2002, Number 4
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2002; 40 (4)
Nutrition of Breast-Feeding and Preschool Children Seen at the Pediatric Emergency Room at a Secondary Level Hospital
Prince VR, Torres RF, Guerrero ZR, Juárez PV, Dueñas TR
Language: Spanish
References: 45
Page: 321-328
PDF size: 138.77 Kb.
ABSTRACT
Periodic evaluation of growth makes it possible to observe how with a positive change in health and nursing conditions, children’s physical growth levels improve. With the purpose to establish a general vision of nursing conditions of children younger than 5 years of age, a cross-descriptive research was performed at the Pediatric Emergency Room of Social Security Hospital 31; children 5 years of age taken for medical care were randomly chosen; children whose pathology did not allow anthropometry were not included. Age, weight, and height were registered for 237 children who were analyzed, 123 (51.9 %) male and 114 (48.1 %), female. The nutritional status found was normal in 154 (65 %), undernourished 23 (9.70 %), and overweight or obesity in 60 (25.3 %). The undernourished child was found in 9.7% awareness nor differ from reports. Overweight found was in 60/237 (25.3 %), an alarming number because infant obesity continues to adulthood (2.33 times greater) and is a risk factor for chronic diseases. Nutritional vigilance mechanisms should be taken in the child population to prevent obesity.
REFERENCES
Organización Panamericana de la Salud. Manual de crecimiento y desarrollo del niño. EE. UU.: Organi-zación Panamericana de la Salud, Paltex; 1986.
Unicef. Estado mundial d2e la infancia 1994. Publicación Especial. Unicef: Barcelona, España; 1995.
Instituto Nacional de Salud Pública. Encuesta nacional de nutrición 1999. Tomo I. Menores de 5 años. México: INSP; 2000.
Instituto Mexicano del Seguro Social. Lineamientos generales del Programa institucional de prevención y control de las enfermedades diarreicas e infecciones respiratorias agudas. México: IMSS, Dirección de Prestaciones Médicas; 1995.
Instituto Mexicano del Seguro Social. Norma técnica para la vigilancia materno-infantil. México: IMSS, Dirección de Prestaciones Médicas; 1994.
National Center for Statistics. Growth charts. DHEW Publication No. (HRM) 76-1120. Monthly Vital Statistics Report Series 25, No. 3. 1976 (Suppl).
Norma oficial mexicana NOM-031-SSA2-1999, control de la nutrición, crecimiento y desarrollo del niño y del adolescente. Criterios y procedimientos para la prestación del servicio. Diario Oficial de la Fede-ración 30 de abril de 2001.
Hernández-Leyva BE. Motivos de asistencia, expec-tativas y conceptos del derechohabiente en los servicios de urgencias de las unidades de medicina familiar. Rev Med IMSS (Mex) 1996;34(6):467-471.
Gil-Alfaro l, Pérez-Hernández C. Factores que inciden en la utilización del servicio de urgencias en el primer nivel de atención. Rev Med IMSS (Mex) 1994;32(6):539-541.
León SM, Arnau BJM, Vidal GX. Características, hábitos y motivos del decisor de la demanda sanitaria urgente. Atención Primaria 1992;10:935-936.
Arredondo A, Meléndez V. Modelos explicativos sobre utilización de servicios de salud: revisión y análisis. Salud Publica Mex 1992;34:36-49.
Canales JL, Almada BI, Narro RJ. La mortalidad en una población rural de México y su relación con el uso de los servicios médicos antes de la muerte. Salud Publica Mex 1984;26:404-414.
Frenk J. El Concepto y la medición de accesibilidad. Salud Publica Mex 1985;27:438-452.
Flores-Huerta S, Villalpando S, Fajardo-Gutiérrez A. Evaluación antropométrica del estado de nutri-ción de los niños. Procedimientos, estandarización y significado. Bol Med Hosp Infant Mex 1990;47 (10): 725-735.
Feinstein AR. An outline of process evaluation. En: Feinstein AR, editor. Clinical epidemiology. The architecture of clinical research. Philadelphia; Saunders; 1985. p. 53-57.
Feinstein AR. The evaluation of consistency. En: Feinstein AR, editor. Clinimetrics. New Haven; Yale University Press; 1987. p. 167-189.
Prince-Vélez R, Romero-Martínez E, Dueñas-Toledo R. Patrón de crecimiento del lactante sano. Rev Med IMSS 1998;36(2):115-121.
Calzada-León R. Crecimiento del niño. Funda-mentos fisiopatológicos. Primera edición en español. México: McGraw-Hill-Interamericana; 1998. p. 3-7, 50-58.
UNESCO/OREAL. La educación preescolar y básica en América Latina y el Caribe. EE. UU.: Unicef; 1994.
Ávila-Curiel A, Shamah-Levy T, Galindo-Gómez C, Rodríguez-Hernández G, Barragán-Heredia LM. La desnutrición infantil en el medio rural mexicano. Salud Publica Mex 1998;40:150-160.
University of Pittsburgh, School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania. Epstein LH, Wing RR, Valoski AMS. Obesidad infantil. Editorial Interamericana; Clínicas Pediátricas de Norteamérica 1985;2:383-401.
Mossberg HO. Overweight in children and youths. A
40 years follow-up study. Nor Med 1991; 106:184-186.
The National Heart, Lung, and Blood Institute. Growth and Health Study. Research Group. Obesity and cardiovascular disease risk factors in black and white girls: The NHLBI Growth and Health Study. Am J Public Health 1992;82:1613-1620.
Parra-Cabrera MS, Fernández-Ortega MC, Carreón-Valencia T, Rivera-Pasquel M, Hernández-Torres P, Sánchez-Rangel MAI. Factores de riesgo para la obesidad en la infancia. Bol Med Hosp Infant Mex 1994;51(2):141-149.
Haust M. The genesis of artherosclerosis in pediatric age group. Pediatr Pathol 1990;10:253-271.
Kwiterrovich PO. Plasma lipid and lipoprotein levels in childhood. Ann NY Acad Sci 1991;623: 90-107.
Webber LS, Srinivasan SR, Wattigney WA, Berenson GS. Tracking of serum lipids and lipoprotein from childhood to adulthood. The Bogalusa Hearth Study. Am J Epidemiol 1991;133:884-899.
Chandra RK. Primary prevention of cardiovascular disease in childhood; recent knowledge and un-answered questions. J Am Coll Nutr 1992;11:35-37.
Burke GL, Savage PJ, Manoll TA, et al. Correlates of obesity in young black and white women. The CARDIA Study. Am J Public Health 1992;82:1621-1625.
Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL. Overweight prevalence and trends for children and adolescents. Arch Pediatr Adolesc Med 1995;149:1085-1091.
Piscano J, Lichter H, Ritter J, Siegal AP. An attempt at prevention of obesity in infancy. Pediatrics 1978; 61:360-371.
Kuczmarski JR, Flegal KM, Campbell SM, Johnson LC. The national health and nutrition examination surveys 1960-1991. JAMA 1994; 272: 205-211.
Dorantes-Álvarez LM, Coyote-Estrada N. El problema de la obesidad infantil. México: Paidós; 1995. p. 2-3.
Unger R, Kreeger L, Christoffel KK. Childhood obesity. Medical and familiar correlates and age of onset. Clin Pediatr 1990;29(7):368-373.
Ogden CL, Troiano RP, Briefel RR, Kuczmarski RJ, Johnson CL. Prevalence of overweight among preschool children in the United States, 1971 through 1994. Pediatrics 1997;99(4):E1.
Mei Z, Scanion KS, Grummer-Strawn LM, Freedman DS, Yip R, Trowbridge FL. Increasing prevalence of overweight among US low-income preschool children; the CDC Pediatric Nutrition Surveillance, 1983 to 1995. Pediatrics 1997;101(1) E12.
Richard P, Troiano, Katherine M, Flegal. Overweight children and adolescents: Description, epidemiology, and demographics. Pediatrics 1998;101(3):497-504.
Christoffel KK, Ariza A. The epidemiology of overweight in children: Relevance for clinical care. Pediatrics 1998;101(1):103-105.
Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Pediatrics 1999;103:1175-1182.
Guo SS, Roche AF, Chumlea WC, Gardner JD, Sierovegel RM. The predictive value of childhood body mass index values for overweight at age 35 years. Am J Clin Nutr 1994;59:810-819.
Dietz WH, Bellizzi, MC. Introduction: The use of BMI to assess obesity in children. Am J Clin Nutr 1999;70(Suppl):123s-125s.
Guo SS, Chumlea WC. Tracking of BMI in children in relation to overweight in adulthood. Am J Clin Nutr 1999;70 (Suppl):145s-148s.
Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert Committee Recommendations. J Pediatr 1998;102(3):29.
Dorantes-Álvarez LM, Martínez-Alvarado R, Espinoza-Palencia RA, Amaro-Moreno L. Obesidad. Programa de actualización continua en pediatría. Academia Mexicana de Pediatría, A. C./Línea Pediátrica Merck 1997; Parte C, Libro 3: 39-50.