Pages: 6
                Product

                SciELO Colombia

                Self URI: Texto completo solamente en formato PDF (ES)
                Categories
                Artículos originales

                Nutritional assessment,acute deficit malnutrition,epidemiology,indicators,Colombia,evaluación nutricional,desnutrición aguda,epidemiología,indicadores

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