0039/2017 - Fatores associados ao excesso de peso e baixa estatura em escolares nascidos com baixo peso Associated factors with overweight and stunting in schoolchildren born with low birth weight
• Renata C Kuhn-Santos - Kuhn-Santos, Renata C - Universidade Federal de Sao Paulo, Pediatrics - <renata_kuhn@yahoo.com.br>
Coautor(es):
• Fabiola Suano - Suano, Fabiola - Universidade Federal de Sao Paulo, Pediatrics - <fsuano@gmail.com>
• Rosana F Puccini - Puccini, Rosana F - Universidade Federal de Sao Paulo, Pediatrics - <rosanapuccini@gmail.com>
• Maria Wany Louzada Strufaldi - Strufaldi MWL - São Paulo, São Paulo - Universidade Federal de Sao Paulo, Pediatrics - <mwany@uol.com.br>
Área Temática:
Saúde da Criança e do Adolescente
Resumo:
Objetivo: avaliar a condição nutricional de crianças com baixo peso ao nascer (BPN) e possíveis associações com variáveis independentes maternas, sexo e antecedentes neonatais Métodos: Estudo transversal com 544 escolares com BPN (5 a 10 anos de idade) da região metropolitana de São Paulo. Variáveis: dados neonatais das declarações de nascidos vivos (peso ao nascer e idade gestacional), informações sobre a gestação e a condição nutricional atual das mães. A avaliação da condição nutricional dos escolares foi realizada por meio da obtenção dos dados de peso e estatura utilizados cálculo do escore z da estatura/idade (ZEI) e índice de massa corporal (ZIMC). Resultados: Observou-se baixa estatura 6,2%; sobrepeso 12,3% e obesidade em 8,6% das crianças avaliadas. A presença de baixa estatura nos escolares associou-se com estatura materna < 150 cm (OR = 6,94; IC95% 2,34–20,6). O sobrepeso/obesidade nas crianças com BPN associou-se de forma independente com o sobrepeso/obesidade da mãe (OR=2,40; IC95% 1,44–4,01) e o sexo masculino (OR=1,77; IC95% 1,06–2,95). Conclusões: Um quinto dos escolares com BPN apresentaram excesso de peso, que se associou à condição nutricional materna atual e ao gênero masculino; a baixa estatura associou-se à estatura materna.
Palavras-chave:
Recém-nascido de Baixo PesoNanismoCriançaSobrepesoObesidade
Abstract:
Objective: The aim of this study was evaluate the nutritional status of low birth weight (LBW) children and the possible associations with independent maternal variables, gender and perinatal history. Methods:This cross-sectional study included 544 LBW children (five to ten years old), metropolitan area of São Paulo. Data collect: Neonatal data of liveborn infants declarations and the current weight and height of the mothers were collected. We evaluated weight and stature used for calculate z score height/age(HAZ) and the body mass index(BMIZ) of children. Results: LBW children presented short stature 6.2%, overweight 12.3% and obesity 8.6%.There was association between short stature in LBW children and maternal nutritional status. Maternal short stature was associated with an increased likelihood of LBW children having short stature at school age(OR=6.94; 95% CI=2.34–20.6). The male gender and current maternal overweight/obesity were associated with overweight/obesity in children (male gender:OR=1.77; 95%CI=1.06–2.95 and maternal overweight/obesity:OR=2.40; 95% CI =1.44–4.01). Conclusion:A fifth of children with low birth weight were overweight. In this population, overweight/obesity was associated with current maternal nutritional status and male sex; short stature associated with maternal stature.
Associated factors with overweight and stunting in schoolchildren born with low birth weight
Resumo (abstract):
Objective: The aim of this study was evaluate the nutritional status of low birth weight (LBW) children and the possible associations with independent maternal variables, gender and perinatal history. Methods:This cross-sectional study included 544 LBW children (five to ten years old), metropolitan area of São Paulo. Data collect: Neonatal data of liveborn infants declarations and the current weight and height of the mothers were collected. We evaluated weight and stature used for calculate z score height/age(HAZ) and the body mass index(BMIZ) of children. Results: LBW children presented short stature 6.2%, overweight 12.3% and obesity 8.6%.There was association between short stature in LBW children and maternal nutritional status. Maternal short stature was associated with an increased likelihood of LBW children having short stature at school age(OR=6.94; 95% CI=2.34–20.6). The male gender and current maternal overweight/obesity were associated with overweight/obesity in children (male gender:OR=1.77; 95%CI=1.06–2.95 and maternal overweight/obesity:OR=2.40; 95% CI =1.44–4.01). Conclusion:A fifth of children with low birth weight were overweight. In this population, overweight/obesity was associated with current maternal nutritional status and male sex; short stature associated with maternal stature.
Kuhn-Santos, Renata C, Suano, Fabiola, Puccini, Rosana F, Strufaldi MWL. Fatores associados ao excesso de peso e baixa estatura em escolares nascidos com baixo peso. Cien Saude Colet [periódico na internet] (2017/fev). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-ao-excesso-de-peso-e-baixa-estatura-em-escolares-nascidos-com-baixo-peso/16085?id=16085&id=16085
