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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2010, Number 6

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Rev Invest Clin 2010; 62 (6)

Nutritional status in children victims of physical and sexual abuse

Martín-Martín V, Loredo-Abdalá A

Language: Spanish
References: 58
Page: 524-531
PDF size: 74.98 Kb.


ABSTRACT

Objective. To assess and relate the nutritional status by type of abuse in a pediatric population diagnosed with physical abuse (PA) and sexual abuse (SA). Material and methods. It’s a retrospective, cross-sectional, descriptive study of 178 clinical records of children aged less than 12 years, attended at the Clinic for the Integral Care of the Abused Child of the Instituto Nacional de Pediatría and the Universidad Nacional Autónoma de México (CAINM-INPUNAM), during the period 1994 to 2005. The relationship of nutritional status with the type of abuse was analyzed in two age ranges (3 months to less than five years, and five to 11 years) and gender with Student t and chi-square tests. Results. We identified that, in girls PA was associated with stunting (PA: 48% vs. SA: 12%, p ‹ 0.005 and PA: 21% vs. SA: 0%, p ‹ 0.002) and wasting (PA: 21% vs. SA: 0%, p ‹ 0.01 and PA: 21% vs. SA: 0%, p ‹ 0.002). Whereas in girls SA was associated with overweight and obesity in age range five to 11 years (PA: 0% vs. SA: 31%; p ‹ 0.01). Conclusions. This study identified acute and chronic under nutrition in girls with PA, and overweight and obesity in girls with SA. These findings enrich the knowledge for the suspicion of maltreatment child syndrome during the search of the aetiology of the clinical expression studied.


REFERENCES

  1. Martin HP. Nutrition: its relationship to children’s physical, mental, and emotional development. Am J Clin Nutr 1973; 26: 766-75.

  2. Marcovich KJ: Failure to thrive. BMJ 1994; 308; 35-8.

  3. Kaplan S, Pelcovitz D, Labruna V. Child and adolescent abuse and neglect research: A review of the past 10 years. Part 1. Physical and emotional abuse and neglect. J Am Acad Child Adolesc Psychiatry 1999; 38: 1214-22.

  4. Loredo AA. Maltrato en niños y adolescentes. 1a Ed. México: Editores de Textos Mexicanos; 2004.

  5. Gilbert R, Spatz WC, Browne K, Fergusson D, Webb E, Janson S. Burden and consequences of child maltreatment in high-income countries. Lancet 2009; 373: 68-80.

  6. Van der Vegt EJ, Ostra BA, Arias VA, Van der Ende J, Verhulst FC, Tiemeler H. High activity of monoamine oxidase A is associated with externalizing behavior in maltreated and non maltreated adoptees. Psychiatr Genet 2009; 19; 209-11.

  7. Walker EA, Unutzer J, Rutter C, Gelfand A, Saunders K, et al. Costs of health care use by women HMO members with a history of childhood abuse and neglect. Arch Gen Psychiatry 1999; 56: 609-13.

  8. McMenemy MC. Who recognizes child abuse as a major problem. Lancet 1999; 353: 1340.

  9. Schuck AM, Widom CS. Understanding the role of neighborhood context in the long-term criminal consequences of child maltreatment. Am J Community Psychol 2005; 36: 207-22.

  10. Frenk J. Observatorio de la Salud. Necesidades/Servicios/Políticas. Fundación Mexicana para la Salud, 1997.

  11. Reading R, Bissell S, Goldhagen J, Harwin J, Masson J, et al. Promotion of children´s rights and prevention of child maltreatment. Lancet 2009; 373: 332-43.

  12. Loredo AA. Diversas formas de maltrato infantil-juvenil. En: Loredo-Abdalá. Maltrato en niños y adolescentes.1a Ed. México: Editores de Textos Mexicanos; 2004, p. 17-27.

  13. Rao KN, Begum S, Venkataramana V, Gangadharappa N. Nutritional neglect and physical abuse in children of alcoholics and physical abuse in children of alcoholics. Indian J Pediatr 2001; 68: 843-5.

  14. Finkelhor D. The prevention of childhood sexual abuse. Future child 2009; 19: 169-94.

  15. Howard KS, Brooks-Gunn J. The role of home-visiting programs in preventing child abuse and neglect. Future Child 2009; 19: 119-46.

  16. Hasselmann MH, Reichenheim ME. Parental violence and the occurrence of severe and acute malnutrition in childhood Pediatr Perinat Epidemiol 2006; 20: 299-311.

  17. Gilbert R, Kemp A, Thoburn J, Sidebotham P, Radford L, Glaser D, McMillan H. Recognising and responding to child maltreatment. Lancet 2009; 373: 167-79.

  18. Block RW, Palusci VJ. Child abuse pediatrics: a new pediatric subspecialty. J Pediatr 2006; 148: 711-2.

  19. Instituto Nacional de Geografía y Estadística (INEGI). México 2005.

  20. Azaola E. Maltrato, abuso y negligencia contra menores de edad. En: Informe Nacional sobre Violencia y Salud 2006.

  21. Gómez JM, Perea MA, Martín MV, Cerezo CV. Maltrato psicológico. Impacto en el desarrollo cognoscitivo, emocional y nutricio del menor. En: Loredo-Abdalá. Maltrato en niños y adolescentes. México: Editores de Textos Mexicanos; 2004, p. 103-19.

  22. Wonderlich SA, Crosby RD, Mithcell JE, Roberts JA, Haseltine B, et al. Relationship of childhood sexual abuse and eating disturbance in children. J Am Acad Child Adolesc Psychiatry 2000; 39: 1277-83.

  23. Johnson JG, Cohen P, Kasen S, Brook J. Childhood adversities associated with risk for eating disorders or weight problems during adolescence or early adulthood. Am J Psychiatry 2002; 159: 394-400.

  24. Preti A, Incani E, Camboni MV, Petretto DR, Masala C. Sexual abuse and eating disorder symptoms: the mediator role of bodily dissatisfaction. Compr Psychiatry 2006; 47: 475-81.

  25. Richardson LP, Davis R, Poulton R, McCauley E, Moffitt TE, et al. A longitudinal evaluation of adolescent depression and adult obesity. Arch Pediatr Adolesc Med 2003; 157: 739-44.

  26. Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, Mathers C, Rivera J. Maternal and child under nutrition: global and regional exposures and health consequences. Lancet 2008; 371: 243-60.

  27. Ammanti M, Ambruzzi AM, Lucarelli L, Cimino s, D´Olimpio F. Malnutrition and dysfunctional mother-child feeding interactions: clinical and research implications. J Am Coll Nutr 2004; 23: 259-71.

  28. Ackerson LK, Subramanian SV. Domestic violence and chronic malnutrition among women and children in India. Am J Epidemiol 2009; 170; 268.

  29. De Onis M, Biössner M. Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr 2000; 72: 1032-9.

  30. Low S, Chin MC, Deurenberg-Yep M. Review on epidemic of obesity. Ann Acad Med Singapore 2009; 38: 57-9.

  31. Olaiz FG, Rivera DJ, Shamah LT, Rojas R, Villalpando HS, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México, Instituto Nacional de Salud Pública, 2006.

  32. Vázquez GE, Álvarez TL, Romero VE, Larrosa HA. Importancia de la transición nutricia en la población materno-infantil. Parte I. Experiencias en México. Bol Med Hosp Infant Mex. 2009; 66: 109-23.

  33. Comuzzie AG, Allison DB. The search for human obesity genes. Since 1998; 280: 1374-7.

  34. Williamson DF, Thompson TJ, Anda RF, Dietz WH, Felliti: Body weight and obesity in adults and self-reported abuse in childhood. Int J Obes Relat Metab Disord 2002; 26: 1075-82.

  35. Felitti J. Long-term medical consequences of incest, rape, and molestation. South Med J 1991; 84: 328-31.

  36. Felitti VJ. Childhood sexual abuse, depression and family dysfunction in adult obese patients: a case control study. South Med J 1993; 86: 732-6.

  37. Gustafson TB, Sarwer DB. Childhood sexual abuse and obesity. Obes Rev 2004; 5: 129-35.

  38. Noll JG, Zeller MH, Trickett PK, Putnam FW. Obesity risk for female victims of childhood sexual abuse: A prospective study. Pediatrics 2007; 120: e61-e67.

  39. Charmandari E, Kino T, Souvatzoglou E, Chrousos GP. Pediatrics Stress hormonal mediators and human development. Horm Res 2003; 59: 161-79.

  40. Mamun AA, Lawlor B, Callaghan MJ, Bor W, Williams GM, Najman J. Does childhood sexual abuse predict young adults´s BMI? A birth cohort study. Obesity 2007; 15: 2103-10.

  41. Manual de procedimientos: aplicación y operación de catálogo de cuotas de recuperación. INP 2008. Disponible en http:// www.pediatria.gob.mx/manu_cuotas

  42. Kellog GN, Committee on child abuse and neglect. The evaluation of sexual abuse in children. Pediatrics 2005; 116: 506-12.

  43. García PC, Loredo AA, Gómez JM. Guía para la atención del abuso sexual infantil. Acta Pediatr Mex 2009; 30: 94-103.

  44. Kellogg ND, Committee on Child Abuse and Neglect. Clinical report-the evaluation of sexual behaviors in children. Pediatrics 2009: 124: 992-8.

  45. Loredo AA, Trejo HJ, García PC, López NG, Perea MA, Gómez JM, et al. La Clínica de Atención Integral al Niño Maltratado: Implementación de una estrategia de aplicación nacional en investigación, docencia y asistencia. Bol Med Hosp Infant Mex 2009; 66: 283-92.

  46. Loredo AA, Trejo HJ, Castilla SL. Children injured abuse or accident? Diagnosis through indicators. Bol Med Hosp Infant Méx 2003; 60: 368-79.

  47. World Health Organization. Physical Status: The use and interpretation of anthropometry. WHO technical report series 845. Geneva, 1995.

  48. De Onis M, Onyango WA, Borghi E, Siyam A, Nishida A, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007; 85: 660-7.

  49. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1-6.

  50. Malos tratos y negligencias en la infancia. Anales Nestlé 2004; 62: 1-48.

  51. Guo SM, Roche AF, Fomon SJ, Nelson SE, Chumlea WC, Rogers RR, Baumgarther RN, et al. Reference data for gains in weight and height during the first two years of life. J Pediatr 1991; 119: 355-62.

  52. Newton WA, Vandeven MA. Update on child maltreatment. Curr Opin Pediatr 2007; 19: 223-9.

  53. Christopher NC, Anderson D, Gaertner L, Roberts D, MSW. Childhood injuries and importance of documentation in emergency department. Pediatr Emerg Care 1995; 11: 52-7.

  54. Dubowitz H, Bennett. Physical and neglect of children. Lancet 2007; 369: 1891-9.

  55. Vázquez GE. Nutrición y sobremortalidad en las niñas mexicanas. En: Casanueva E, Kaufer HM, Pérez LAB, Arroyo P (Eds.). Nutriología Médica. 2a Ed. México: Editorial Médica Panamericana; 2001, p. 85-6.

  56. Frongilio EJ. Symposium: Causes and Etiology of Stunting. J Nutr 1999; 129: 529S-530S.

  57. Kaufer HM. Estrategias de ajuste ante la escasez de alimentos. Cuadernos de Nutrición 1995; 18: 15-19.

  58. Wu SS, Ma CX, Carter RL, Ariet M, Feaver EA, Resnick MB, Roth J. Risk factors for infant maltreatment a population-based study. Child abuse Negl 2004; 281: 253, 64, 74.




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