Revista Paulista de Pediatria (English Edition)最新文献_第9页

Fine particulate matter estimated by mathematical model and hospitalizations for pneumonia and asthma in children 用数学模型估计儿童肺炎和哮喘的细颗粒物和住院情况

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-03-01 DOI: 10.1016/j.rppede.2015.12.005

Ana Cristina Gobbo César , Luiz Fernando Costa Nascimento , Katia Cristina Cota Mantovani , Luciana Cristina Pompeo Vieira

Objective

To estimate the association between exposure to fine particulate matter with an aerodynamic diameter <2.5 microns (PM_2.5) and hospitalizations for pneumonia and asthma in children.

Methods

An ecological study of time series was performed, with daily indicators of hospitalization for pneumonia and asthma in children up to 10 years of age, living in Taubaté (SP) and estimated concentrations of PM_2.5, between August 2011 and July 2012. A generalized additive model of Poisson regression was used to estimate the relative risk, with lag zero up to five days after exposure; the single pollutant model was adjusted by the apparent temperature, as defined from the temperature and relative air humidity, seasonality and weekday.

Results

The values of the relative risks for hospitalization for pneumonia and asthma were significant for lag 0 (RR=1.051, 95%CI; 1.016 to 1.088); lag 2 (RR=1.066, 95%CI: 1.023 to 1.113); lag 3 (RR=1.053, 95%CI: 1.015 to 1.092); lag 4 (RR=1.043, 95%CI: 1.004 to 1.088) and lag 5 (RR=1.061, 95%CI: 1.018 to 1.106). The increase of 5mcg/m³ in PM_2.5 contributes to increase the relative risk for hospitalization from 20.3 to 38.4 percentage points; however, the reduction of 5μg/m³ in PM_2.5 concentration results in 38 fewer hospital admissions.

Conclusions

Exposure to PM_2.5 was associated with hospitalizations for pneumonia and asthma in children younger than 10 years of age, showing the role of fine particulate matter in child health and providing subsidies for the implementation of preventive measures to decrease these outcomes.

目的评估空气动力学直径为2.5微米(PM2.5)的细颗粒物暴露与儿童肺炎和哮喘住院之间的关系。方法采用2011年8月至2012年7月期间，taubat (SP)地区10岁以下儿童肺炎和哮喘住院的每日指标和PM2.5估计浓度，进行时间序列生态学研究。使用泊松回归的广义加性模型来估计相对风险，暴露后5天内延迟为零;单一污染物模型通过视温度(根据温度和相对空气湿度、季节性和工作日定义)进行调整。结果肺炎和哮喘住院的相对危险度差异有统计学意义(RR=1.051, 95%CI;1.016 ~ 1.088);滞后2 (RR=1.066, 95%CI: 1.023 ~ 1.113);滞后3 (RR=1.053, 95%CI: 1.015 ~ 1.092);滞后4 (RR=1.043, 95%CI: 1.004 ~ 1.088)和滞后5 (RR=1.061, 95%CI: 1.018 ~ 1.106)。PM2.5每增加5mcg/m3，住院相对风险从20.3个百分点增加到38.4个百分点;然而，PM2.5浓度降低5μg/m3导致住院人数减少38人。结论PM2.5暴露与10岁以下儿童肺炎和哮喘住院相关，表明细颗粒物在儿童健康中的作用，并为实施预防措施以减少这些结果提供补贴。

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引用次数: 26

Factors associated with short sleep duration in adolescents 青少年睡眠时间短的相关因素

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-03-01 DOI: 10.1016/j.rppede.2015.10.007

Érico Pereira Gomes Felden , Douglas Filipin , Diego Grasel Barbosa , Rubian Diego Andrade , Carolina Meyer , Fernando Mazilli Louzada

Objective

This study aimed to investigate the prevalence and factors associated with short sleep duration in adolescents from Maravilha – Santa Catarina (SC), southern Brazil.

Methods

The sample consisted of 516 adolescents aged 10–19 years of both genders. Issues associated with short sleep duration and difficulty falling asleep, chronotype, daytime sleepiness, physical activity, sedentary behavior and weight status were investigated.

Results

The prevalence of short sleep duration (<8h on school days) was 53.6%. Adolescents aged 17–19 years showed a 2.05-fold (95%CI: 1.20–3.50) greater prevalence of short sleep duration than those aged 10–12 years. The ones studying in morning and evening shifts had a higher prevalence of short sleep duration compared to those in the afternoon shift. Older age and school shift were the main factors associated with short sleep duration.

Conclusions

Adolescents from Maravilha showed high prevalence of short sleep duration, and older adolescents that studied in the morning and evening shifts showed reduced sleep.

目的本研究旨在调查巴西南部马拉维拉-圣卡塔琳娜(SC)青少年睡眠不足的患病率及其相关因素。方法对516名10 ~ 19岁的男女青少年进行调查。研究人员调查了与睡眠时间短、入睡困难、睡眠类型、白天嗜睡、身体活动、久坐行为和体重状况相关的问题。结果睡眠时间短(上课时间8小时)的患病率为53.6%。17-19岁的青少年睡眠时间不足的发生率是10-12岁青少年的2.05倍(95%CI: 1.20-3.50)。与上晚班的学生相比，上早班和晚班的学生睡眠时间较短的比例更高。年龄较大和学校班次是导致睡眠时间短的主要因素。结论Maravilha青少年普遍存在睡眠时间短的问题，早、晚班年龄较大的青少年睡眠时间较短。

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引用次数: 37

The role of uric acid in the insulin resistance in children and adolescents with obesity 尿酸在肥胖儿童和青少年胰岛素抵抗中的作用

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.005

Josiane Aparecida de Miranda , Guilherme Gomide Almeida , Raissa Isabelle Leão Martins , Mariana Botrel Cunha , Vanessa Almeida Belo , José Eduardo Tanus dos Santos , Carlos Alberto Mourão-Júnior , Carla Márcia Moreira Lanna

Objective

To investigate the association between serum uric acid levels and insulin resistance in children and adolescents with obesity.

Methods

Cross-sectional study with 245 children and adolescents (134 obese and 111 controls), aged 8–18 years. The anthropometric variables (weight, height and waist circumference), blood pressure and biochemical parameters were collected. The clinical characteristics of the groups were analyzed by t-test or chi-square test. To evaluate the association between uric acid levels and insulin resistance the Pearson's test and logistic regression were applied.

Results

The prevalence of insulin resistance was 26.9%. The anthropometric variables, systolic and diastolic blood pressure and biochemical variables were significantly higher in the obese group (p<0.001), except for the high-density-lipoprotein cholesterol. There was a positive and significant correlation between anthropometric variables and uric acid with HOMA-IR in the obese and in the control groups, which was higher in the obese group and in the total sample. The logistic regression model that included age, gender and obesity, showed an odds ratio of uric acid as a variable associated with insulin resistance of 1.91 (95%CI 1.40–2.62; p<−0.001).

Conclusions

The increase in serum uric acid showed a positive statistical correlation with insulin resistance and it is associated with and increased risk of insulin resistance in obese children and adolescents.

目的探讨儿童和青少年肥胖患者血清尿酸水平与胰岛素抵抗的关系。方法对245名8-18岁的儿童和青少年进行横断面研究(其中肥胖134人，对照组111人)。收集人体测量变量(体重、身高、腰围)、血压及生化指标。采用t检验或卡方检验分析两组患者的临床特征。为了评估尿酸水平与胰岛素抵抗之间的关系，应用Pearson检验和logistic回归。结果胰岛素抵抗患病率为26.9%。除高密度脂蛋白胆固醇外，肥胖组的人体测量变量、收缩压和舒张压以及生化变量均显著升高(p < 0.001)。在肥胖组和对照组中，人体测量变量和尿酸与HOMA-IR之间存在显著正相关，肥胖组和总样本中均较高。纳入年龄、性别和肥胖的logistic回归模型显示，尿酸作为胰岛素抵抗相关变量的比值比为1.91 (95%CI 1.40-2.62;术;−0.001)。结论血清尿酸升高与胰岛素抵抗呈显著正相关，与肥胖儿童和青少年胰岛素抵抗发生风险增加有关。

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引用次数: 4

Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid 骨锚式助听器对Treacher Collins综合征的听力康复

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.016

José Fernando Polanski , Anna Clara Plawiak , Angela Ribas

Objective

To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome.

Case description

3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS) and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS).

Comments

The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome.

目的介绍1例Treacher - Collins综合征患者骨锚定助听器的听力康复。病例描述:患者3岁，男性，患有Treacher Collins综合征，伴严重并发症，多与上呼吸道及听力有关。他有双侧外耳道闭锁和耳廓畸形。最初的听力康复采用骨振动弓，但由于颅骨受压引起的不适，接受度较差。给患者开了一种骨锚定助听器模型，软带式。通过行为听力测试和问卷调查对结果进行评估。问卷调查包括有意义言语使用量表(MUSS)和婴幼儿有意义听觉整合量表(IT-MAIS)。与传统的骨振动弓相比，患者对骨锚定助听器的接受度更高。听力学测试和言语和听觉技能评估也显示出更好的沟通和听力结果。骨锚式助听器是这种综合征听力康复的一个很好的选择。

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引用次数: 0

Sleep in adolescents of different socioeconomic status: a systematic review 不同社会经济地位青少年的睡眠:一项系统回顾

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.009

Érico Pereira Gomes Felden, Carina Raffs Leite, Cleber Fernando Rebelatto, Rubian Diego Andrade, Thais Silva Beltrame

Objective

To analyze the sleep characteristics in adolescents from different socioeconomic levels.

Data source

Original studies found in the MEDLINE/PubMed and SciELO databases without language and period restrictions that analyzed associations between sleep variables and socioeconomic indicators. The initial search resulted in 99 articles. After reading the titles and abstracts and following inclusion and exclusion criteria, 12 articles with outcomes that included associations between sleep variables (disorders, duration, quality) and socioeconomic status (ethnicity, family income, and social status) were analyzed.

Data synthesis

The studies associating sleep with socioeconomic variables are recent, published mainly after the year 2000. Half of the selected studies were performed with young Americans, and only one with Brazilian adolescents. Regarding ethnic differences, the studies do not have uniform conclusions. The main associations found were between sleep variables and family income or parental educational level, showing a trend among poor, low social status adolescents to manifest low duration, poor quality of sleeping patterns.

Conclusions

The study found an association between socioeconomic indicators and quality of sleep in adolescents. Low socioeconomic status reflects a worse subjective perception of sleep quality, shorter duration, and greater daytime sleepiness. Considering the influence of sleep on physical and cognitive development and on the learning capacity of young individuals, the literature on the subject is scarce. There is a need for further research on sleep in different realities of the Brazilian population.

目的分析不同社会经济水平青少年的睡眠特征。数据来源在MEDLINE/PubMed和SciELO数据库中发现的原始研究，没有语言和时间限制，分析了睡眠变量和社会经济指标之间的关系。最初的搜索结果是99篇文章。在阅读标题和摘要并遵循纳入和排除标准后，分析了12篇结果包括睡眠变量(障碍、持续时间、质量)和社会经济地位(种族、家庭收入和社会地位)之间关联的文章。将睡眠与社会经济变量联系起来的研究是最近的，主要发表于2000年之后。选定的研究中有一半是针对美国年轻人的，只有一项是针对巴西青少年的。关于种族差异，这些研究并没有统一的结论。研究发现，睡眠变量与家庭收入或父母受教育程度之间存在主要关联，表明贫困、社会地位低的青少年睡眠模式持续时间短、质量差的趋势。研究发现社会经济指标与青少年睡眠质量之间存在关联。社会经济地位低反映了对睡眠质量的主观感知较差，持续时间较短，白天嗜睡较多。考虑到睡眠对年轻人身体和认知发展以及学习能力的影响，这方面的文献很少。有必要在巴西人口的不同现实中对睡眠进行进一步的研究。

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引用次数: 0

Perception of parents about second hand smoke on the health of their children: an ethnographic study 父母对二手烟对孩子健康影响的看法:一项民族志研究

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.010

Fabiane Alves de Carvalho Ribeiro, Micaele Kedma Ribeiro de Moraes, Joyce Cristina de Morais Caixeta, Jullieth Nadja da Silva, Amanda Sanches Lima, Samara Lamounier Santana Parreira, Viviane Lemos Silva Fernandes

Objective

To analyze the perception of parents about secondhand smoking in their children's health.

Methods

Ethnographic qualitative and quantitative study. We sought the point of view and understanding of the parents who were active smokers in relation to environmental tobacco smoke (ETS) and secondhand smoking. Mothers and fathers who are active smokers and that live with their children from seven different public schools in the city of Anápolis, Midwest Brazil, were interviewed in the first semester of in a reserved room in the schools. A descriptive and qualitative analysis was carried out through the ethnography.

Results

58 parents with an average time of smoking of 15.3 years and an average quantity of cigarettes smoked per day of 2 were interviewed. Among them, 59% did not know what ETS was, and 60% stated knowing what a secondhand smoker was. However, when questioned about their children as secondhand smokers, 52% did not consider them to be. Some parents knew some of the effects of secondhand smoking in the health of their children. However, the majority (52%) of them did not believe that their children would suffer any respiratory impairment or did not know about these impairments.

Conclusions

Children were exposed to environmental tobacco pollution in their residence if one considers parental duration of smoking and average of cigarettes smoked per day. There was a lack of knowledge of the parents about ETS, secondhand smoking and the evils that cigarettes could cause in the health of their children.

目的分析家长对二手烟对子女健康的认知。方法人种学定性和定量研究。我们寻求积极吸烟者父母对环境烟草烟雾(ETS)和二手烟的看法和理解。与来自巴西中西部城市Anápolis的七所不同公立学校的孩子住在一起的吸烟的父母在学校的预定房间里接受了第一个学期的采访。通过民族志进行了描述性和定性分析。结果对58名平均吸烟时间为15.3年、平均日吸烟量为2支的家长进行了访谈。其中59%的人不知道什么是碳排放交易体系，60%的人表示知道什么是二手吸烟者。然而，当被问及他们的孩子是二手吸烟者时，52%的人不认为他们是。一些父母知道二手烟对孩子健康的一些影响。然而，他们中的大多数(52%)不相信他们的孩子会有任何呼吸障碍或不知道这些障碍。结论综合考虑父母吸烟时间和日均吸烟量，儿童在居住环境中受到烟草污染。家长对ETS、二手烟以及香烟可能对孩子健康造成的危害缺乏了解。

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引用次数: 7

Factors associated with abdominal obesity in children 儿童腹部肥胖的相关因素

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.002

Matheus Ribeiro Theodósio Fernandes Melzer, Isabella Mastrangi Magrini, Semíramis Martins Álvares Domene, Paula Andrea Martins

Objective

To identify the association of dietary, socioeconomic factors, sedentary behaviors and maternal nutritional status with abdominal obesity in children.

Methods

A cross-sectional study with household-based survey, in 36 randomly selected census tracts in the city of Santos, SP. 357 families were interviewed and questionnaires and anthropometric measurements were applied in mothers and their 3–10 years-old children. Assessment of abdominal obesity was made by maternal and child's waist circumference measurement; for classification used cut-off points proposed by World Health Organization (1998) and Taylor et al. (2000) were applied. The association between variables was performed by multiple logistic regression analysis.

Results

30.5% of children had abdominal obesity. Associations with children's and maternal nutritional status and high socioeconomic status were shown in the univariate analysis. In the regression model, children's body mass index for age (OR=93.7; 95%CI 39.3–223.3), female gender (OR=4.1; 95%CI 1.8–9.3) and maternal abdominal obesity (OR=2.7; 95%CI 1.2–6.0) were significantly associated with children's abdominal obesity, regardless of the socioeconomic status.

Conclusions

Abdominal obesity in children seems to be associated with maternal nutritional status, other indicators of their own nutritional status and female gender. Intervention programs for control of childhood obesity and prevention of metabolic syndrome should consider the interaction of the nutritional status of mothers and their children.

目的探讨饮食、社会经济因素、久坐行为和母亲营养状况与儿童腹部肥胖的关系。方法采用横断面调查法，随机选取SP市桑托斯市36个人口普查区，对357个家庭进行访谈，对母亲及其3-10岁子女进行问卷调查和人体测量。通过测量母婴腰围对腹部肥胖进行评估;分类采用了世界卫生组织(1998年)和Taylor等人(2000年)提出的分界点。结果30.5%的儿童存在腹型肥胖。单变量分析显示，儿童和母亲的营养状况与高社会经济地位有关。回归模型中，儿童年龄体质指数(OR=93.7;95%CI 39.3-223.3)，女性(OR=4.1;95%CI 1.8-9.3)和产妇腹部肥胖(OR=2.7;95%CI 1.2-6.0)与儿童腹部肥胖显著相关，与社会经济地位无关。结论儿童腹部肥胖与产妇营养状况、自身营养状况等指标及女性性别有关。控制儿童肥胖和预防代谢综合征的干预方案应考虑母亲和儿童营养状况的相互作用。

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引用次数: 0

Knowledge of pediatricians regarding physical activity in childhood and adolescence 儿科医生对儿童和青少年体育活动的了解

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.012

Alex Pinheiro Gordia , Teresa Maria Bianchini de Quadros , Luciana Rodrigues Silva , Gilton Marques dos Santos

Objective

To investigate the knowledge and guidance given by pediatricians regarding physical activity in childhood and adolescence.

Methods

A cross-sectional study involving a convenience sample of pediatricians (n=210) who participated in a national pediatrics congress in 2013. Sociodemographic and professional data and data regarding habitual physical activity and pediatricians’ knowledge and instructions for young people regarding physical activity were collected using a questionnaire. Absolute and relative frequencies and means and standard deviations were calculated.

Results

Most pediatricians were females, had graduated from medical school more than 15 years ago, and had residency in pediatrics. More than 70% of the participants reported to include physical activity guidance in their prescriptions. On the other hand, approximately two-thirds of the pediatricians incorrectly reported that children should not work out and less than 15% answered the question about physical activity barriers correctly. With respect to the two questions about physical activity to tackle obesity, incorrect answers were marked by more than 50% of the pediatricians. Most participants incorrectly reported that 30 min should be the minimum daily time of physical activity in young people. Less than 40% of the pediatricians correctly indicated the maximum time young people should spend in front of a screen.

Conclusions

In general, the pediatricians reported that they recommend physical activity to their young patients, but specific knowledge of this topic was limited. Programs providing adequate information are needed.

目的了解儿科医生对儿童和青少年体育活动的认知和指导情况。方法采用横断面研究，选取参加2013年全国儿科大会的儿科医生210名。采用问卷调查的方式收集社会人口统计和专业数据、习惯性体育活动数据以及儿科医生对青少年体育活动的知识和指导。计算绝对频率和相对频率、平均值和标准差。结果大多数儿科医生为女性，医学院毕业15年以上，有儿科住院医师经验。超过70%的参与者报告说，他们的处方中包括了身体活动指导。另一方面，大约三分之二的儿科医生错误地报告了儿童不应该锻炼，不到15%的儿科医生正确回答了有关身体活动障碍的问题。在关于通过体育锻炼来解决肥胖的两个问题上，超过50%的儿科医生的回答是错误的。大多数参与者错误地报告说，30分钟应该是年轻人每天最少的身体活动时间。不到40%的儿科医生正确指出了年轻人应该在屏幕前花费的最大时间。总的来说，儿科医生报告说他们建议年轻患者进行体育锻炼，但对这一主题的具体知识有限。提供足够信息的程序是必要的。

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引用次数: 0

Family's presence in the pediatric emergency room: opinion of health's professionals 家庭在儿科急诊室的存在:卫生专业人员的意见

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.013

Francine Fernandes Pires Mekitarian , Margareth Angelo

Objective

To learn the opinion of health professionals regarding the presence of family during pediatric emergency care.

Methods

Cross-sectional study, performed with 46 health professionals, members of the medical and nursing team of a pediatric emergency service. The data were collected via the application of a questionnaire composed by variables related to the opinion of professionals about the studied subject, in line with the professional category and the vocational training time, as well as invasive procedures during which the presence of family is authorized by the professionals.

Results

The medical staff and the professionals with shorter time after graduation (<10 years) were more favorable to the presence of family during emergency procedures. Regarding the complexity of the procedures, the nursing staff proved more favorable to the presence of family during less complex procedures – peripheral venous puncture and fluid sample – whereas the consent of the medical staff was similar, regardless the performed procedure – peripheral venous puncture, fluid sample, intraosseous puncture, tracheal intubation and cardiopulmonary resuscitation.

Conclusions

In order to allow the presence of family in the emergency room, it is necessary to sensitize health professionals, especially the nursing staff and the longer-term acting professionals, which are more resistant to allow the family to stay with the child during the emergency care.

目的了解卫生专业人员对儿科急诊中家属在场的看法。方法横断面研究，对46名卫生专业人员、儿科急诊医疗和护理团队成员进行研究。数据采用问卷形式收集，问卷由专业人员对研究对象的意见相关变量组成，符合专业类别和职业培训时间，并采用专业人员授权家属在场的侵入性程序。结果医务人员和毕业时间较短(10年)的专业人员在急诊过程中更倾向于家属在场。对于操作的复杂性，护理人员更倾向于在复杂性较低的操作(外周静脉穿刺和液体取样)中有家属在场，而无论进行何种操作(外周静脉穿刺、液体取样、骨内穿刺、气管插管和心肺复苏)，医务人员的同意程度相似。结论为了让家属在急诊期间陪伴患儿，有必要对卫生专业人员，特别是护理人员和长期代理的专业人员进行敏感化，他们更不愿意让家属在急诊期间陪伴患儿。

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引用次数: 3

Socioeconomic, cultural and demographic maternal factors associated with dietary patterns of infants 与婴儿饮食模式相关的社会经济、文化和人口因素

Revista Paulista de Pediatria (English Edition)

Pub Date : 2015-12-01 DOI: 10.1016/j.rppede.2015.08.004

Andréa Marques Sotero , Poliana Coelho Cabral , Giselia Alves Pontes da Silva

Objective

To analyze dietary patterns of infants and its association with maternal socioeconomic, cultural, and demographic variables.

Methods

A cross-sectional study was conducted with two groups of mothers of children up to 24 months (n=202) living in the city of Maceió, Alagoas, Northeast Brazil. The case group consisted of mothers enrolled in a Family Health Unit. The comparison group consisted of mothers who took their children to two private pediatric offices of the city. Dietary intake was assessed using a qualitative and validated food frequency questionnaire (FFQ). The evaluation of the FFQ was performed by a method in which the overall rate of consumption frequency is converted into a score.

Results

Children of higher income families and mothers with better education level (control group) showed the highest median of consumption scores for fruits and vegetables (p<0.01) and meat, offal, and eggs (p<0.01), when compared with children of the case group. On the other hand, the median of consumption scores of manufactured goods was higher among children in the case group (p<0.01).

Conclusions

Maternal socioeconomic status influenced the quality of food offered to the infant. In the case group, children up to 24 months already consumed industrial products instead of healthy foods on their menu.

目的分析婴儿饮食模式及其与母亲社会经济、文化和人口统计学变量的关系。方法采用横断面研究方法，对巴西东北部阿拉戈斯Maceió市两组年龄在24个月以下的母亲(n=202)进行研究。病例组由在家庭保健单位登记的母亲组成。对照组由带孩子去该市两家私人儿科诊所的母亲组成。膳食摄入量评估采用定性和有效的食物频率问卷(FFQ)。FFQ的评估是通过一种将消费频率的总体比率转换为分数的方法进行的。结果高收入家庭和母亲受教育程度较高的儿童(对照组)的果蔬消费得分中位数(p<0.01)和肉、内脏、鸡蛋消费得分中位数(p<0.01)高于病例组。另一方面，病例组儿童的制成品消费得分中位数较高(p<0.01)。结论母亲的社会经济地位影响婴儿食物的质量。在案例组中，24个月大的孩子已经食用工业产品而不是菜单上的健康食品。

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引用次数: 0