2017, Number 1
<< Back Next >>
RCAN 2017; 27 (1)
Food and nutritional status of native and peasant communities of the central region of Ecuador
Villacreses S, Gallegos ES, Chico P, Santillán E
Language: Spanish
References: 55
Page: 143-166
PDF size: 623.46 Kb.
ABSTRACT
Rationale: The IssAndes Project (led by the
PIC Potato International Center) is aimed to
the elimination of extreme poverty and
hunger in the rural communities of the
Andean regions of the Republic of Ecuador
perceived as vulnerable.
Objective: To describe the food and nutritional status of
children and their mothers in selected rural
communities of the Ecuadorian Andean
region.
Study serie: Three-hundred and
seventy-six mothers and 316 children with
ages ‹ 3 ages living in 45 communities of
the Ecuadorian provinces of Chimborazo,
Cotopaxi and Tungurahua.
Methods: Nutritional status of the child was
established from the proportion of infants
with undesirable Height and Weight values.
Growth and development standards
proposed by the World Health Organization
(WHO) were used. Feeding of the child was
assessed from the fulfillment of
breastfeeding and complementary feeding,
food diversity, minimum daily food
frequency, and the provision of a minimally
acceptable diet. Feeding of the mother was
measured according with food diversity,
dietetic iron intakes, and her knowledge of
maternal-child food and nutrition. In order
to assess household’s food safety perception
of the mother regarding food frequency and
consumed quantities of foods was measured.
Results: Growth retardation affected 56.3%
of the surveyed children. Insufficient weightfor-
age was present in 8.6% of the infants.
Sixteen point five percent of the surveyed
children showed excessive body weight for
age. Obesity was present in 3.7% of the
sample. Sixty-seven percent of the mothers
initiated breastfeeding immediately after
birth. Sixty-one-percent of them practiced
exclusive breastfeeding up until 6 months.
Sixty-six percent of the children received a
food staple considered an adequate source
of dietetic iron the day before the conduction
of the survey. Fifty-two percent of the
children lived in food uncertainty conditions.
Average adequacy of energy and proteins
intakes was 168.2%. Proteins of vegetal
origin occupied the largest presence in the
child’s regular diet.
Conclusions: More than a half of surveyed children live in food
insecurity conditions. Food insecurity might explain concurrence of growth retardation
with increased risk of excessive weight-forage, all of which might affect the present as
well future wellbeing of the child.
REFERENCES
Maternal and Child Nutrition. Executive summary of The Lancet Maternal and Child Nutrition Series. The Lancet 2013. Disponible en: http://thousanddays.org/wpcontent/ uploads/2013/06/Nutrition exec summ final.pdf. Fecha de última visita: 28 de Abril del 2016.
Wu TC, Chen PH. Health consequences of nutrition in childhood and early infancy. Pediatrics Neonatology 2009; 50:135-42.
Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M et al.; for the Maternal and Child Undernutrition Study Group. Maternal and child undernutrition: Global and regional exposures and health consequences. The Lancet 2008;371 (9608):243-60.
Saigal S, Doyle LW. An overview of mortality and sequelae of preterm birth from infancy to adulthood. The Lancet 2008;371(9608):261-9.
Saavedra JM, Dattilo AM. Factores alimentarios y dietéticos asociados a la obesidad infantil: Recomendaciones para su prevención antes de los dos años de vida. Rev Peruana Medicina Experimental Salud Pública 2012;29: 379-85.
Barker DJP. The developmental origins of adult disease. J Am Coll Nutr 2004; 23(Suppl 6):S588-S595.
Godfrey KM, Barker DJP. Fetal nutrition and adult disease. Am J Clin Nutr 2000; 71(5 Suppl):S1344-S1352.
Wilson AC, Forsyth JS, Greene SA, Irvine L, Hau C, Howie PW. Relation of infant diet to childhood health: Seven year follow-up of cohort of children in Dundee infant feeding study. BMJ Brit Med J 1998;316(7124):21-5.
Rutstein SO. Effects of preceding birth intervals on neonatal, infant and underfive years mortality and nutritional status in developing countries: Evidence from the demographic and health surveys. Int J Gynecol Obstet 2005;89(Suppl):S7- S24.
Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS; for the Bellagio Child Survival Study Group. How many child deaths can we prevent this year? The Lancet 2003;362(9377):65-71.
Grantham-McGregor S, Cheung YB, Cueto S, Glewwe P, Richter L, Strupp B; for the International Child Development Steering Group. Developmental potential in the first 5 years for children in developing countries. The Lancet 2007; 369(9555):60-70.
Rivadeneira J, Cuesta X. Informe sobre el Proyecto IssAndes. Instituto Nacional Autónomo de Investigaciones Agropecuarias. Programa Nacional de Raíces y Tubérculos. Rubro Papa. Quito [Ecuador]: 2012. Disponible en: http://repositorio.iniap.gob.ec/. Fecha de última visita: 29 de Abril del 2016.
Monteros J, Cuesta Subía HX. Fortalecimiento de la innovación agrícola pro pobre para la seguridad alimentaria en la Sierra Central ecuatoriana 2012-2014. Informe técnico del Proyecto IssAndes. INIAP-CIP. Quito [Ecuador]: 2014. Disponible en: http://repositorio.iniap.gob.ec/handle/410 00/3230. Fecha de última visita: 29 de Abril del 2016.
Devaux A, Andrade Piedra J, Ordinola M, Velasco C, Hareau G, López G; et al. Agricultura, seguridad alimentaria y nutrición en los Andes: Potenciales aportes de la innovación en papa. Lima [Perú]: 2012. Disponible en: http://es.scribd.com/doc/109071510/Agri cultura-seguridad-alimentaria-ynutricion- en-los-Andes-Potencialesaportes- de-la-innovacion-en-papa. Fecha de última visita: 30 de Abril del 2016.
Ordinola M, Fonseca C, Devaux A. Desarrollando innovaciones para la seguridad alimentaria y nutricional con base en la biodiversidad. CIP Centro Internacional de la Papa. Lima [Perú]: 2014.
WHO Working Group. Use and interpretation of anthropometric indicators of nutritional status. Bulletin of the World Health Organization 1986;64(6):929-41.
WHO Working Group on Infant Growth. An evaluation of infant growth: The use and interpretation of anthropometry in infants. Bulletin of the World Health Organization 1995;73(2):165-74.
Waterlow JC, Buzina R, Keller W, Lane JM, Nichaman MZ, Tanner JM. The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. Bulletin World Health Organization 1977;55(4):489-98.
Gorstein J, Sullivan K, Yip R, de Onis M, Trowbridge F, Fajans P, Clugston G. Issues in the assessment of nutritional status using anthropometry. Bulletin World Health Organization 1994;72(2): 273-83.
de Onis M; for the Department of Nutrition for Health and Development. WHO child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. World Health Organization. Geneva: 2006.
Onis M. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatrica 2006;95(450 Suppl): S76-S85.
Manual de Encuestas de Dieta (Editores: Madrigal Fritsch H, Martínez Salgado H). Serie Perspectivas en Salud Pública. Número 23. Instituto Nacional de Salud Pública. Morelos, México: 1996.
World Health Organization. The optimal duration of exclusive breastfeeding A systematic review. Geneva: 2001. Disponible en: http://www.who.int/entity/nutrition/publi cations/infantfeeding/optimal_duration_o f_exc_bfeeding_report_eng.pdf. Fecha de última visita: 2 de Mayo del 2016.
Aguilar MH, Maldonado JA. La lactancia materna. Cómo promover y apoyar la lactancia materna en la práctica pediátrica. Recomendaciones del Comité de Lactancia de la AEP Asociación Española de Pediatría. Anales Pediatría 2005;63:340-56.
Spatz DL. Ten steps for promoting and protecting breastfeeding for vulnerable infants. J Perinatal Neonatal Nursing 2004;18:385-96.
Cai X, Wardlaw T, Brown DW. Global trends in exclusive breastfeeding. Int Breastfeeding J 2012;7(1):12.
Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J; et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet 2016;387(10017): 475-90.
Dewey KG. Nutrition, growth, and complementary feeding of the breastfed infant. Pediatric Clin North America 2001;48:87-104.
Sellen DW. Lactation, complementary feeding, and human life history. The evolution of human life history 2006: 155-96.
Pardío López LMJ. Alimentación complementaria del niño de seis a 12 meses de edad. Acta Pediátrica de México 2014;33:80-8.
Brown K, Dewey K, Allen L. Complementary feeding of young children in developing countries: A review of current scientific knowledge. UNICEF. Geneva: 1998.
Kumar D, Goel NK, Mittal PC, Misra P. Influence of infant-feeding practices on nutritional status of under-five children. Indian J Pediatrics 2006;73:417-21.
Marques RF, Taddei JA, Lopez FA, Braga JA. Breastfeeding exclusively and iron deficiency anemia during the first 6 months of age. Rev Associação Méd Bras 2014;60:18-22.
Chantry CJ, Howard CR, Auinger P. Full breastfeeding duration and risk for iron deficiency in US infants. Breastfeeding Medicine 2007;2:63-73.
Brown KH. Breastfeeding and complementary feeding of children up to 2 years of age. Issues Complementary Feeding 2007;60:1-13.
Organización Mundial de la Salud. Fondo Internacional de la Naciones Unidas de Ayuda a la Infancia. Estrategia mundial para la alimentación del lactante y del niño pequeño. Geneva: 2003.
Kathryn D. Principios de orientación para la alimentación complementaria del niño amamantado. Organización Panamericana de Salud. Organización Mundial de la Salud. Unidad de Nutrición, Salud de la Familia y Comunidad. Washington DC: 2001.
Burdette HL, Whitaker RC, Hall WC, Daniels SR. Breastfeeding, introduction of complementary foods, and adiposity at 5 years of age. Am J Clin Nutr 2006; 83:550-8.
Khadivzadeh T, Parsai S. Effect of exclusive breastfeeding and complementary feeding on infant growth and morbidity. Eastern Mediterranean Health J 2004;10:289.
Sheth M, Dwivedi R. Complementary foods associated diarrhea. Indian J Pediatrics 2006;73:61-4.
Shi L, Zhang J. Recent evidence of the effectiveness of educational interventions for improving complementary feeding practices in developing countries. J Tropical Pediatrics 2011;57:91-8.
Imdad A, Yakoob MY, Bhutta ZA. Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health 2011;11(3):S25.
da Costa Louzada ML, Campagnolo PDB, Rauber F, Vitolo MR. Long-term effectiveness of maternal dietary counseling in a low-income population: A randomized field trial. Pediatrics 2012 [Epub ahead of print].
Piwoz EG, Huffman SL, Quinn VJ. Promotion and advocacy for improved complementary feeding: Can we apply the lessons learned from breastfeeding? Food Nutrition Bull 2003;24:29-44.
Kennedy G, Nantel G, Shetty P. The scourge of" hidden hunger": Global dimensions of micronutrient deficiencies. Food Nutrition Agriculture 2003;32: 8-16.
Stein AJ, Qaim M. The human and economic cost of hidden hunger. Food Nutrition Bull 2007;28:125-34.
Diaz JR, De Las Cagigas A, Rodriguez R. Micronutrient deficiencies in developing and affluent countries. Eur J Clin Nutr 2003;57(Suppl):S70-S72.
Biesalski HK. Hidden hunger in the developed world. En: The road to good nutrition. Karger Publishers. Berlin: 2013. pp. 39-50.
Gopaldas T. Hidden hunger: The problem and possible interventions. Economic Political Weekly 2006:3671-4.
Park K, Kersey M, Geppert J, Story M, Cutts D, Himes JH. Household food insecurity is a risk factor for irondeficiency anaemia in a multi-ethnic, low-income sample of infants and toddlers. Public Health Nutr 2009;12: 2120-8.
Weinstein JL, Martin KS, Ferris AM. Household food security varies within month and is related to childhood anemia. J Hunger Environm Nutr 2009; 4:48-61.
Cook JT, Frank DA, Berkowitz C, Black MM, Casey PH, Cutts DB; Heeren T. Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr 2004;134: 1432-8.
Rose-Jacobs R, Black MM, Casey PH, Cook JT, Cutts DB, Chilton M; et al. Household food insecurity: Associations with at-risk infant and toddler development. Pediatrics 2008;121:65-72.
Casey PH, Szeto K, Lensing S, Bogle M, Weber J. Children in food-insufficient, low-income families: Prevalence, health, and nutrition status. Arch Pediatrics Adolescent Med 2001;155:508-14.
Bhattacharya J, Currie J, Haider S. Poverty, food insecurity, and nutritional outcomes in children and adults. J Health Economics 2004;23:839-62.